Revealing complex interdependencies in surgical instrument reprocessing using SEIPS 101 tools

IF 3.1 2区 工程技术 Q2 ENGINEERING, INDUSTRIAL
Gabriel C. Segarra , Ken Catchpole , Michael F. Rayo , Sudeep Hegde , Christine Jefferies , Jeffrey Woodward , Kevin Taaffe
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引用次数: 0

Abstract

Sterile Processing Departments (SPDs) must clean, maintain, store, and organize surgical instruments which are then delivered to Operating Rooms (ORs) using a Courier Network, with regular coordination occurring across departmental boundaries. To represent these relationships, we utilized the Systems Engineering Initiative for Patient Safety (SEIPS) 101 Toolkit, which helps model how health-related outcomes are affected by healthcare work systems. Through observations and interviews which built on prior work system analyses, we developed a SEIPS 101 journey map, PETT scan, and tasks matrices to represent the instrument reprocessing work system, revealing complex interdependencies between the people, tools, and tasks occurring within it. The SPD, OR and Courier teams are found to have overlapping responsibilities and a clear co-dependence, with critical implications for the successful functioning of the whole hospital system.

利用 SEIPS 101 工具揭示手术器械再处理过程中复杂的相互依存关系
无菌处理部门(SPD)必须对手术器械进行清洁、维护、存储和整理,然后通过快递网络将这些器械运送到手术室(OR),并定期进行跨部门协调。为了体现这些关系,我们使用了 "患者安全系统工程倡议(SEIPS)101 工具包",该工具包有助于模拟医疗保健工作系统如何影响与健康相关的结果。通过观察和访谈,在先前工作系统分析的基础上,我们绘制了 SEIPS 101 流程图、PETT 扫描和任务矩阵,以表示器械再处理工作系统,揭示了其中人员、工具和任务之间复杂的相互依存关系。我们发现,SPD、手术室和信使团队的职责相互重叠,并存在明显的共同依赖关系,这对整个医院系统的成功运作有着至关重要的影响。
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来源期刊
Applied Ergonomics
Applied Ergonomics 工程技术-工程:工业
CiteScore
7.50
自引率
9.40%
发文量
248
审稿时长
53 days
期刊介绍: Applied Ergonomics is aimed at ergonomists and all those interested in applying ergonomics/human factors in the design, planning and management of technical and social systems at work or leisure. Readership is truly international with subscribers in over 50 countries. Professionals for whom Applied Ergonomics is of interest include: ergonomists, designers, industrial engineers, health and safety specialists, systems engineers, design engineers, organizational psychologists, occupational health specialists and human-computer interaction specialists.
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