Work system analysis on puncher bar repair process in the production division of Akademi Teknik Soroako (Soroako Technical Academy)

Abstract Purpose To demonstrate the use and value of the Human Factors/Ergonomics-based Systems Engineering Initiative for Patient Safety (SEIPS) family of work system models for studying and improving patient work. Data Sources : We conducted a review of the published empirical literature applying the SEIPS family of work system models for patient work. Study Selection Included studies had to: apply one of the SEIPS family of work system models to study patient work; be published in a peer-reviewed journal in English; and include analysis of data. We identified 16 articles that met our inclusion criteria. Data Extraction For each study we extracted: settings and situations in which models were applied; research design; study methods; model(s) used; type and number of study participants; study objective(s); whether the study included an intervention; specific aspects of the model used; knowledge generated about patient work; and benefits of using the models. Results of data synthesis Our analysis revealed that a majority of studies were conducted in the United States, used qualitative or mixed methods, and employed a variety of data collection techniques to study adult patient populations with chronic illness and their informal caregivers and healthcare providers performing patient work in the home and clinical setting. The studies resulted in a variety of useful products, demonstrating several benefits of using the models. Conclusion Our review has demonstrated the value of using the SEIPS family of work systems models to study and improve patient and family contributions to health-related work.

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Macroergonomics: Work System Analysis and Design

Human Factors The Journal of the Human Factors and Ergonomics Society ◽

10.1518/001872008x288501 ◽

2008 ◽

Vol 50 (3) ◽

pp. 461-467 ◽

Cited By ~ 45

Author(s):

Brian M. Kleiner

Keyword(s):

System Analysis ◽

System Analysis And Design ◽

Analysis And Design ◽

Work System

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A Human Factors Engineering Study of the Medication Delivery Process during an Anesthetic

Anesthesiology ◽

10.1097/aln.0000000000001040 ◽

2016 ◽

Vol 124 (4) ◽

pp. 795-803 ◽

Cited By ~ 25

Author(s):

Yushi Yang ◽

Antonia Joy Rivera ◽

Christopher R. Fortier ◽

James H. Abernathy

Keyword(s):

Human Factors ◽

General Surgery ◽

Cognitive Complexity ◽

System Analysis ◽

Human Factors Engineering ◽

Work Processes ◽

Work System ◽

Medication Delivery ◽

Anesthesia Providers ◽

The Impact

Abstract Background Prefilled syringes (PFS) have been recommended by the Anesthesia Patient Safety Foundation. However, aspects in PFS systems compared with self-filled syringes (SFS) systems have never been explored. The aim of this study is to compare system vulnerabilities (SVs) in the two systems and understand the impact of PFS on medication safety and efficiency in the context of anesthesiology medication delivery in operating rooms. Methods This study is primarily qualitative research, with a quantitative portion. A work system analysis was conducted to analyze the complicated anesthesia work system using human factors principles and identify SVs. Anesthesia providers were shadowed: (1) during general surgery cases (n = 8) exclusively using SFS and (2) during general surgery cases (n = 9) using all commercially available PFS. A proactive risk assessment focus group was followed to understand the risk of each identified SV. Results PFS are superior to SFS in terms of the simplified work processes and the reduced number and associated risk of SVs. Eight SVs were found in the PFS system versus 21 in the SFS system. An SV example with high risk in the SFS system was a medication might need to be “drawn-up during surgery while completing other requests simultaneously.” This SV added cognitive complexity during anesthesiology medication delivery. However, it did not exist in the PFS system. Conclusions The inclusion of PFS into anesthesiology medication delivery has the potential to improve system safety and work efficiency. However, there were still opportunities for further improvement by addressing the remaining SVs and newly introduced complexity.

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Work System Analysis of Home Nursing Care and Implications for Medication Errors

Proceedings of the Human Factors and Ergonomics Society Annual Meeting ◽

10.1177/154193120504901111 ◽

2005 ◽

Vol 49 (11) ◽

pp. 1052-1056 ◽

Cited By ~ 1

Author(s):

K.L. Calvin ◽

Gail R. Casper ◽

Ben-Tzion Karsh ◽

Patricia F. Brennan ◽

Laura J. Burke ◽

...

Keyword(s):

Home Health Care ◽

Nursing Care ◽

System Analysis ◽

Care Delivery ◽

Home Nursing ◽

Design Work ◽

Analysis And Design ◽

Work System ◽

Telephone Interviews ◽

Home Nursing Care

The purpose of this study was to examine the context of the provision of home nursing care for patients with congestive heart failure. A modified macroergonomic analysis and design work system analysis was undertaken in two phases with fourteen nurse participants: I) field observations of eight nurses for the collection of data on work elements and II) follow-up telephone interviews with six home care nurses. Open-ended questions were asked after the observations to identify clinical knowledge, policies, and procedures that influenced care decisions and practices. The telephone interviews focused on four different aspects of home health care delivery and were conducted using semi-structured questions. Results of the observations were translated into flowcharts and a summary report. The baseline findings described aspects of home medication management and its relevance to safety, quality of care, communication, and self-management.

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A perspective on work system analysis: classification and evaluation of methods

Ergonomics ◽

10.1080/001401398186702 ◽

1998 ◽

Vol 41 (6) ◽

pp. 881-898 ◽

Cited By ~ 6

Author(s):

CHRISTIN SHOAF ◽

ASH GENAIDY ◽

RICHARD SHELL

Keyword(s):

System Analysis ◽

Work System ◽

Evaluation Of Methods

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A macro-ergonomic work system analysis of the diagnostic testing process in an outpatient health care facility for process improvement and patient safety

Ergonomics ◽

10.1080/00140130600568832 ◽

2006 ◽

Vol 49 (5-6) ◽

pp. 544-566 ◽

Cited By ~ 20

Author(s):

M. L. Hallock ◽

S. J. Alper ◽

B. Karsh

Keyword(s):

Health Care ◽

Patient Safety ◽

Process Improvement ◽

System Analysis ◽

Diagnostic Testing ◽

Care Facility ◽

Health Care Facility ◽

Work System

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Medication Safety and the Independent Double Check: A Work System Analysis and Reliability Engineering Theory Review

Proceedings of the International Symposium on Human Factors and Ergonomics in Health Care ◽

10.1177/2327857920091026 ◽

2020 ◽

Vol 9 (1) ◽

pp. 119-120

Author(s):

Leah Konwinski

Keyword(s):

Medication Safety ◽

System Analysis ◽

Sociotechnical Systems ◽

Safety Measure ◽

Reliability Engineering ◽

Standard Practice ◽

Work System ◽

Engineering Theory ◽

Growing Body ◽

Theory Review

Double checking is a standard practice in many areas of healthcare, despite the growing body of evidence suggesting that it is hard to do, and ineffective as a safety measure. We ask here: ‘What are the work system barriers that make IDC so ineffective?’ and, ‘What does the literature say about double-checking as a safety measure in sociotechnical systems?’

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