Leon and Elizabeth Janssen Professor in the College of Engineering, Department of Industrial & Systems Engineering, Director of the Wisconsin Institute for Healthcare Systems Engineering; University of Wisconsin-Madison, 1550 Engineering Drive, Madison, WI 53705, USA.
Associate Professor, Emergency Medicine, University of Florida Honorary Researcher, Center for Quality and Productivity Improvement (CPQI), College of Engineering, University of Wisconsin-Madison College of Medicine-Jacksonville, 655 8th St W, Jacksonville, FL 32209, USA.
Int J Qual Health Care. 2021 Jan 12;33(Supplement_1):1-3. doi: 10.1093/intqhc/mzaa109.
A human factors and ergonomics (HFE) systems approach offers a model for adjusting work systems and care processes in response to a healthcare crisis such as COVID-19. Using the Systems Engineering Initiative for Patient Safety (SEIPS) model of work system and patient safety, we describe various work system barriers and facilitators experienced by healthcare workers during the COVID-19 crisis. We propose a set of five principles based on this HFE systems approach related to novel pandemic: (i) deferring to local expertise, (ii) facilitating adaptive behaviors, (iii) enhancing interactions between system elements and levels along the patient journey, (iv) re-purposing existing processes and (v) encouraging dynamic continuous learning.
人因工程学(HFE)系统方法为调整工作系统和护理流程提供了一种模型,以应对 COVID-19 等医疗保健危机。我们使用患者安全系统工程倡议(SEIPS)模型来描述医疗保健工作者在 COVID-19 危机期间遇到的各种工作系统障碍和促进因素。我们基于这一人因工程学系统方法提出了一套五项原则,涉及新型大流行:(i)尊重当地专业知识,(ii)促进适应性行为,(iii)增强患者就医过程中系统要素和层次之间的相互作用,(iv)重新利用现有流程,(v)鼓励动态持续学习。