45
views
0
recommends
+1 Recommend
0 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      It is time to talk about people: a human-centered healthcare system

      research-article
      1 , 2 , , 3 , 2 , 4
      Health Research Policy and Systems
      BioMed Central

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Examining vulnerabilities within our current healthcare system we propose borrowing two tools from the fields of engineering and design: a) Reason's system approach [ 1] and b) User-centered design [ 2, 3]. Both approaches are human-centered in that they consider common patterns of human behavior when analyzing systems to identify problems and generate solutions. This paper examines these two human-centered approaches in the context of healthcare. We argue that maintaining a human-centered orientation in clinical care, research, training, and governance is critical to the evolution of an effective and sustainable healthcare system.

          Related collections

          Most cited references57

          • Record: found
          • Abstract: not found
          • Article: not found

          In-group bias in the minimal intergroup situation: A cognitive-motivational analysis.

            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            The framing of decisions and the psychology of choice.

            The psychological principles that govern the perception of decision problems and the evaluation of probabilities and outcomes produce predictable shifts of preference when the same problem is framed in different ways. Reversals of preference are demonstrated in choices regarding monetary outcomes, both hypothetical and real, and in questions pertaining to the loss of human lives. The effects of frames on preferences are compared to the effects of perspectives on perceptual appearance. The dependence of preferences on the formulation of decision problems is a significant concern for the theory of rational choice.
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Teamwork and patient safety in dynamic domains of healthcare: a review of the literature.

              T. Manser (2009)
              This review examines current research on teamwork in highly dynamic domains of healthcare such as operating rooms, intensive care, emergency medicine, or trauma and resuscitation teams with a focus on aspects relevant to the quality and safety of patient care. Evidence from three main areas of research supports the relationship between teamwork and patient safety: (1) Studies investigating the factors contributing to critical incidents and adverse events have shown that teamwork plays an important role in the causation and prevention of adverse events. (2) Research focusing on healthcare providers' perceptions of teamwork demonstrated that (a) staff's perceptions of teamwork and attitudes toward safety-relevant team behavior were related to the quality and safety of patient care and (b) perceptions of teamwork and leadership style are associated with staff well-being, which may impact clinician' ability to provide safe patient care. (3) Observational studies on teamwork behaviors related to high clinical performance have identified patterns of communication, coordination, and leadership that support effective teamwork. In recent years, research using diverse methodological approaches has led to significant progress in team research in healthcare. The challenge for future research is to further develop and validate instruments for team performance assessment and to develop sound theoretical models of team performance in dynamic medical domains integrating evidence from all three areas of team research identified in this review. This will help to improve team training efforts and aid the design of clinical work systems supporting effective teamwork and safe patient care.
                Bookmark

                Author and article information

                Journal
                Health Res Policy Syst
                Health Research Policy and Systems
                BioMed Central
                1478-4505
                2010
                26 November 2010
                : 8
                : 35
                Affiliations
                [1 ]Brigham & Women's Hospital, 221 Longwood Ave., Boston, MA 02115, USA
                [2 ]Harvard Medical School, 25 Shattuck St., Boston, MA 02115, USA
                [3 ]St. Elizabeth's Hospital, 736 Cambridge St., Boston, MA 02135, USA
                [4 ]Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, USA
                Article
                1478-4505-8-35
                10.1186/1478-4505-8-35
                3009465
                21110859
                5a11a192-8fbf-409f-a78e-913ca5c45104
                Copyright ©2010 Searl et al; licensee BioMed Central Ltd.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 1 February 2010
                : 26 November 2010
                Categories
                Commentary

                Health & Social care
                Health & Social care

                Comments

                Comment on this article