The dichotomy of the application of a systems approach in UK healthcare: the challenges and priorities for implementation
There is increasing demand for a systems approach within national healthcare guidelines to provide a systematic and sustainable framework for improvements in patient safety. Supported by this is the growing body of evidence within Human Factors/Ergonomics (HFE) healthcare literature for the inclusio...
| Main Authors: | , , , |
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| Format: | Article |
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Taylor & Francis
2017
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| Online Access: | https://eprints.nottingham.ac.uk/41294/ |
| _version_ | 1848796241846075392 |
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| author | Pickup, Laura Lang, Alexandra Atkinson, Sarah Sharples, Sarah |
| author_facet | Pickup, Laura Lang, Alexandra Atkinson, Sarah Sharples, Sarah |
| author_sort | Pickup, Laura |
| building | Nottingham Research Data Repository |
| collection | Online Access |
| description | There is increasing demand for a systems approach within national healthcare guidelines to provide a systematic and sustainable framework for improvements in patient safety. Supported by this is the growing body of evidence within Human Factors/Ergonomics (HFE) healthcare literature for the inclusion of this approach in health service design, provision and evaluation. This paper considers the current interpretation of this within UK healthcare systems and the dichotomy which exists in the challenge to implement a systems approach. Three case studies, from primary and secondary care, present a systems approach, offering a novel perspective of primary care and blood sampling. These provide practical illustrations of how HFE methods have been used in collaboration with healthcare staff to understand the system for the purpose of professional education, design and safety of clinical activities. The paper concludes with the challenge for implementation and proposes five roles for systems HFE to support patient safety. |
| first_indexed | 2025-11-14T19:44:52Z |
| format | Article |
| id | nottingham-41294 |
| institution | University of Nottingham Malaysia Campus |
| institution_category | Local University |
| last_indexed | 2025-11-14T19:44:52Z |
| publishDate | 2017 |
| publisher | Taylor & Francis |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | nottingham-412942020-05-04T18:39:05Z https://eprints.nottingham.ac.uk/41294/ The dichotomy of the application of a systems approach in UK healthcare: the challenges and priorities for implementation Pickup, Laura Lang, Alexandra Atkinson, Sarah Sharples, Sarah There is increasing demand for a systems approach within national healthcare guidelines to provide a systematic and sustainable framework for improvements in patient safety. Supported by this is the growing body of evidence within Human Factors/Ergonomics (HFE) healthcare literature for the inclusion of this approach in health service design, provision and evaluation. This paper considers the current interpretation of this within UK healthcare systems and the dichotomy which exists in the challenge to implement a systems approach. Three case studies, from primary and secondary care, present a systems approach, offering a novel perspective of primary care and blood sampling. These provide practical illustrations of how HFE methods have been used in collaboration with healthcare staff to understand the system for the purpose of professional education, design and safety of clinical activities. The paper concludes with the challenge for implementation and proposes five roles for systems HFE to support patient safety. Taylor & Francis 2017-03-24 Article PeerReviewed Pickup, Laura, Lang, Alexandra, Atkinson, Sarah and Sharples, Sarah (2017) The dichotomy of the application of a systems approach in UK healthcare: the challenges and priorities for implementation. Ergonomics, 61 (1). pp. 15-25. ISSN 1366-5847 systems patient safety human factors ergonomics healthcare http://www.tandfonline.com/doi/abs/10.1080/00140139.2017.1306632 doi:10.1080/00140139.2017.1306632 doi:10.1080/00140139.2017.1306632 |
| spellingShingle | systems patient safety human factors ergonomics healthcare Pickup, Laura Lang, Alexandra Atkinson, Sarah Sharples, Sarah The dichotomy of the application of a systems approach in UK healthcare: the challenges and priorities for implementation |
| title | The dichotomy of the application of a systems approach in UK healthcare: the challenges and priorities for implementation |
| title_full | The dichotomy of the application of a systems approach in UK healthcare: the challenges and priorities for implementation |
| title_fullStr | The dichotomy of the application of a systems approach in UK healthcare: the challenges and priorities for implementation |
| title_full_unstemmed | The dichotomy of the application of a systems approach in UK healthcare: the challenges and priorities for implementation |
| title_short | The dichotomy of the application of a systems approach in UK healthcare: the challenges and priorities for implementation |
| title_sort | dichotomy of the application of a systems approach in uk healthcare: the challenges and priorities for implementation |
| topic | systems patient safety human factors ergonomics healthcare |
| url | https://eprints.nottingham.ac.uk/41294/ https://eprints.nottingham.ac.uk/41294/ https://eprints.nottingham.ac.uk/41294/ |