40 St George St
Toronto, ON M5S 2E4
Human factors design of health IT for team-based care processes
Pascale Carayon, Procter & Gamble Professor in Total Quality
Department of Industrial & Systems Engineering
College of Engineering, University of Wisconsin-Madison
Health information technologies, such as computerized provider order entry (CPOE), electronic health records (EHR) and clinical decision support (CDS), are becoming pervasive throughout health care.
Evidence for their benefits regarding quality and safety of care remains ambiguous. It is however clear that incorporation of human factors principles in the design of health IT is critical.
The way health information technologies are designed and implemented plays a key role in care quality and safety outcomes.
In this presentation, I will describe our SEIPS (Systems Engineering Initiative for Patient Safety) research program and several studies on how health information technologies support or hinder team-based care processes.
These studies will address CPOE in intensive care units, EHR use during inpatient bedside rounding, and CDS for supporting VTE diagnosis in the ED.
I will show our use of various field data collection approaches and analytic methods to understand how to improve the human factors design of health IT for team-based care processes.
Pascale Carayon is Procter & Gamble Bascom Professor in Total Quality in the Department of Industrial and Systems Engineering, the Director of the Center for Quality and Productivity Improvement and the Founding Director of the Wisconsin Institute for Healthcare Systems Engineering at the University of Wisconsin-Madison.
She leads the Systems Engineering Initiative for Patient Safety (SEIPS), an internationally known interdisciplinary research program that brings together researchers from human factors ergonomics with researchers from medicine, surgery, nursing, pharmacy and health services.
Professor Carayon received her Engineer diploma from the Ecole Centrale de Paris, France, in 1984 and her Ph.D. in Industrial Engineering from the University of Wisconsin-Madison in 1988.
Professor Carayon’s research belongs to the discipline of human factors engineering, in particular macro-ergonomics. Her scholarly contributions aimed at modelling, assessing and improving work systems (i.e. the system of tasks performed by individuals using various technologies in a physical and organizational environment) in order to enhance system performance and worker well-being.
She has developed human factors and systems engineering methods and the SEIPS model to improve patient safety and health information technologies in complex healthcare settings. More than 400 leaders in over 150 healthcare organizations in the US and elsewhere have been trained in the SEIPS model of work system and patient safety.
Professor Carayon’s research has been funded by the Agency for Healthcare Research and Quality, the National Science Foundation, the National Institutes for Health, various other federal agencies and foundations, and private industry.
She is a Fellow of the Human Factors and Ergonomics Society and a Fellow of the International Ergonomics Association.
In 2012, she received the International Ergonomics Association Triennial Distinguished Service Award and was the first woman to receive this prestigious honour.
She has published more than 140 journal publications, and is the editor of the Handbook of Human Factors and Ergonomics in Health Care and Patient Safety.
She was a member of the IOM Committee on Diagnostic Error in Healthcare and is the chair of the National Research Council Board on Human-Systems Integration.
In 2016, Professor Carayon received the John M. Eisenberg Patient Safety and Quality Award for Individual Achievement.
In 2015, 2016 and 2017, Becker’s Hospital Review selected her as one of the 50 experts leading the field of patient safety.