TY - JOUR
T1 - Challenges and opportunities for improving patient safety through human factors and systems engineering
AU - Carayon, Pascale
AU - Wooldridge, Abigail
AU - Hose, Bat Zion
AU - Salwei, Megan
AU - Benneyan, James
N1 - Support for this publication was provided partly by the Clinical and Translational Science Awards Program through the National Center for Advancing Translational Sciences of the National Institutes of Health (NIH) (Grant No. UL1TR002373) and an Agency for Healthcare Research and Quality (AHRQ) Patient Safety Learning Lab award (Grant No. P30-HS-024453-01). The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH or AHRQ. An earlier version of the manuscript was presented at a working paper review session in Washington, D.C., April 10, 2018, organized by Health Affairs and supported by the Gordon and Betty Moore Foundation.
PY - 2018/11
Y1 - 2018/11
N2 - Despite progress on patient safety since the publication of the Institute of Medicine’s 1999 report, To Err Is Human, significant problems remain. Human factors and systems engineering (HF/SE) has been increasingly recognized and advocated for its value in understanding, improving, and redesigning processes for safer care, especially for complex interacting sociotechnical systems. However, broad awareness of HF/SE and its adoption into safety improvement work have been frustratingly slow. We provide an overview of HF/SE, its demonstrated value to a wide range of patient safety problems (in particular, medication safety), and challenges to its broader implementation across health care. We make a variety of recommendations to maximize the spread of HF/SE, including formal and informal education programs, greater adoption of HF/SE by health care organizations, expanded funding to foster more clinician-engineer partnerships, and coordinated national efforts to design and operationalize a system for spreading HF/SE into health care nationally.
AB - Despite progress on patient safety since the publication of the Institute of Medicine’s 1999 report, To Err Is Human, significant problems remain. Human factors and systems engineering (HF/SE) has been increasingly recognized and advocated for its value in understanding, improving, and redesigning processes for safer care, especially for complex interacting sociotechnical systems. However, broad awareness of HF/SE and its adoption into safety improvement work have been frustratingly slow. We provide an overview of HF/SE, its demonstrated value to a wide range of patient safety problems (in particular, medication safety), and challenges to its broader implementation across health care. We make a variety of recommendations to maximize the spread of HF/SE, including formal and informal education programs, greater adoption of HF/SE by health care organizations, expanded funding to foster more clinician-engineer partnerships, and coordinated national efforts to design and operationalize a system for spreading HF/SE into health care nationally.
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U2 - 10.1377/hlthaff.2018.0723
DO - 10.1377/hlthaff.2018.0723
M3 - Article
C2 - 30395503
AN - SCOPUS:85056257396
SN - 0278-2715
VL - 37
SP - 1862
EP - 1869
JO - Health Affairs
JF - Health Affairs
IS - 11
ER -