Alarm Management: A Systems Approach to Patient Safety

2017 ◽  
pp. 63-72
Author(s):  
Vinaya Sebastian ◽  
Carolyn Hamasaki Brown
Keyword(s):  
Patient Safety ◽  
Systems Approach ◽  
Alarm Management

Human Factors and Systems Approach to Patient Safety

2019 ◽  
pp. 31-43
Author(s):  
Peter Spurgeon ◽  
Mark-Alexander Sujan ◽  
Stephen Cross ◽  
Hugh Flanagan
Keyword(s):  
Patient Safety ◽  
Human Factors ◽  
Systems Approach

Systems Approach to Patient Safety

2011 ◽  
pp. 583-597 ◽  
Author(s):  
Sneha Shah ◽  
Michelle Patch ◽  
Julius Cuong Pham
Keyword(s):  
Patient Safety ◽  
Systems Approach

scholarly journals Human factors systems approach to healthcare quality and patient safety

2014 ◽  
Vol 45 (1) ◽  
pp. 14-25 ◽  
Author(s):  
Pascale Carayon ◽  
Tosha B. Wetterneck ◽  
A. Joy Rivera-Rodriguez ◽  
Ann Schoofs Hundt ◽  
Peter Hoonakker ◽  
...  
Keyword(s):  
Patient Safety ◽  
Human Factors ◽  
Systems Approach ◽  
Healthcare Quality ◽  
Quality And Patient Safety

Infection Control/Health Care Epidemiology and Human Factors Engineering — a “New” Pairing for Patient Safety?

2002 ◽  
Vol 46 (15) ◽  
pp. 1389-1393
Author(s):  
Carla J. Alvarado
Keyword(s):  
Patient Safety ◽  
Infection Control ◽  
Human Factors ◽  
Nosocomial Infections ◽  
Systems Approach ◽  
Human Factors Engineering ◽  
Societal Factors ◽  
Number Of Patients ◽  
Hospital Infection Control ◽  
Hospital Acquired

This paper covers the history of infection control and the role human factors engineering, and macroergonomics in particular, has played and will continue to play in the reduction of hospital-acquired or nosocomial infections—a key aspect for enhancing patient safety and quality of care. Semmelweis is considered the father of modern hospital infection control and epidemiology programs; and he used human factors engineering and a systems approach to solve infection control problems by considering societal, organizational, environmental, task, tools and person factors in his investigations. Today, the IOM stresses the importance of organizational and process designs and a “culture of safety” for the reduction of medical errors. Examples of current problems and areas for future infection control and human factors research are presented, including design issues, change management and safety culture. All levels of the work system—from the microenvironment level issues such as noise and light to the macro environment level issues such as organizational culture and societal factors—must be taken into account for controlling nosocomial infections and enhancing patient safety. “ Because of my convictions, I must here confess that God only knows the number of patients that have gone prematurely to their graves by my fault. I have handled cadavers extensively, more than most accoucheurs. As painful and depressing, indeed as such an acknowledgement is, still misfortune should not persist forever, for the truth must be made known to all concerned.” Ignaz Phillip Semmelweis, Budapest Hungary 1861

Patient groups, clinicians and healthcare professionals agree – all test results need to be seen, understood and followed up

Diagnosis ◽  
2018 ◽  
Vol 5 (4) ◽  
pp. 215-222 ◽  
Author(s):  
Maria R. Dahm ◽  
Andrew Georgiou ◽  
Robert Herkes ◽  
Anthony Brown ◽  
Julie Li ◽  
...  
Keyword(s):  
Patient Safety ◽  
Systems Approach ◽  
Digital Health ◽  
Diagnostic Testing ◽  
Care Process ◽  
Test Results ◽  
Levels Of Care ◽  
Result Management ◽  
Test Result

AbstractBackgroundDiagnostic testing provides integral information for the prevention, diagnosis, treatment and management of disease. Inadequate test result reporting and follow-up is a major risk to patient safety. Factors contributing to failure to follow-up test results include unclear delineation of responsibility about who is meant to act on a test result; poor coordination across different levels of care; and the absence of integrated health information systems for the efficient information communication.MethodsA 2016 Australian Stakeholder Forum brought together over 30 representatives from 14 different consumer, clinical and management stakeholder organisations to discuss safe and effective test result communication, management and follow-up. Thematic analysis was conducted drawing on multimodal data collected in the form of observational fieldnotes and document artefacts produced by participants.ResultsThe forum identified major challenges which pose immediate risks to patient safety. Participants recommended priorities for addressing issues relating to: (i) the governance of test result management processes; (ii) integration of health care processes through the utilisation of effective digital health solutions; and (iii) involving patients as key partners in the decision-making and care process.ConclusionsStakeholder groups diverged slightly in their priorities. Consumers highlighted the lack of patient involvement in the test result management process but were less concerned about standardisation of reports and critical result thresholds than pathologists. The forum foregrounded the need for a systems approach, capable of identifying and addressing interconnections and multiple factors that contribute to poor test result follow-up, with a strong emphasis on enhancing the contribution of patients.

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