IDEAS home Printed from https://ideas.repec.org/a/wly/syseng/v12y2009i3p218-232.html
   My bibliography  Save this article

A system‐oriented analysis model to enhance patient safety in healthcare organizations

Author

Listed:
  • Sheu‐Wen Chuang
  • Chung‐Yu Pan
  • Chin‐Yin Huang

Abstract

Applications of system approach and changes in “systems” of care have been recognized as a key for the successful implementation of patient safety; however, the performances of patient safety have neither been satisfactory nor acceptable. The lack of knowledge and understanding of errors is one of the major barriers in blocking the success. In this paper, a four‐step System Oriented Event Analysis model is proposed based on system theory and risk management model for social‐technical systems. It reflects both a philosophical approach and a mechanism to guide the investigation team to build up the ability of controlling safety in the way of system thinking. A pilot study in a 50‐bed hospital was performed. The system knowledge of errors for health care professionals has been strengthened during the model implementation. The system hierarchy and safety control matrix for vulnerable system components in the outpatient clinic consultation system has been established to prevent patient identification errors. A reduction of this type of error and the increase of incidents reported were found after ten months of implementation. Health care institutions can use this model as a training instrument for system knowledge enhancement, and as an analysis mechanism for the sustainability of patient safety. © 2008 Wiley Periodicals, Inc. Syst Eng

Suggested Citation

  • Sheu‐Wen Chuang & Chung‐Yu Pan & Chin‐Yin Huang, 2009. "A system‐oriented analysis model to enhance patient safety in healthcare organizations," Systems Engineering, John Wiley & Sons, vol. 12(3), pages 218-232, September.
  • Handle: RePEc:wly:syseng:v:12:y:2009:i:3:p:218-232
    DOI: 10.1002/sys.20120
    as

    Download full text from publisher

    File URL: https://doi.org/10.1002/sys.20120
    Download Restriction: no

    File URL: https://libkey.io/10.1002/sys.20120?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. A. G. Hessami, 2004. "A systems framework for safety and security: The holistic paradigm," Systems Engineering, John Wiley & Sons, vol. 7(2), pages 99-112.
    2. Heidi L. Davidz & Deborah J. Nightingale, 2008. "Enabling systems thinking to accelerate the development of senior systems engineers," Systems Engineering, John Wiley & Sons, vol. 11(1), pages 1-14, March.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Sheuwen Chuang & Peter P. Howley, 2013. "Beyond root cause analysis: An enriched system oriented event analysis model for wide application," Systems Engineering, John Wiley & Sons, vol. 16(4), pages 427-438, December.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Moti Frank, 2010. "Assessing the interest for systems engineering positions and other engineering positions' required capacity for engineering systems thinking (CEST)," Systems Engineering, John Wiley & Sons, vol. 13(2), pages 161-174, June.
    2. Shukla Divya, 2018. "Modeling systems thinking in action among higher education leaders with fuzzy multi-criteria decision making," Management & Marketing, Sciendo, vol. 13(2), pages 946-965, June.
    3. Clement Smartt & Susan Ferreira, 2012. "Constructing a general framework for systems engineering strategy," Systems Engineering, John Wiley & Sons, vol. 15(2), pages 140-152, June.
    4. A. Terry Bahill & Steven J. Henderson, 2005. "Requirements development, verification, and validation exhibited in famous failures," Systems Engineering, John Wiley & Sons, vol. 8(1), pages 1-14.
    5. Fernando Ramos-Quintana & Héctor Sotelo-Nava & Hugo Saldarriaga-Noreña & Efraín Tovar-Sánchez, 2019. "Assessing the Environmental Quality Resulting from Damages to Human-Nature Interactions Caused by Population Increase: A Systems Thinking Approach," Sustainability, MDPI, vol. 11(7), pages 1-29, April.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wly:syseng:v:12:y:2009:i:3:p:218-232. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: https://doi.org/10.1002/(ISSN)1520-6858 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.