Evidence map›Paper›PMID 24729777›Full record

ArticleReview of human factors and ergonomics2013

Macroergonomics in Healthcare Quality and Patient Safety.

Pascale Carayon, Ben-Tzion Karsh, Ayse P Gurses, Richard Holden, Peter Hoonakker, Ann Schoofs Hundt, Enid Montague, Joy Rodriguez, Tosha B Wetterneck

Abstract read
In one paragraph

Article in Review of human factors and ergonomics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Perspectives of speech-language therapists on patient safety incidents in South Africa.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2025
    Article
  5. Article
  6. Article
  7. Human Factors Contributing to Infection Prevention in Outpatient Hemodialysis Centers: A Mixed Methods Study.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2024
    Observational
  8. Article
  9. Article
  10. Article
  11. Conceptual considerations for using EHR-based activity logs to measure clinician burnout and its effects.Journal of the American Medical Informatics Association : JAMIA · 2021
    Article
  12. Article
  13. Article
  14. Article
  15. Risk factors associated with medication ordering errors.Journal of the American Medical Informatics Association : JAMIA · 2021
    Article
  16. Human factors/ergonomics work system analysis of patient work: state of the science and future directions.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2021
    Review
  17. Article
  18. Article
  19. Observational
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Pascale CarayonUniversity of Wisconsin-Madison. Johns Hopkins University. Northwestern University. Clemson University. Vanderbilt University.
Ben-Tzion KarshUniversity of Wisconsin-Madison. Johns Hopkins University. Northwestern University. Clemson University. Vanderbilt University.
Ayse P GursesUniversity of Wisconsin-Madison. Johns Hopkins University. Northwestern University. Clemson University. Vanderbilt University.
Richard HoldenUniversity of Wisconsin-Madison. Johns Hopkins University. Northwestern University. Clemson University. Vanderbilt University.
Peter HoonakkerUniversity of Wisconsin-Madison. Johns Hopkins University. Northwestern University. Clemson University. Vanderbilt University.
Ann Schoofs HundtUniversity of Wisconsin-Madison. Johns Hopkins University. Northwestern University. Clemson University. Vanderbilt University.
Enid MontagueUniversity of Wisconsin-Madison. Johns Hopkins University. Northwestern University. Clemson University. Vanderbilt University.
Joy RodriguezUniversity of Wisconsin-Madison. Johns Hopkins University. Northwestern University. Clemson University. Vanderbilt University.
Tosha B WetterneckUniversity of Wisconsin-Madison. Johns Hopkins University. Northwestern University. Clemson University. Vanderbilt University.

Funding

Institutional Clinical and Translational Science AwardUL1TR000427 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI DREZNER, MARC KENNETH · 2012 to 2016
$32.2M
INSTITUTIONAL CTSA (UW-MADISON): CLINICAL TRIALSUL1RR025011 · NCRR · UNIVERSITY OF WISCONSIN-MADISON · PI DREZNER, MARC KENNETH · 2007 to 2011
$29.5M
The Vanderbilt Institute for Clinical and Translational Research (VICTR)KL2TR000446 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$2.8M
NCATS NIH HHS KL2 TR000446NCATS NIH HHS UL1 TR000427NCRR NIH HHS UL1 RR025011
6 · The paper itself

Abstract

The US Institute of Medicine and healthcare experts have called for new approaches to manage healthcare quality problems. In this chapter, we focus on macroergonomics, a branch of human factors and ergonomics that is based on the systems approach and considers the organizational and sociotechnical context of work activities and processes. Selected macroergonomic approaches to healthcare quality and patient safety are described such as the SEIPS model of work system and patient safety and the model of healthcare professional performance. Focused reviews on job stress and burnout, workload, interruptions, patient-centered care, health IT and medical devices, violations, and care coordination provide examples of macroergonomics contributions to healthcare quality and patient safety. Healthcare systems and processes clearly need to be systematically redesigned; examples of macroergonomic approaches, principles and methods for healthcare system redesign are described. Further research linking macroergonomics and care processes/patient outcomes is needed. Other needs for macroergonomics research are highlighted, including understanding the link between worker outcomes (e.g., safety and well-being) and patient outcomes (e.g., patient safety), and macroergonomics of patient-centered care and care coordination.

Indexed as

care coordinationhealthcare qualityinterruptionsjob stressmacroergonomicsmixed methods researchorganizational contextpatient-centered carepatient safetySEIPS modelsociotechnical systemsystem designworkloadwork system

Identifiers

PMID24729777
PMCPMC3981462

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.