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

Ayse P. Gurses; Ant Ozok; Peter Pronovost

Commentary

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

January 11, 2012

Gurses AP, Ozok A, Pronovost P. BMJ Qual Saf. 2012;21(4):347-51.

View more articles from the same authors.

Examining how human factors and ergonomics (HFE) concepts can enhance user performance and reduce error, this commentary recommends integrating HFE techniques into health care to improve patient safety.

PubMed citation

Available at

Free full text

Related Resources From the Same Author(s)

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

October 3, 2013

Clinical review: Checklists—translating evidence into practice.

January 27, 2010

Exploring performance obstacles of intensive care nurses.

November 19, 2008

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

March 15, 2006

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

October 12, 2005

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

February 13, 2019

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

February 6, 2019

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

April 1, 2009

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

October 22, 2014

Identifying and categorising patient safety hazards in cardiovascular operating rooms using an interdisciplinary approach: a multisite study.

May 23, 2012

Locating errors through networked surveillance: a multimethod approach to peer assessment, hazard identification, and prioritization of patient safety efforts in cardiac surgery.

April 23, 2014

Human factors systems approach to healthcare quality and patient safety.

August 14, 2013

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

July 20, 2022

Nurses' work schedule characteristics, nurse staffing, and patient mortality.

February 2, 2011

Ambulatory medication safety in primary care: a systematic review.

July 6, 2022

Cardiac surgery errors: results from the UK National Reporting and Learning System.

February 16, 2011

Overcoming COVID-19: what can human factors and ergonomics offer?

May 6, 2020

Roles and role ambiguity in patient- and caregiver-performed outpatient parenteral antimicrobial therapy.

November 20, 2019

Toward improving patient safety through voluntary peer-to-peer assessment.

January 25, 2012

Towards a more patient-centered approach to medication safety.

December 13, 2017

Information management goals and process failures during home visits for middle-aged and older adults receiving skilled home healthcare services after hospital discharge: a multisite, qualitative study.

September 19, 2018

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

March 11, 2020

Primary care teams' reported actions to improve medication safety: a qualitative study with insights in high reliability organising.

October 18, 2023

Reducing three infections across cardiac surgery programs: a multisite cross-unit collaboration.

May 22, 2019

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

June 22, 2022

Learning accountability for patient outcomes.

July 21, 2010

We need leaders: the 48th Annual Rovenstine Lecture.

May 19, 2010

Enhancing physicians' use of clinical guidelines.

January 8, 2014

An interview with Peter Pronovost

November 2, 2005

Rural hospital nursing: better environments = shared vision and quality/safety engagement.

April 29, 2009

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

February 16, 2022

Assessing safety culture: guidelines and recommendations.

August 17, 2005

Balancing "no blame" with accountability in patient safety.

October 7, 2009

Rethinking rapid response teams.

September 29, 2010

Building a highway to quality health care.

September 7, 2016

"Never events" and the quest to reduce preventable harm.

June 3, 2015

A piece of my mind. From shame to guilt to love.

January 6, 2016

Progress in patient safety: a glass fuller than it seems.

August 28, 2013

Measuring preventable harm: helping science keep pace with policy.

April 1, 2009

Diagnostic errors, health disparities, and artificial intelligence: a combination for health or harm.

September 1, 2021

Forum: The 100,000 Lives Campaign: a scientific and policy review [with IHI response].

November 1, 2006

Shepherding change: how the market, healthcare providers, and public policy can deliver quality care for the 21st century.

March 1, 2006

Work system design for patient safety: the SEIPS model.

October 12, 2011

Underreporting of patient safety incidents reduces health care's ability to quantify and accurately measure harm reduction.

November 17, 2010

Viewing health care delivery as science: challenges, benefits, and policy implications.

October 13, 2010

The need for systems integration in health care.

March 9, 2011

Setting priorities for patient safety: ethics, accountability, and public engagement.

September 2, 2009

Toward a safer health care system: the critical need to improve measurement.

April 27, 2016

Patient safety and the problem of many hands.

March 30, 2016

Physician motivation: listening to what pay-for-performance programs and quality improvement collaboratives are telling us.

November 11, 2015

Organising a manuscript reporting quality improvement or patient safety research.

August 21, 2013

Rapid response systems: should we still question their implementation?

May 8, 2013

Science-based training in patient safety and quality.

June 27, 2012

Improving healthcare quality through organisational peer-to-peer assessment: lessons from the nuclear power industry.

June 6, 2012

Did hospital engagement networks actually improve care?

September 3, 2014

Misdiagnosis in the emergency department: time for a system solution.

February 8, 2023

Physician autonomy and informed decision making: finding the balance for patient safety and quality.

January 14, 2009

The checklist--a tool for error management and performance improvement.

November 29, 2006

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

September 11, 2019

Preventing patient harms through systems of care.

August 22, 2012

Remote patient monitoring during COVID-19: an unexpected patient safety benefit.

March 23, 2022

Diagnostic errors--The next frontier for patient safety.

March 18, 2009

Safety culture in cardiac surgical teams: data from five programs and national surgical comparison.

September 23, 2015

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

September 28, 2022

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

September 2, 2020

Ethics, oversight and quality improvement initiatives.

August 25, 2010

Responsibility for quality improvement and patient safety: hospital board and medical staff leadership challenges.

July 21, 2010

A public health approach to patient safety reporting systems is urgently needed.

June 8, 2011

Fostering transparency in outcomes, quality, safety, and costs.

October 12, 2016

Re-examining high reliability: actively organising for safety.

May 18, 2016

Cardiac surgical ICU care: eliminating "preventable" complications.

September 11, 2013

Strategies to improve patient safety: the evidence base matures.

March 6, 2013

Time for transparent standards in quality reporting by health care organizations.

August 16, 2017

What to do with healthcare incident reporting systems.

January 29, 2014

Health system leaders' role in addressing racism: time to prioritize eliminating health care disparities.

February 10, 2021

The wisdom and justice of not paying for "preventable complications."

May 14, 2008

Tracking progress in patient safety: an elusive target.

August 16, 2006

ReCASTing the RCA: an improved model for performing root cause analyses.

May 26, 2010

Hospital board checklist to improve culture and reduce central line–associated bloodstream infections.

November 3, 2010

Why don't we know whether care is safe?

April 10, 2013

A framework for encouraging patient engagement in medical decision making.

August 29, 2012

Using a logic model to design and evaluate quality and patient safety improvement programs.

July 25, 2012

From heroism to safe design: leveraging technology.

February 12, 2014

Learning from defects to enhance morbidity and mortality conferences.

March 25, 2009

Developing a measure of value in health care.

June 1, 2016

Public reporting of antibiotic timing in patients with pneumonia: lessons from a flawed performance measure.

July 16, 2008

Rapid response teams—walk, don't run.

October 11, 2006

Ethical and practical aspects of disclosing adverse events in the emergency department.

October 4, 2006

Medicare payment for selected adverse events: building the business case for investing in patient safety.

September 27, 2006

A framework for health care organizations to develop and evaluate a safety scorecard.

November 7, 2007

Tort reform and the patient safety movement: seeking common ground.

June 8, 2005

What is the patient really taking? Discrepancies between surgery and anesthesiology preoperative medication histories.

December 21, 2005

Establishing an ambulatory medicine quality and safety oversight structure: leveraging the fractal model.

March 9, 2016

Fifteen years after To Err Is Human: a success story to learn from.

January 13, 2016

Changing the narratives for patient safety.

June 28, 2017

Integrating CUSP and TRIP to improve patient safety.

November 24, 2010

Patient-assisted incident reporting: including the patient in patient safety.

June 1, 2011

Disclosing medical errors to patients: it's not what you say, it's what they hear.

July 22, 2009

Impact of attending physician workload on patient care: a survey of hospitalists.

February 6, 2013

Measurement as a performance driver: the case for a national measurement system to improve patient safety.

April 26, 2017

Related Resources

Interview

In Conversation with... Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring

April 26, 2023

Perspective

Surveillance Monitoring to Improve Patient Safety in Acute Hospital Care Units

April 26, 2023

Interview

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

November 16, 2022

Intravenous smart pumps at the point of care: a descriptive, observational study.

October 12, 2022

Rethinking use of air-safety principles to reduce fatal hospital errors.

September 7, 2022

Crossing academic boundaries for diagnostic safety: 10 complex challenges and potential solutions from clinical perspectives and high-reliability organizing principles.

March 24, 2021

From fable to reality at Parkland Hospital: the impact of evidence-based design strategies on patient safety, healing, and satisfaction in an adult inpatient environment.

February 10, 2021

The effect of blue-enriched lighting on medical error rate in a university hospital ICU.

January 27, 2021

Avoiding a second wave of medical errors: the importance of human factors in the context of a pandemic.

August 26, 2020

Patient Safety Primers

COVID-19: Team and Human Factors to Improve Safety

July 30, 2020

Systemic defenses to prevent intravenous medication errors in hospitals: a systematic review.

July 1, 2020

An integrative total worker health framework for keeping workers safe and healthy during the COVID-19 pandemic.

July 1, 2020

Commissioning simulations to test new healthcare facilities: a proactive and innovative approach to healthcare system safety.

September 11, 2019

Advances in Human Factors and Ergonomics in Healthcare and Medical Devices.

September 11, 2019

Special Section on Human Factors and Ergonomics in the Operating Room: Contributions That Advance Surgical Practice.

June 19, 2019

Understanding the heterogeneity of labor and delivery units: using design thinking methodology to assess environmental factors that contribute to safety in childbirth.

May 8, 2019

Minor flow disruptions, traffic-related factors and their effect on major flow disruptions in the operating room.

April 3, 2019

Pursuing patient safety at the intersection of design, systems engineering, and health care delivery research: an ongoing assessment.

February 27, 2019

Pro/con debate: color-coded medication labels.

February 20, 2019

Safety enhancements every hospital must consider in wake of another tragic neuromuscular blocker event.

January 23, 2019

Challenges and opportunities for improving patient safety through human factors and systems engineering.

December 5, 2018

Safety, performance, and satisfaction outcomes in the operating room: a literature review.

July 11, 2018

Designing for Safety in the ICU.

March 28, 2018

Applying human-centered design thinking to enhance safety in the OR.

May 24, 2017

Inpatient Notes: human factors engineering and inpatient care—new ways to solve old problems.

April 26, 2017

Using human factors design principles and industrial engineering methods to improve accuracy and speed of drug selection with medication trays.

October 19, 2016

Safety for all: integrated design for inpatient units.

June 22, 2016

Safety.

June 15, 2016

Engineering Patient Safety in Radiation Oncology: University of North Carolina's Pursuit for High Reliability and Value Creation.

May 6, 2015

Changing our culture: adopting the military aviation safety system.

July 16, 2014

See More About The Topic

Quality and Safety Professionals

Engineers

Human Factors Engineering

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

COVID-19: Team and Human Factors to Improve Safety

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

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

COVID-19: Team and Human Factors to Improve Safety

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