Patient safety in outpatient surgery: The viewpoint of the healthcare providers

Carayon, Pascale; Hundt, Ann Schoofs; Alvarado, Carla J.; Springman, Scott R.; Ayoub, Phillip J.

doi:10.1080/00140130600568717

Cited by 42 publications

(46 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Drawing from past studies of physician worklife and organizational research 13,[16][17][18][19][20][21][22][23][24][25][26][27][28][29][30] , items relevant to identified predictors and satisfaction domains were nonparsimoniously compiled into a single item bank. Psychometrically validated attitude questions and scales for established domains of satisfaction were modified to be applicable, meaningful, and appropriate to hospitalists.…”

Section: Survey Instrumentmentioning

confidence: 99%

Worklife and Satisfaction of Hospitalists: Toward Flourishing Careers

et al. 2011

View full text Add to dashboard Cite

BACKGROUND:The number of hospitalists in the US is growing rapidly, yet little is known about their worklife to inform whether hospital medicine is a viable longterm career for physicians. OBJECTIVE: Determine current satisfaction levels among hospitalists. DESIGN: Survey study. METHODS: A national random stratified sample of 3,105 potential hospitalists plus 662 hospitalist employees of three multi-state hospitalist companies were administered the Hospital Medicine Physician Worklife Survey. Using 5-point Likert scales, the survey assessed demographic information, global job and specialty satisfaction, and 11 satisfaction domains: workload, compensation, care quality, organizational fairness, autonomy, personal time, organizational climate, and relationships with colleagues, staff, patients, and leader. Relationships between global satisfaction and satisfaction domains, and burnout symptoms and career longevity were explored. RESULTS: There were 816 hospitalist responses (adjusted response rate, 25.6%). Correcting for oversampling of pediatricians, 33.5% of respondents were women, and 7.4% were pediatricians. Overall, 62.6% of respondents reported high satisfaction (≥4 on a 5-point scale) with their job, and 69.0% with their specialty. Hospitalists were most satisfied with the quality of care they provided and relationships with staff and colleagues. They were least satisfied with organizational climate, autonomy, compensation, and availability of personal time. In adjusted analysis, satisfaction with organizational climate, quality of care provided, organizational fairness, personal time, relationship with leader, compensation, and relationship with patients predicted job satisfaction. Satisfaction with personal time, care quality, patient relationships, staff relationships, and compensation predicted specialty satisfaction. Job burnout symptoms were reported by 29.9% of respondents who were more likely to leave and reduce work effort. CONCLUSIONS:Hospitalists rate their job and specialty satisfaction highly, but burnout symptoms are common. Hospitalist programs should focus on organizational climate, organizational fairness, personal time, and compensation to improve satisfaction and minimize attrition.

show abstract

Section: Survey Instrumentmentioning

confidence: 99%

Worklife and Satisfaction of Hospitalists: Toward Flourishing Careers

et al. 2011

View full text Add to dashboard Cite

show abstract

“…37 The initial staff questionnaire included three questions: Staff responses to the questionnaire can be associated with numerous aspects of the work system. 29 Tasks, tools, and organization coincide with an issue repeatedly reported by staff concerning the process of obtaining clinical information on patients in a timely fashion.…”

Section: Assessing Work Systems Processes and Outcomes Of Outpatienmentioning

confidence: 99%

Work system design for patient safety: the SEIPS model

Carayon

Hundt

Karsh

et al. 2006

Qual Saf Health Care

1,315

1,244

View full text Add to dashboard Cite

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. Most errors and inefficiencies in patient care arise not from the solitary actions of individuals but from conflicting, incomplete, or suboptimal systems of which they are a part and with which they interact. To improve the design of these systems, the US Institute of Medicine (IOM) has proposed the application of engineering concepts and methods-in particular, human factors and systems engineering. 1-3Emphasis on system design was promoted in a recent report by the National Academy of Engineering and the IOM: ''… it is time to… establish a vigorous new partnership between engineering and health care and hasten a transition to a patient-centered 21st century health care system''.4 Our research program, the Systems Engineering Initiative for Patient Safety (SEIPS, http:// www2.fpm.wisc.edu/seips/), originally funded by the Agency for Healthcare Research and Quality, meets this challenge through a novel integration of human factors and healthcare quality models and proposes the SEIPS model of work system 5-7 and patient safety. Patient safety researchers clearly recognize the need for human factors engineering and systems approaches to patient safety research, analysis, and improvement. However, noticeably missing from the patient safety literature are models to guide studies to empirically examine system design in relation to patient safety and medical errors. The model described by Reason, 8 often referred to as the ''Swiss cheese'' model, is probably the most well known system model used within the patient safety community. Vincent et al 9 have expanded Reason's model and described seven categories of factors that influence clinical practice, such as organizational and management factors, work environment, team factors, task factors and patient characteristics. The Haddon model, which is used commonly in epidemiology and injury prevention, has been proposed for use in quality and safety. A comparison of the strengths and weaknesses of the SEIPS model, the Reason/Vincent model, and Donabedian's quality model is shown in table 1. The SEIPS model explains how the design of the work system can impact not only the safety of patients but also employee and organizational outcomes. Employee outcomes include safety, health, satisfaction, stress and burnout; organizational outcomes include rates of turnover, injuries and illnesses, and organizational health (profitability).In this paper we describe the SEIPS model and its research and pra...

show abstract

“…A range of physical (eg, lifting, injecting, charting), cognitive (eg, perceiving, attention, communicating, awareness) and social/behavioural (eg, motivation, decision-making) performance processes can influence patient safety 18. Performance obstacles have been identified for intensive care unit nurses,19 20 staff in outpatient surgery centers,21 and hospital nurses 22…”

Section: Hfe Approaches and Contributions To Patient Safetymentioning

confidence: 99%

Human factors and ergonomics as a patient safety practice

2013

View full text Add to dashboard Cite

BackgroundHuman factors and ergonomics (HFE) approaches to patient safety have addressed five different domains: usability of technology; human error and its role in patient safety; the role of healthcare worker performance in patient safety; system resilience; and HFE systems approaches to patient safety.MethodsA review of various HFE approaches to patient safety and studies on HFE interventions was conducted.ResultsThis paper describes specific examples of HFE-based interventions for patient safety. Studies show that HFE can be used in a variety of domains.ConclusionsHFE is a core element of patient safety improvement. Therefore, every effort should be made to support HFE applications in patient safety.

show abstract

Patient safety in outpatient surgery: The viewpoint of the healthcare providers

Cited by 42 publications

References 16 publications

Worklife and Satisfaction of Hospitalists: Toward Flourishing Careers

Worklife and Satisfaction of Hospitalists: Toward Flourishing Careers

Work system design for patient safety: the SEIPS model

Human factors and ergonomics as a patient safety practice

Contact Info

Product

Resources

About