Work System Analysis: The Key to Understanding Health Care Systems

Abstract

Many articles in the medical literature state that medical errors are the result of systems problems, require systems analyses, and can only be addressed with systems solutions. Within that same body of literature is a growing recognition that human factors engineering methods and design principles are needed to reduce medical error and, hence, increase patient safety. Work system analysis methods, which are based on industrial and human factors engineering tools have much to contribute toward patient safety, specifically because of their focus on systems. They offer principles and methods for analyzing systems, which if followed, should help health care administrators and clinicians properly analyze their units or facilities, and should lead to more robust patient safety interventions. In this paper, steps for executing a work system analysis are provided. To facilitate comprehension of the steps, the medication administration system is used as an example.

Open PDF

Document Details

Document Type
Technical Report
Publication Date
Jan 01, 2005
Accession Number
ADA434179

Entities

People

  • Ben-tzion Karsh
  • Samuel J. Alper

Organizations

  • United States Agency for Healthcare Research and Quality

Tags

Communities of Interest

  • Biomedical

DTIC Thesaurus Topics

  • Boundaries
  • Communication Systems
  • Engineering
  • Errors
  • Failure Mode And Effect Analysis
  • Health Care
  • Health Care Facilities
  • Health Services
  • Human Factors Engineering
  • Industrial Engineering
  • Medical Personnel
  • Physicians
  • Physiological Monitoring
  • Risk
  • Risk Analysis
  • Safety
  • Task Performance And Analysis

Fields of Study

  • Medicine

Readers

  • Medical or Health Care Field.
  • Software Engineering.
  • Systems Analysis and Design