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- W4233237086 abstract "Background: Medical errors continue to be a major cause of concern often involving, among other things, communications breakdown, poor recording, flawed system design and implementation, and weak or non-existent interoperability of electronic records. Based on a socio-technical systems approach, the Systems Engineering Initiative for Patient Safety (SEIPS) 2.0 (1) is a “human factors framework for studying and improving the work of healthcare professionals and patients”, intended to enhance system design and implementation, one of the consequences of which should be reducing healthcare error. Aim: We propose an application of SEIPS 2.0 with specific reference to health and care record creation and use, incorporating the core features of SEIPS including psychological, task, technology and organization factors to enable a more nuanced understanding of how such factors influence records and the implications for improvements in quality of care.Discussion: Records are central to health and care. We argue that individual psychological considerations in both patient and clinician are importantly implicated in influencing performance and the content of the record, as well as having an impact on care. These considerations include cognitive biases, mood, temperament and stress interacting with other factors in the care ecology. Task details such as workflow, cognitive load and communication skills as well as the impacts of technology implementation, impact on what and how information is recorded and communicated, and their consequences. Organizational context in terms of structure, policy and processes further set the environment in which health and care records are co-created and curated as part of all care systems and influence the dynamics and outcomes of care practices.Conclusions: Our application of SEIPS offers a detailed systemic model of person factors, task factors, technology factors and organizational factors involved in record creation and use, and more widely in care performance. This model needs empirical validation but offers a useful framework for record system design and implementation as well as related organizational and behavioural change programmes needed to enhance quality and safety in care environments." @default.
- W4233237086 created "2022-05-12" @default.
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- W4233237086 date "2020-05-19" @default.
- W4233237086 modified "2023-09-29" @default.
- W4233237086 title "There is more to the record than meets the eye: an analysis and application of SEIPS 2.0 for health and care records" @default.
- W4233237086 doi "https://doi.org/10.31219/osf.io/evp27" @default.
- W4233237086 hasPublicationYear "2020" @default.
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