SEIPS 2.0: a human factors framework for studying and improving the work of healthcare professionals and patients.

Richard J. Holden; Pascale Carayon; Ayse P. Gurses; Peter Hoonakker; Ann Schoofs Hundt; A. Ant Ozok; A. Joy Rivera-Rodriguez

Commentary

SEIPS 2.0: a human factors framework for studying and improving the work of healthcare professionals and patients.

October 3, 2013

Holden RJ, Carayon P, Gurses AP, et al. Ergonomics. 2013;56(11):1669-1686.

View more articles from the same authors.

This paper builds upon the Systems Engineering Initiative for Patient Safety (SEIPS) model, incorporating three novel concepts: configuration, engagement, and adaptation.

PubMed citation

Available at

Free full text

Related Resources From the Same Author(s)

Human factors systems approach to healthcare quality and patient safety.

August 14, 2013

SEIPS 101 and seven simple SEIPS tools.

June 9, 2021

Application of human factors to improve usability of clinical decision support for diagnostic decision-making: a scenario-based simulation study.

January 8, 2020

Usability of a human factors-based clinical decision support in the emergency department: lessons learned for design and implementation.

May 11, 2022

Interruptions and distractions in healthcare: review and reappraisal.

May 12, 2010

Team cognition in handoffs: relating system factors, team cognition functions and outcomes in two handoff processes.

June 22, 2022

Time to accelerate integration of human factors and ergonomics in patient safety.

January 11, 2012

Care transition of trauma patients: processes with articulation work before and after handoff.

February 16, 2022

Does standardisation improve post-operative anaesthesia handoffs? Meta-analyses on provider, patient, organisational, and handoff outcomes.

June 1, 2022

SEIPS 3.0: human-centered design of the patient journey for patient safety.

February 19, 2020

Exploring performance obstacles of intensive care nurses.

November 19, 2008

A human factors engineering conceptual framework of nursing workload and patient safety in intensive care units.

October 12, 2005

FMEA team performance in health care: a qualitative analysis of team member perceptions.

June 24, 2009

Care transitions in the outpatient surgery preoperative process: facilitators and obstacles to information flow and their consequences.

November 14, 2007

Impact of performance obstacles on intensive care nurses' workload, perceived quality and safety of care, and quality of working life.

April 1, 2009

Information chaos in primary care: implications for physician performance and patient safety.

November 30, 2011

State of science: evolving perspectives on ‘human error’.

March 16, 2022

Work system design for patient safety: the SEIPS model.

October 12, 2011

Early warning scores to predict noncritical events overnight in hospitalized medical patients: a prospective case cohort study.

September 23, 2020

Human factors and ergonomics to improve performance in intensive care units during the COVID-19 pandemic.

June 2, 2021

ICU nurses' acceptance of electronic health records.

July 13, 2011

From tasks to processes: the case for changing health information technology to improve health care.

April 1, 2009

Reducing failures in daily medical practice: healthcare failure mode and effect analysis combined with computer simulation.

June 9, 2021

Disparate perspectives: exploring healthcare professionals' misaligned mental models of older adults' transitions of care between the emergency department and skilled nursing facility.

July 21, 2021

Understanding hazards for adverse drug events among older adults after hospital discharge: insights from frontline care professionals.

July 20, 2022

Work system barriers and facilitators in inpatient care transitions of pediatric trauma patients.

March 11, 2020

Disaster ergonomics: human factors in COVID-19 pandemic emergency management.

August 19, 2020

Evaluation of nurse interaction with bar code medication administration technology in the work environment.

March 28, 2007

The impact of errors on healthcare professionals in the critical care setting.

April 24, 2019

Ambulatory medication safety in primary care: a systematic review.

July 6, 2022

Opioid dependence and overdose after surgery: rate, risk factors, and reasons.

September 21, 2022

Patient safety professionals as the third victims of adverse events.

June 26, 2019

Conducting an efficient proactive risk assessment prior to CPOE implementation in an intensive care unit.

June 13, 2012

Nurse burnout syndrome and work environment impact patient safety grade.

August 25, 2021

The electronic prescribing of subcutaneous infusions: a before-and-after study assessing the impact upon patient safety and service efficiency.

June 15, 2022

The effects of computerized provider order entry implementation on communication in intensive care units.

February 20, 2013

The impact of power on health care team performance and patient safety: a review of the literature.

April 21, 2021

Information flow during pediatric trauma care transitions: things falling through the cracks.

September 11, 2019

Association of implementation and social network factors with patient safety culture in medical homes: a coincidence analysis.

September 2, 2020

Challenges and strategies for patient safety in primary care: a qualitative study.

September 28, 2022

Using failure mode and effects analysis to plan implementation of smart i.v. pump technology.

August 23, 2006

Factors contributing to an increase in duplicate medication order errors after CPOE implementation.

August 17, 2011

Using human factors and ergonomics principles to prevent inpatient falls.

April 20, 2022

Human factors in anaesthesia: a narrative review.

February 15, 2023

Critical care nurses’ physical and mental health, worksite wellness support, and medical errors.

July 14, 2021

A socio-technical systems approach to studying interruptions: understanding the interrupter's perspective.

October 23, 2013

Psychological safety during the test of new work processes in an emergency department.

April 6, 2022

A systematic review of the literature on multidisciplinary rounds to design information technology.

March 15, 2006

The relationship of medical assistants' work engagement with their concerns of having made an important medical error: a cross-sectional study.

July 13, 2022

Anatomic pathology databases and patient safety.

October 19, 2005

Human factors analysis of latent safety threats in a pediatric critical care unit.

May 18, 2022

Changes in end-user satisfaction with computerized provider order entry over time among nurses and providers in intensive care units.

November 28, 2012

Classification of opioid dependence, abuse, or overdose in opioid-naive patients as a "Never Event".

August 5, 2020

Support for healthcare professionals after surgical patient safety incidents: a qualitative descriptive study in 5 teaching hospitals.

May 26, 2021

Development of a core drug list towards improving prescribing education and reducing errors in the UK.

March 2, 2011

Infection prevention in long-term care: re-evaluating the system using a human factors engineering approach.

February 13, 2019

Am I safe here? Improving patients' perceptions of safety in hospitals.

January 25, 2006

Development of rapid response capabilities in a large COVID-19 alternate care site using Failure Modes and Effect Analysis with in situ simulation.

November 18, 2020

The aspects of healthcare quality that are important to health professionals and patients: a qualitative study.

December 15, 2021

Opioid stewardship program and postoperative adverse events: a difference-in-differences cohort study.

September 16, 2020

Checklists to reduce diagnostic error: a systematic review of the literature using a human factors framework.

June 1, 2022

National improvements in resident physician-reported patient safety after limiting first-year resident physicians' extended duration work shifts: a pooled analysis of prospective cohort studies.

May 25, 2022

Drug-drug interactions and prescription appropriateness at hospital discharge: experience with COVID-19 patients.

April 21, 2021

Core competencies for patient safety research: a cornerstone for global capacity strengthening.

February 2, 2011

Recognition of adverse drug events in older hospitalized medical patients.

July 11, 2012

A contemporary analysis of closed claims related to wrong site surgery.

March 29, 2023

Targeting zero harm: a stretch goal that risks breaking the spring.

August 12, 2020

Engineering a foundation for partnership to improve medication safety during care transitions.

February 6, 2019

Defining and enhancing collaboration between community pharmacists and primary care providers to improve medication safety.

February 22, 2023

Evaluating patient identification practices during intrahospital transfers: a human factors approach.

March 29, 2023

Human factors and ergonomics at time of crises: the Italian experience coping with COVID19.

July 22, 2020

Acting wisely in complex clinical situations: 'Mutual safety' for clinicians as well as patients.

October 13, 2021

Medication errors at hospital admission and discharge: risk factors and impact of medication reconciliation process to improve healthcare.

October 20, 2021

Factors influencing physician responsiveness to nurse-initiated communication: a qualitative study.

December 2, 2020

On higher ground: ethical reasoning and its relationship with error disclosure.

April 24, 2013

Mortality review as a tool to assess the contribution of healthcare-associated infections to death: results of a multicentre validity and reproducibility study, 11 European Union countries, 2017 to 2018.

August 4, 2021

Patient safety in plastic surgery.

September 12, 2012

Resident to resident handoffs in the emergency department: an observational study.

October 22, 2014

A comparative study measuring the difference of healthcare workers reactions among those involved in a patent safety incident and healthcare professionals while working during COVID-19.

October 19, 2022

Publication of inspection frameworks: a qualitative study exploring the impact on quality improvement and regulation in three healthcare settings.

October 6, 2021

Preventable adverse drug events causing hospitalisation: identifying root causes and developing a surveillance and learning system at an urban community hospital, a cross-sectional observational study.

February 24, 2021

The effectiveness of improving healthcare teams' human factor skills using simulation-based training: a systematic review.

August 3, 2022

Patient and health care professional perspectives on stigma in integrated behavioral health: barriers and recommendations.

March 15, 2023

Eight human factors and ergonomics principles for healthcare artificial intelligence.

November 2, 2022

Understanding the second victim experience among multidisciplinary providers in obstetrics and gynecology.

May 19, 2021

Interprofessional model on speaking up behaviour in healthcare professionals: a qualitative study.

May 25, 2022

Safety culture: an integration of existing models and a framework for understanding its development.

March 17, 2021

Creating psychological safety in interprofessional simulation for health professional learners: a scoping review of the barriers and enablers.

May 18, 2022

Patient perceptions of safety in primary care: a qualitative study to inform care.

October 13, 2021

Human factors in patient safety as an innovation.

June 2, 2010

Human factors of complex sociotechnical systems.

June 28, 2006

Incorporating Health Information Technology Into Workflow Redesign: Request for Information Summary Report.

November 17, 2010

Critical care teamwork in the future: the role of TeamSTEPPS in the COVID-19 pandemic and implications for the future.

March 15, 2023

Physicians' beliefs about using EMR and CPOE: in pursuit of a contextualized understanding of health IT use behavior.

February 3, 2010

Cognitive performance-altering effects of electronic medical records: an application of the human factors paradigm for patient safety.

January 30, 2005

What stands in the way of technology-mediated patient safety improvements? A study of facilitators and barriers to physicians' use of electronic health records.

December 21, 2011

Concerns regarding tablet splitting: a systematic review.

December 7, 2022

Psychosocial working conditions as determinants of concerns to have made important medical errors and possible intermediate factors of this association among medical assistants - a cohort study.

March 8, 2023

Is there a mismatch between the perspectives of patients and regulators on healthcare quality? A survey study.

October 6, 2021

Understanding factors that could influence patient acceptability of the use of the PINCER intervention in primary care: a qualitative exploration using the Theoretical Framework of Acceptability.

November 9, 2022

Related Resources

National Healthcare Quality and Disparities Report Chartbook on Patient Safety.

March 22, 2024

HSJ Patient Safety Congress.

September 16, 2024 - September 17, 2024

Top 10 Patient Safety Concerns.

March 12, 2024

Robert L. Wears Patient Safety Leadership Award.

November 1, 2023

A scoping review of distributed cognition in acute care clinical decision-making.

June 7, 2023

Patient Safety Innovations

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

May 31, 2023

Thematic reviews of patient safety incidents as a tool for systems thinking: a quality improvement report.

May 17, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

Managing interruptions to improve diagnostic decision-making: strategies and recommended research agenda.

March 29, 2023

I’m an ER doctor: here’s what I found when I asked ChatGPT to diagnose my patients.

March 22, 2023

Toward the translation of systems thinking methods in patient safety practice: assessing the validity of Net-HARMS and AcciMap.

February 1, 2023

Perspective

Using Human Factors Engineering and the SEIPS Model to Advance Patient Safety in Care Transitions

November 16, 2022

Interview

In Conversation With... Pascale Carayon, PhD and Nicole Werner, PhD

November 16, 2022

Journal Article

Study

Patient Safety Innovations

Predicting dispensing errors in community pharmacies: an application of the Systematic Human Error Reduction and Prediction Approach (SHERPA).

November 16, 2022

Ethical leadership supports safety voice by increasing risk perception and reducing ethical ambiguity: evidence from the COVID-19 pandemic.

November 9, 2022

Opportunities to Improve Patient Safety, Advancing U.S. Innovation, and Innovation Hubs.

October 5, 2022

Frontiers in measuring structural racism and its health effects.

September 21, 2022

The ‘new view’ of human error. Origins, ambiguities, successes and critiques.

September 14, 2022

Maybe they had a bad day: how LGBTQ and BIPOC patients react to bias in healthcare and struggle to speak out.

September 14, 2022

Opportunities to mine EHRs for malpractice risk management and patient safety.

September 7, 2022

Nurse well-being: a concept analysis.

August 17, 2022

The effectiveness of improving healthcare teams' human factor skills using simulation-based training: a systematic review.

August 3, 2022

Pediatric surgical errors: a systematic scoping review.

July 20, 2022

Safety-II and the study of healthcare safety routines: two paths forward for research.

July 13, 2022

CMS proposal to suppress hospital safety data angers advocates — agency says COVID disruptions, staff shortages hamper ability to fairly score poor performers.

June 1, 2022

Usability and accessibility of publicly available patient safety databases.

June 1, 2022

Annual Perspective

Annual Perspective: Topics in Medication Safety

March 31, 2022

State of science: evolving perspectives on ‘human error’.

March 16, 2022

Prevention of failure to rescue in obstetric patients: a realist review.

November 10, 2021

How is safety climate measured? A review and evaluation.

October 20, 2021

See More About The Topic

Researchers

Safety Scientists

Epidemiology of Errors and Adverse Events

Human Factors Engineering

SEIPS 2.0: a human factors framework for studying and improving the work of healthcare professionals and patients.

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

Predicting dispensing errors in community pharmacies: an application of the Systematic Human Error Reduction and Prediction Approach (SHERPA).

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

SEIPS 2.0: a human factors framework for studying and improving the work of healthcare professionals and patients.

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

Predicting dispensing errors in community pharmacies: an application of the Systematic Human Error Reduction and Prediction Approach (SHERPA).

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site