A systematic review of human factors and ergonomics (HFE)-based healthcare system redesign for quality of care and patient safety.
A systematic review of human factors and ergonomics (HFE)-based healthcare system redesign for quality of care and patient safety.
复制标题
DOI：
10.1080/00140139.2014.959070
复制
发表时间：
2015
期刊：
影响因子：
2.4
通讯作者：
Carayon P
中科院分区：
文献类型：
--
作者：
Xie A;Carayon P
医疗保健系统需要重新设计，以提供安全、有效和高效的护理，并满足患者的多种需求。本系统综述探讨了如何应用人为因素和人体工程学 (HFE) 来重新设计医疗保健工作系统和流程，并提高护理质量和安全性。我们确定了代表 23 项研究的 12 个项目，并解决各种医疗保健系统和护理环境中不同的身体、认知和组织 HFE 问题。一些证据表明，基于 HFE 的医疗保健系统重新设计在改善护理质量和安全的流程和结果衡量方面是有效的。我们评估了 16 项研究的偏倚风险，这些研究报告了基于 HFE 的医疗保健系统重新设计的影响，并发现各个研究的质量各不相同。未来的研究应进一步评估 HFE 对护理质量和安全的影响，并明确定义基于 HFE 的系统重新设计可以提高护理质量和安全的机制。现有证据表明，基于 HFE 的医疗保健系统重新设计有可能提高护理质量和患者安全。医疗保健组织需要认识到基于 HFE 的医疗保健系统重新设计对护理质量和患者安全的重要性，并投入资源将 HFE 整合到医疗保健改进活动中。
Healthcare systems need to be redesigned to provide care that is safe, effective and efficient, and meets the multiple needs of patients. This systematic review examines how Human Factors and Ergonomics (HFE) is applied to redesign healthcare work systems and processes and improve quality and safety of care. We identified twelve projects representing 23 studies and addressing different physical, cognitive and organizational HFE issues in a variety of healthcare systems and care settings. Some evidence exists for the effectiveness of HFE-based healthcare system redesign in improving process and outcome measures of quality and safety of care. We assessed risk of bias in 16 studies reporting the impact of HFE-based healthcare system redesign and found varying quality across studies. Future research should further assess the impact of HFE on quality and safety of care, and clearly define the mechanisms by which HFE-based system redesign can improve quality and safety of care. Existing evidence shows that HFE-based healthcare system redesign has the potential to improve quality of care and patient safety. Healthcare organizations need to recognize the importance of HFE-based healthcare system redesign to quality of care and patient safety, and invest resources to integrate HFE in healthcare improvement activities.
登录
查看更多内容
影响因子：
3.2
作者：
Carayon, Pascale;Wetterneck, Tosha B.;Gurses, Ayse P.
通讯作者：
Gurses, Ayse P.
影响因子：
--
作者：
Amoore, J;Ingram, P
通讯作者：
Ingram, P
影响因子：
2.4
作者：
Casler, JG;Cook, JR
通讯作者：
Cook, JR
DOI：
10.1136/jamia.1999.00660313
发表时间：
1999-07-01
影响因子：
6.4
作者：
Bates, DW;Teich, JM;Leape, L
通讯作者：
Leape, L
影响因子：
3.2
作者：
Carayon, Pascale
通讯作者：
Carayon, Pascale