Using patient journey mapping and provider workflows to understand process barriers to pediatric mental and behavioral health care in emergency departments

IF 3.1 2区工程技术 Q2 ENGINEERING, INDUSTRIAL

Applied Ergonomics Pub Date : 2025-03-28 DOI:10.1016/j.apergo.2025.104512

Devi Abhishek Soman , Samuel Nelson Koscelny , David Neyens , Ann Dietrich , Meera Narasimhan , Kevin Taaffe , David Allison , RIPCHD.PED Study Group , Anjali Joseph

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引用次数: 0

Abstract

With the rise in mental and behavioral health (MBH) conditions among school-age children in the United States (US), the number of Emergency Department (ED) visits have also increased. However, ED settings struggle to meet the needs of children with MBH conditions safely and efficiently. This study integrated SEIPS (Systems Engineering Initiative for Patient Safety) 3.0 and 2.0 frameworks to explore the temporal and non-linear aspects of pediatric MBH patients’ journey and work processes (professional, patient, and collaborative work) to identify process barriers to pediatric MBH care in the ED. This mixed-method, multiple case study used observations, staff interviews, and time stamps of patient visits from electronic medical records at four EDs in the south-eastern US to inform the integrated patient journey and staff workflow process maps. Most barriers identified related to “medical and psychiatric evaluations” and “disposition and treatment plan” segments of the patient journey, suggesting potential points for interventions.

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来源期刊

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.