Human Factors and Ergonomics in Health Care

Abstract

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A systematic review of human factors and ergonomics (HFE)-based healthcare system redesign for quality of care and patient safety

“…Various principles for successful HFE-based system implementation have been proposed, such as participation, communication and feedback, learning and training, top management commitment, and project management (Carayon, Alyousef and Xie 2012; Karsh 2004; Smith and Carayon 1995). Communication with stakeholders about the redesign was reported in three projects (studies 5.1, 9.1 and 10.1).…”

“…Although HFE is now recognized as important to healthcare quality and patient safety (Carayon, Alyousef and Xie 2012; Gurses, Ozok and Pronovost 2012), we have limited empirical information on HFE applications in healthcare system redesign (Carayon, Xie and Kianfar 2014). We conducted a systematic review, including assessment of risk of bias, to examine how HFE has been applied to redesign healthcare work systems and processes.…”

Application of participatory ergonomics to the redesign of the family-centred rounds process

“…The overall PE process of FCR redesign was guided by the following HFE implementation principles: top management commitment, stakeholder participation, communication and feedback, learning and training, and project management (Carayon, Alyousef and Xie 2012; Karsh 2004; Smith and Carayon 1995). Table 5 provides a list of activities that correspond to each of the HFE implementation principles.…”

“…The process of FCR redesign is about how changes in the work system are implemented. HFE principles, such as top management commitment, stakeholder participation, communication and feedback, learning and training, and project management, have been proposed to guide the implementation process and ensure work system changes are accepted and sustained (Carayon, Alyousef and Xie 2012; Endsley 1994; Karsh 2004; Smith and Carayon 1995). …”

Multi-stakeholder collaboration in the redesign of family-centered rounds process

“…An overarching HFE principle is to involve “stakeholders,” who affect or are affected by the healthcare work system, in the redesign process (Carayon et al, 2012). Stakeholders have varied values, norms, responsibilities, experience, tasks, skills, and priorities; therefore, they possess heterogeneous perspectives regarding care processes and their quality and safety (Carayon et al, 2012). These different perspectives are invaluable and need to be considered and integrated in any healthcare system redesign process (Manias et al, 2007; Tregunno et al, 2004).…”