title: Human factors systems approach to healthcare quality and patient safety.
abstract: Human factors systems approaches are critical for improving healthcare quality and patient safety. The SEIPS (Systems Engineering Initiative for Patient Safety) model of work system and patient safety is a human factors systems approach that has been successfully applied in healthcare research and practice. Several research and practical applications of the SEIPS model are described. Important implications of the SEIPS model for healthcare system and process redesign are highlighted. Principles for redesigning healthcare systems using the SEIPS model are described. Balancing the work system and encouraging the active and adaptive role of workers are key principles for improving healthcare quality and patient safety.
authors.affiliation: Center for Quality and Productivity Improvement, University of Wisconsin-Madison, 1550 Engineering Drive, Madison, WI 53706, USA; Department of Industrial and Systems Engineering, University of Wisconsin-Madison, 1550 Engineering Drive, Madison, WI 53706, USA. Electronic address: carayon@engr.wisc.edu.
authors.forename: Pascale
authors.initials: P
authors.lastname: Carayon
authors.forename: Tosha B
authors.initials: TB
authors.lastname: Wetterneck
authors.forename: A Joy
authors.initials: AJ
authors.lastname: Rivera-Rodriguez
authors.forename: Ann Schoofs
authors.initials: AS
authors.lastname: Hundt
authors.forename: Peter
authors.initials: P
authors.lastname: Hoonakker
authors.forename: Richard
authors.initials: R
authors.lastname: Holden
authors.forename: Ayse P
authors.initials: AP
authors.lastname: Gurses
mesh_terms: D006804:Ergonomics; D006801:Humans; D008962:Models, Theoretical; D010043:Outcome and Process Assessment, Health Care; D061214:Patient Safety; D018802:Patient-Centered Care; D011787:Quality of Health Care; D018511:Systems Integration
keywords: Balanced work system; Healthcare; Healthcare team; Macroergonomics; Patient safety; Patient-centered care; SEIPS model; Sociotechnical system