SEIPS 3.0: Human-centered design of the patient journey for patient safety

SEIPS 3.0: Human-centered design of the patient journey for patient safety
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DOI:
10.1016/j.apergo.2019.103033
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发表时间:
2020-04-01
期刊:
影响因子:
3.2
通讯作者:
Kelly, Michelle M.
Kelly, Michelle M.
中科院分区:
工程技术2区
文献类型:
--
作者:
Carayon, Pascale;Wooldridge, Abigail;Kelly, Michelle M.

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患者安全系统工程倡议(SEIPS)和SEIPS 2.0模型为在医疗质量和患者安全改进中整合人为因素和人体工程学(HFE)提供了一个框架。随着护理在空间和时间上的分布越来越多,SEIPS模型的“过程”组件需要发展并表示这种额外的复杂性。在本文中,我们回顾了不同的方式,过程组件的SEIPS模型已被描述和应用。然后,我们提出了SEIPS 3.0模型,该模型扩展了过程组件,使用患者旅程的概念来描述患者随时间推移与多个护理环境的交互的时空分布。这种新的SEIPS 3.0社会技术系统方法对患者的旅程和患者安全提出了一些概念和方法上的挑战HFE研究人员和专业人士,包括需要考虑多个角度,真正参与的问题,以及FIFE工作的边界。
The Systems Engineering Initiative for Patient Safety (SEIPS) and SEIPS 2.0 models provide a framework for integrating Human Factors and Ergonomics (HFE) in health care quality and patient safety improvement. As care becomes increasingly distributed over space and time, the "process" component of the SEIPS model needs to evolve and represent this additional complexity. In this paper, we review different ways that the process component of the SEIPS models have been described and applied. We then propose the SEIPS 3.0 model, which expands the process component, using the concept of the patient journey to describe the spatio-temporal distribution of patients' interactions with multiple care settings over time. This new SEIPS 3.0 sociotechnical systems approach to the patient journey and patient safety poses several conceptual and methodological challenges to HFE researchers and professionals, including the need to consider multiple perspectives, issues with genuine participation, and FIFE work at the boundaries.