以患者安全为导向的工作系统设计：SEIPS模型。
Work system design for patient safety: the SEIPS model.
作者信息
Carayon P, Schoofs Hundt A, Karsh B-T, Gurses A P, Alvarado C J, Smith M, Flatley Brennan P
机构信息
Department of Industrial and Systems Engineering, College of Engineering, University of Wisconsin-Madison, Madison, Wisconsin 53726, USA.
出版信息
Qual Saf Health Care. 2006 Dec;15 Suppl 1(Suppl 1):i50-8. doi: 10.1136/qshc.2005.015842.
Abstract
Models and methods of work system design need to be developed and implemented to advance research in and design for patient safety. In this paper we describe how the Systems Engineering Initiative for Patient Safety (SEIPS) model of work system and patient safety, which provides a framework for understanding the structures, processes and outcomes in health care and their relationships, can be used toward these ends. An application of the SEIPS model in one particular care setting (outpatient surgery) is presented and other practical and research applications of the model are described.
摘要
需要开发并实施工作系统设计的模型和方法，以推动患者安全方面的研究和设计。在本文中，我们描述了患者安全系统工程倡议（SEIPS）工作系统与患者安全模型如何能够用于实现这些目标，该模型提供了一个理解医疗保健中的结构、流程和结果及其相互关系的框架。本文介绍了SEIPS模型在一个特定护理环境（门诊手术）中的应用，并描述了该模型的其他实际应用和研究应用。
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本文引用的文献
1
Patient safety in outpatient surgery: the viewpoint of the healthcare providers.
Ergonomics. 2006;49(5-6):470-85. doi: 10.1080/00140130600568717.
2
Evidence-based practices for safe patient handling and movement.
Online J Issues Nurs. 2004 Sep 30;9(3):4.
3
Righting wrong site surgery.
Jt Comm J Qual Saf. 2004 Jul;30(7):405-10. doi: 10.1016/s1549-3741(04)30046-8.
4
Patient safety. Remember who it's really for.
Int J Med Inform. 2004 Aug;73(7-8):547-50. doi: 10.1016/j.ijmedinf.2004.05.005.
5
Organizing patient safety research to identify risks and hazards.
Qual Saf Health Care. 2003 Dec;12 Suppl 2(Suppl 2):ii2-7. doi: 10.1136/qhc.12.suppl_2.ii2.
6
Error reduction and performance improvement in the emergency department through formal teamwork training: evaluation results of the MedTeams project.
Health Serv Res. 2002 Dec;37(6):1553-81. doi: 10.1111/1475-6773.01104.
7
From physician to consumer: the effectiveness of strategies to manage health care utilization.
Med Care Res Rev. 2002 Dec;59(4):455-81. doi: 10.1177/107755802237811.
8
Comparison of methods for detecting medication errors in 36 hospitals and skilled-nursing facilities.
Am J Health Syst Pharm. 2002 Mar 1;59(5):436-46. doi: 10.1093/ajhp/59.5.436.
9
Medical professionalism in the new millennium: a physician charter.
Ann Intern Med. 2002 Feb 5;136(3):243-6. doi: 10.7326/0003-4819-136-3-200202050-00012.
10
Applying quality improvement principles to achieve healthy work organizations.
Jt Comm J Qual Improv. 2001 Sep;27(9):469-83. doi: 10.1016/s1070-3241(01)27041-2.
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