Work System Design for Patient Safety: the SEIPS Model

Overview

Journal Qual Saf Health Care

Specialty Health Services

Date 2006 Dec 5

PMID 17142610

Citations 468

Authors

P Carayon

A Schoofs Hundt

B-T Karsh

A P Gurses

C J Alvarado

M Smith

P Flatley Brennan

Affiliations

Soon will be listed here.

Abstract

Models and methods of work system design need to be developed and implemented to advance research in and design for patient safety. In this paper we describe how the Systems Engineering Initiative for Patient Safety (SEIPS) model of work system and patient safety, which provides a framework for understanding the structures, processes and outcomes in health care and their relationships, can be used toward these ends. An application of the SEIPS model in one particular care setting (outpatient surgery) is presented and other practical and research applications of the model are described.

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References

Sexton J, Thomas E, Helmreich R . Error, stress, and teamwork in medicine and aviation: cross sectional surveys. BMJ. 2000; 320(7237):745-9. PMC: 27316. DOI: 10.1136/bmj.320.7237.745. View

Carayon P, Schoofs Hundt A, Alvarado C, Springman S, Ayoub P . Patient safety in outpatient surgery: the viewpoint of the healthcare providers. Ergonomics. 2006; 49(5-6):470-85. DOI: 10.1080/00140130600568717. View

Brasel K, Layde P, Hargarten S . Evaluation of error in medicine: application of a public health model. Acad Emerg Med. 2000; 7(11):1298-302. DOI: 10.1111/j.1553-2712.2000.tb00479.x. View

Wilson J . Fundamentals of ergonomics in theory and practice. Appl Ergon. 2000; 31(6):557-67. DOI: 10.1016/s0003-6870(00)00034-x. View

Carayon P, Smith M . Work organization and ergonomics. Appl Ergon. 2000; 31(6):649-62. DOI: 10.1016/s0003-6870(00)00040-5. View

Kovner C . The impact of staffing and the organization of work on patient outcomes and health care workers in health care organizations. Jt Comm J Qual Improv. 2001; 27(9):458-68. DOI: 10.1016/s1070-3241(01)27040-0. View

Sainfort F, Karsh B, Booske B, Smith M . Applying quality improvement principles to achieve healthy work organizations. Jt Comm J Qual Improv. 2001; 27(9):469-83. DOI: 10.1016/s1070-3241(01)27041-2. View

. Medical professionalism in the new millennium: a physician charter. Ann Intern Med. 2002; 136(3):243-6. DOI: 10.7326/0003-4819-136-3-200202050-00012. View

Flynn E, Barker K, Pepper G, Bates D, Mikeal R . Comparison of methods for detecting medication errors in 36 hospitals and skilled-nursing facilities. Am J Health Syst Pharm. 2002; 59(5):436-46. DOI: 10.1093/ajhp/59.5.436. View

10.

Flynn K, Smith M, Davis M . From physician to consumer: the effectiveness of strategies to manage health care utilization. Med Care Res Rev. 2003; 59(4):455-81. PMC: 1635490. DOI: 10.1177/107755802237811. View

11.

Morey J, Simon R, Jay G, Wears R, Salisbury M, Dukes K . Error reduction and performance improvement in the emergency department through formal teamwork training: evaluation results of the MedTeams project. Health Serv Res. 2003; 37(6):1553-81. PMC: 1464040. DOI: 10.1111/1475-6773.01104. View

12.

Battles J, Lilford R . Organizing patient safety research to identify risks and hazards. Qual Saf Health Care. 2003; 12 Suppl 2:ii2-7. PMC: 1765780. DOI: 10.1136/qhc.12.suppl_2.ii2. View

13.

Brennan P, Safran C . Patient safety. Remember who it's really for. Int J Med Inform. 2004; 73(7-8):547-50. DOI: 10.1016/j.ijmedinf.2004.05.005. View

14.

Carayon P, Schultz K, Hundt A . Righting wrong site surgery. Jt Comm J Qual Saf. 2004; 30(7):405-10. DOI: 10.1016/s1549-3741(04)30046-8. View

15.

Nelson A, Baptiste A . Evidence-based practices for safe patient handling and movement. Online J Issues Nurs. 2004; 9(3):4. View

16.

Donabedian A . Evaluating the quality of medical care. Milbank Mem Fund Q. 1966; 44(3):Suppl:166-206. View

17.

Donabedian A . The quality of medical care. Science. 1978; 200(4344):856-64. DOI: 10.1126/science.417400. View

18.

Donabedian A . The quality of care. How can it be assessed?. JAMA. 1988; 260(12):1743-8. DOI: 10.1001/jama.260.12.1743. View

19.

Leape L . Error in medicine. JAMA. 1994; 272(23):1851-7. View

20.

Leape L, Bates D, Cullen D, Cooper J, Demonaco H, Gallivan T . Systems analysis of adverse drug events. ADE Prevention Study Group. JAMA. 1995; 274(1):35-43. View