Since the SEIPS (Systems Engineering Initiative for Patient Safety) conceptual model was introduced in 2006, several additional versions have been introduced. In this commentary, the authors of SEIPS 2.0 and SEIPS 3.0 present a practice-oriented SEIPS model (SEIPS 101) along with seven simple tools for use by practitioners, researchers, and others.

This usability study examined whether older adults could use a mobile application to consider the risks and benefits of anticholinergics, a high-risk medication class. The 23 participants reported an overall high usability for the application, suggesting that mobile health information technology has potential to engage patients in safety.

Patients are at risk for adverse events after they transition from hospital to home. This direct observation and interview study identified significant concerns related to care transitions from hospital to home health care among patients discharged from the hospital. The study team found instances of missing and erroneous information. Information also had to be gleaned from multiple sources, and too much information could cause confusion and interfere with home health care. The authors recommend redesigning the care transition process from hospital to home health care providers in order to promote safety.

Interruptions are a known safety hazard that occur frequently. This systematic review proposes that interruptions be considered a process with various potential consequences for multiple actors rather than single events and suggests a human factors approach to addressing interruptions.

… concepts: configuration, engagement, and adaptation. … Holden RJ, Carayon P, Gurses AP, et al. SEIPS 2.0: a human …

This commentary describes a model that combines work system and process redesign to promote human factors engineering as a patient safety improvement strategy.

Pediatric nurses reported frequently violating medication administration policies, especially in emergency situations. The impact of these protocol violations on patient safety was unclear.

… Journal of patient safety … J Patient Saf … This qualitative study identifies user, …

This study measured the type and intensity of mental demands to illustrate the complex relationships between workload and medication safety among pharmacists.

… International journal of medical informatics … Int J Med Inform … This qualitative study revealed several themes …

The authors review the literature on medical error reporting systems and propose a model for understanding this research and applying it to system design.

The authors integrate multiple theories to construct a reporting system model that manages barriers to and facilitates implementation.

This study describes the impact of electronic health records on cognitive performance, illustrating both desirable and undesirable implications for patient safety.