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The dichotomy of the application of a systems approach in UK healthcare: the challenges and priorities for implementation

Pickup, Laura; Lang, Alexandra; Atkinson, Sarah; Sharples, Sarah

Authors

Laura Pickup

Sarah Atkinson



Abstract

There is increasing demand for a systems approach within national healthcare guidelines to provide a systematic and sustainable framework for improvements in patient safety. Supported by this is the growing body of evidence within Human Factors/Ergonomics (HFE) healthcare literature for the inclusion of this approach in health service design, provision and evaluation. This paper considers the current interpretation of this within UK healthcare systems and the dichotomy which exists in the challenge to implement a systems approach. Three case studies, from primary and secondary care, present a systems approach, offering a novel perspective of primary care and blood sampling. These provide practical illustrations of how HFE methods have been used in collaboration with healthcare staff to understand the system for the purpose of professional education, design and safety of clinical activities. The paper concludes with the challenge for implementation and proposes five roles for systems HFE to support patient safety.

Citation

Pickup, L., Lang, A., Atkinson, S., & Sharples, S. (in press). The dichotomy of the application of a systems approach in UK healthcare: the challenges and priorities for implementation. Ergonomics, 61(1), https://doi.org/10.1080/00140139.2017.1306632

Journal Article Type Article
Acceptance Date Mar 3, 2017
Online Publication Date Mar 24, 2017
Deposit Date Mar 14, 2017
Publicly Available Date Mar 24, 2017
Journal Ergonomics
Print ISSN 0014-0139
Electronic ISSN 1366-5847
Publisher Taylor & Francis Open
Peer Reviewed Peer Reviewed
Volume 61
Issue 1
DOI https://doi.org/10.1080/00140139.2017.1306632
Keywords systems, patient safety, human factors, ergonomics, healthcare
Public URL http://eprints.nottingham.ac.uk/id/eprint/41294
Publisher URL http://www.tandfonline.com/doi/abs/10.1080/00140139.2017.1306632
Copyright Statement Copyright information regarding this work can be found at the following address: http://eprints.nottingham.ac.uk/end_user_agreement.pdf
Additional Information This is an Accepted Manuscript of an article published by Taylor & Francis in Ergonomics on 24 March 2017, available online: http://www.tandfonline.com/doi/abs/10.1080/00140139.2017.1306632

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Copyright Statement
Copyright information regarding this work can be found at the following address: http://eprints.nottingham.ac.uk/end_user_agreement.pdf





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