Wooldridge Abigail R, Carayon Pascale, Hundt Ann Schoofs, Hoonakker Peter L T
Center for Quality and Productivity Improvement, University of Wisconsin-Madison, Madison, WI, United States; Department of Industrial & Systems Engineering, University of Wisconsin-Madison, Madison, WI, United States.
Center for Quality and Productivity Improvement, University of Wisconsin-Madison, Madison, WI, United States; Department of Industrial & Systems Engineering, University of Wisconsin-Madison, Madison, WI, United States.
Appl Ergon. 2017 Apr;60:240-254. doi: 10.1016/j.apergo.2016.11.010. Epub 2016 Dec 12.
Process mapping, often used as part of the human factors and systems engineering approach to improve care delivery and outcomes, should be expanded to represent the complex, interconnected sociotechnical aspects of health care. Here, we propose a new sociotechnical process modeling method to describe and evaluate processes, using the SEIPS model as the conceptual framework. The method produces a process map and supplementary table, which identify work system barriers and facilitators. In this paper, we present a case study applying this method to three primary care processes. We used purposeful sampling to select staff (care managers, providers, nurses, administrators and patient access representatives) from two clinics to observe and interview. We show the proposed method can be used to understand and analyze healthcare processes systematically and identify specific areas of improvement. Future work is needed to assess usability and usefulness of the SEIPS-based process modeling method and further refine it.
流程映射通常作为人因与系统工程方法的一部分，用于改善医疗服务提供和结果，应加以扩展以呈现医疗保健复杂的、相互关联的社会技术方面。在此，我们提出一种新的社会技术流程建模方法，以使用SEIPS模型作为概念框架来描述和评估流程。该方法生成一个流程地图和补充表格，可识别工作系统的障碍和促进因素。在本文中，我们展示了将此方法应用于三个初级保健流程的案例研究。我们采用目的抽样法从两家诊所选取工作人员（护理经理、提供者、护士、管理人员和患者接待代表）进行观察和访谈。我们表明所提出的方法可用于系统地理解和分析医疗保健流程，并识别具体的改进领域。未来需要开展工作来评估基于SEIPS的流程建模方法的可用性和实用性，并进一步完善它。
