Browsing by Subject "Patient work"
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Item Human factors/ergonomics work system analysis of patient work: state of the science and future directions(Oxford University Press, 2021-01-12) Werner, Nicole E.; Ponnala, Siddarth; Doutcheva, Nadia; Holden, Richard J.; Health Policy and Management, School of Public HealthPurpose: To demonstrate the use and value of the Human Factors/Ergonomics-based Systems Engineering Initiative for Patient Safety (SEIPS) family of work system models for studying and improving patient work. Data sources: We conducted a review of the published empirical literature applying the SEIPS family of work system models for patient work. Study selection: Included studies had to apply one of the SEIPS family of work system models to study patient work; be published in a peer-reviewed journal in English and include analysis of data. We identified 16 articles that met our inclusion criteria. Data extraction: For each study, we extracted settings and situations in which models were applied; research design; study methods; model(s) used; type and number of study participants; study objective(s); whether the study included an intervention; specific aspects of the model used; knowledge generated about patient work and benefits of using the models. Results of data synthesis: Our analysis revealed that a majority of studies were conducted in the United States, used qualitative or mixed methods and employed a variety of data collection techniques to study adult patient populations with chronic illness and their informal caregivers and healthcare providers performing patient work in the home and clinical setting. The studies resulted in a variety of useful products, demonstrating several benefits of using the models. Conclusion: Our review has demonstrated the value of using the SEIPS family of work systems models to study and improve patient and family contributions to health-related work.Item Medication transitions: Vulnerable periods of change in need of human factors and ergonomics(Elsevier, 2021-01) Holden, Richard J.; Abebe, Ephrem; Medicine, School of MedicineWe present a novel view of transitions from the lens of patient ergonomics (the "science of patient work"), which posits that patients and other non-professionals perform effortful work towards health-related goals. In patient work transitions, patients experience changes in, for example, health, task demands, work capacity, roles and responsibilities, knowledge and skills, routines, needs and technologies. Medication transitions are a particularly vulnerable type of patient work transitions. We describe two cases of medication transitions-new medications and medication deprescribing-in which the patient work lens reveals many accompanying changes, vulnerabilities, and opportunities for human factors and ergonomics.Item Technical infrastructure implications of the patient work framework(Oxford University Press, 2015-04) Valdez, Rupa S.; Holden, Richard J.; Novak, Laurie L.; Veinot, Tiffany C.; BioHealth Informatics, School of Informatics and Computing