SEIPS 3.0: Human-centered design of the patient journey for patient safety

Pascale Carayon; Abigail Wooldridge; Peter Hoonakker; Ann Schoofs Hundt; Michelle M Kelly

doi:10.1016/j.apergo.2019.103033

SEIPS 3.0: Human-centered design of the patient journey for patient safety

Appl Ergon. 2020 Apr:84:103033. doi: 10.1016/j.apergo.2019.103033. Epub 2020 Jan 10.

Authors

Pascale Carayon¹, Abigail Wooldridge², Peter Hoonakker³, Ann Schoofs Hundt³, Michelle M Kelly⁴

Affiliations

¹ Center for Quality and Productivity Improvement, Wisconsin Institute for Healthcare Systems Engineering, University of Wisconsin-Madison, United States; Department of Industrial and Systems Engineering, University of Wisconsin-Madison, United States. Electronic address: [email protected].
² Department of Industrial and Enterprise Systems Engineering, University of Illinois at Urbana-Champaign, United States.
³ Center for Quality and Productivity Improvement, Wisconsin Institute for Healthcare Systems Engineering, University of Wisconsin-Madison, United States.
⁴ Center for Quality and Productivity Improvement, Wisconsin Institute for Healthcare Systems Engineering, University of Wisconsin-Madison, United States; Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, United States.

Abstract

The Systems Engineering Initiative for Patient Safety (SEIPS) and SEIPS 2.0 models provide a framework for integrating Human Factors and Ergonomics (HFE) in health care quality and patient safety improvement. As care becomes increasingly distributed over space and time, the "process" component of the SEIPS model needs to evolve and represent this additional complexity. In this paper, we review different ways that the process component of the SEIPS models have been described and applied. We then propose the SEIPS 3.0 model, which expands the process component, using the concept of the patient journey to describe the spatio-temporal distribution of patients' interactions with multiple care settings over time. This new SEIPS 3.0 sociotechnical systems approach to the patient journey and patient safety poses several conceptual and methodological challenges to HFE researchers and professionals, including the need to consider multiple perspectives, issues with genuine participation, and HFE work at the boundaries.

Keywords: Care coordination; Human-centered design; Participatory ergonomics; Patient journey; Patient safety; SEIPS.

MeSH terms

Ergonomics / standards*
Humans
Medical Errors / prevention & control
Models, Theoretical
Patient Safety / standards*
Quality Improvement
Quality of Health Care
Safety Management / standards*
Systems Analysis
Task Performance and Analysis

Abstract

MeSH terms

Grants and funding