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SEIPS 2.0: a human factors framework for studying and improving the work of healthcare professionals and patients

机译:SEIPS 2.0:用于研究和改善医疗保健专业人员和患者工作的人为因素框架

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摘要

Healthcare practitioners, patient safety leaders, educators and researchers increasingly recognise the value of human factors/ ergonomics and make use of the discipline's person-centred models of sociotechnical systems. This paper first reviews one of the most widely used healthcare human factors systems models, the Systems Engineering Initiative for Patient Safety (SEIPS) model, and then introduces an extended model, 'SEIPS 2.0'. SEIPS 2.0 incorporates three novel concepts into the original model: configuration, engagement and adaptation. The concept of configuration highlights the dynamic, hierarchical and interactive properties of sociotechnical systems, making it possible to depict how health-related performance is shaped at 'a moment in time'. Engagement conveys that various individuals and teams can perform health-related activities separately and collaboratively. Engaged individuals often include patients, family caregivers and other non-professionals. Adaptation is introduced as a feedback mechanism that explains how dynamic systems evolve in planned and unplanned ways. Key implications and future directions for human factors research in healthcare are discussed. Practitioner Summary: SEIPS 2.0 is a new human factors/ergonomics framework for studying and improving health and healthcare. It describes how sociotechnical systems shape health-related work done by professionals and non-professionals, independently and collaboratively. Work processes, in turn, shape patient, professional and organisational outcomes. Work systems and processes undergo planned and unplanned adaptations.
机译:医疗保健从业者,患者安全领导者,教育者和研究人员越来越认识到人为因素/人体工程学的价值,并利用该学科以人为本的社会技术系统模型。本文首先回顾了使用最广泛的医疗保健人为因素系统模型之一,即患者安全系统工程计划(SEIPS)模型,然后介绍了扩展模型“ SEIPS 2.0”。 SEIPS 2.0将三个新颖的概念整合到原始模型中:配置,参与和适应。配置的概念突出了社会技术系统的动态,分层和交互特性,从而有可能描绘出“时刻”如何塑造与健康相关的绩效。参与表明,各个个人和团队可以单独或协作执行与健康相关的活动。敬业的个人通常包括患者,家庭护理人员和其他非专业人员。引入自适应作为一种反馈机制,该机制解释了动态系统如何以计划内和计划外方式发展。讨论了医疗保健中人为因素研究的关键意义和未来方向。从业者摘要:SEIPS 2.0是用于研究和改善健康与保健的新的人为因素/人体工程学框架。它描述了社会技术系统如何塑造专业人员和非专业人员独立和协作完成的与健康相关的工作。工作流程反过来会影响患者,专业和组织的成果。工作系统和流程会进行计划内和计划外的调整。

著录项

  • 来源
    《Ergonomics》 |2013年第11期|1669-1686|共18页
  • 作者单位

    Departments of Medicine and Biomedical Informatics, Center for Research and Innovation in Systems Safety, Vanderbilt University School of Medicine, Nashville, 77V, USA;

    Department of Industrial and Systems Engineering, University of Wisconsin-Madison, Madison, WI, USA,Center for Quality and Productivity Improvement, University of Wisconsin-Madison, Madison, WI, USA;

    Division of Health Sciences Informatics, Department of Anesthesiology and Critical Care Medicine, School of Medicine, Armstrong Institute for Patient Safety and Quality, The Johns Hopkins University, Baltimore, MD, USA,Department of Health Policy and Management, Bloomberg School of Public Health, The Johns Hopkins University, Baltimore, MD, USA,Department of Civil Engineering, Whiting School of Engineering, The Johns Hopkins University, MD, USA;

    Center for Quality and Productivity Improvement, University of Wisconsin-Madison, Madison, WI, USA;

    Center for Quality and Productivity Improvement, University of Wisconsin-Madison, Madison, WI, USA;

    Department of Information Systems, University of Maryland, Baltimore County, Baltimore, MD, USA,Department of Anesthesiology, The Johns Hopkins University, MD, USA,Department of Anesthesiology, The Armstrong Institute of Patient Safety and Quality, School of Medicine, The Johns Hopkins University, Baltimore, MD, USA;

    Department of Industrial Engineering, Clemson University, Clemson, SC, USA;

  • 收录信息 美国《科学引文索引》(SCI);美国《工程索引》(EI);美国《化学文摘》(CA);
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

    healthcare; work system; patient-centred care; patient and family engagement; SEIPS model;

    机译:卫生保健;工作系统以病人为中心的护理;患者和家人的参与;SEIPS模型;

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