SEIPS 2.0: a human factors framework for studying and improving the work of healthcare professionals and patients
Open accessAbstract
Healthcare practitioners, patient safety leaders, educators and researchers increasingly recognise the value of human factors/ergonomics and make use of the discipline's person-centred models of sociotechnical systems. This paper first reviews one of the most widely used healthcare human factors systems models, the Systems Engineering Initiative for Patient Safety (SEIPS) model, and then introduces an extended model, 'SEIPS 2.0'. SEIPS 2.0 incorporates three novel concepts into the original model: configuration, engagement and adaptation. The concept of configuration highlights the dynamic, hierarchical and interactive properties of sociotechnical systems, making it possible to depict how health-related performance is shaped at 'a moment in time'. Engagement conveys that various individuals and teams can perform health-related activities separately and collaboratively. Engaged individuals often include patients, family caregivers and other non-professionals. Adaptation is introduced as a feedback mechanism that explains how dynamic systems evolve in planned and unplanned ways. Key implications and future directions for human factors research in healthcare are discussed.
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Self-citationSocial and Community Informatics: Humans on the Net
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Improving outpatient safety through effective electronic communication: a study protocol
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Performance barriers among elderly chronic heart failure patients
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Self-citationThe Relation between Teamwork and Patient Safety
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Self-citationSpecial issue on Supporting Collaboration in Healthcare Settings: The Role of Informatics
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Self-citationObserving Nurse Interaction with Infusion Pump Technologies
Carayon, P., Wetterneck, T. B., Hundt, A. S., Ozkaynak, M., Ram, P., DeSilvey, J., Hicks, B., Robert, T. L., Enloe, M., Sheth, R., et al. (2005) · Cited by 24 · see citing works
Self-citationHuman factors in critical care: towards standardized integrated human-centred systems of work
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Enhancing Healthcare Process Design With Human Factors Engineering and Reliability Science, Part 2
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Enhancing Healthcare Process Design with Human Factors Engineering and Reliability Science, Part 1
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Experiences of technology integration in home care nursing.
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Implementing a Systems Engineering Intervention for Improving Safety in Outpatient Surgeries
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The Physical Environment in Health Care
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The University of Wisconsin-Madison Multidisciplinary Graduate Certificate in Patient Safety
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Self-citationVideo Analysis: An Approach for Use in Health Care
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Organizational Learning in a Large-scale Complex Health IT Project
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Self-citation
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HCI for health and wellbeing: Challenges and opportunities
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Holden, R. J., Kulanthaivel, A., Purkayastha, S., Goggins, K. M., & Kripalani, S. (2017) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2017.10.006 · Cited by 131 · see citing works
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Barwise, A., Leppin, A., Dong, Y., Huang, C., Pinevich, Y., Herasevich, S., Soleimani, J., Gajic, O., Pickering, B., & Kumbamu, A. (2021) · Journal of Patient Safety · doi:10.1097/pts.0000000000000817 · Cited by 43 · see citing works
Rahman Jabin, M. S., Pan, D., & Nilsson, E. (2022) · Health Informatics Journal · doi:10.1177/14604582221105440 · Cited by 40 · see citing works
Wenderott, K., Krups, J., Luetkens, J. A., & Weigl, M. (2024) · Applied Ergonomics · doi:10.1016/j.apergo.2024.104243 · Cited by 33 · see citing works
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- Authors
- Holden, R. J., Carayon, P., Gurses, A. P., Hoonakker, P., Hundt, A. S., Ozok, A. A., & Rivera-Rodriguez, A. J.
- Affiliations
- Vanderbilt University (US)
- University of Wisconsin–Madison (US)
- Johns Hopkins University (US)
- Clemson University (US)
- Corresponding author
- Holden, Richard J.
- Venue
- Ergonomics
- Publisher
- Informa UK Limited
- Published
- 2013-11
- Volume
- 56
- Issue
- 11
- Pages
- 1669-1686
- ISSN
- 0014-0139 (ISSN-L)
- 1366-5847
- PMC
- PMC3835697
- OpenAlex
- W2008928249
- Cited by
- 1,221
- References
- 157
- Citations by year
- 2026: 168 · 2025: 126 · 2024: 122 · 2023: 127 · 2022: 123 · 2021: 124 · 2020: 112 · 2019: 89 · 2018: 72 · 2017: 65 · 2016: 40 · 2015: 35 · 2014: 14 · 2013: 1 · 2012: 1
- FWCI
- 46.80
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Ergonomics (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (KL2TR000446, UL1TR000427, UL1TR000445)
- Agency for Healthcare Research and Quality (K01HS018762)
- National Center for Research Resources (UL1RR025011)
- National Center for Advancing Translational Sciences (9U54 TR000021)
- Topics
- Health Sciences › Health Professions › Emergency Medical Services › Patient Safety and Medication Errors
- Physical Sciences › Engineering › Biomedical Engineering › Ergonomics and Human Factors
- Health Sciences › Health Professions › Health Information Management › Healthcare Quality and Management
- Keywords
- SEIPS model, human factors, socio-technical systems, patient safety, configuration, engagement, adaptation, feedback mechanisms, collaboration, family caregivers, non-professionals, systems engineering
- MeSH terms
- Cooperative Behavior, Humans, Ergonomics, Models, Theoretical, Patient Care Team, Patient Participation, Quality Improvement, Patient Safety
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