University of Wisconsin–Madison

Outpatient Surgery Interventions SEIPS Pilot Project: Systems Engineering Intervention in Outpatient Surgery Centers

  • Overview: The SEIPS pilot project applied the SEIPS model to patient safety in outpatient surgery. The pilot project examined the impact of a system intervention on different processes.

    An examination of the system intervention performed includes:

    • the work system;
    • employee and organizational outcomes; and
    • quality and safety of patient care.

    Funding: Agency for Healthcare Research and Quality (AHRQ)

  • SEIPS Planning Committee

    Pascale Carayon, PhD
    Procter & Gamble Bascom Professor in Total Quality
    Department of Industrial and Systems Engineering
    Director, Center for Quality and Productivity Improvement
    University of Wisconsin-Madison

    Carla Alvarado, PhD
    Research Scientist Emerita
    Center for Quality and Productivity Improvement
    University of Wisconsin-Madison

    Patricia Flatley Brennan, RN, PhD
    Lillian S. Moehlman-Bascom Professor of Nursing and Industrial and Systems Engineering
    Theme Leader, Living Environments Laboratory
    University of Wisconsin-Madison

    Ben-Tzion Karsh, PhD
    Department of Industrial and Systems Engineering
    University of Wisconsin-Madison

    Ann Schoofs Hundt, PhD
    Research Scientist, Associate Director of Education
    Center for Quality and Productivity Improvement
    University of Wisconsin-Madison

    Maureen Smith, MD, PhD, MPH
    Professor, Department of Population Health Sciences, Family Medicine, and Surgery
    School of Medicine and Public Health
    University of Wisconsin-Madison

    UW Hospital and Clinics
    Lynn Jenkins, BSN, MBA
    Sue Cota, BSN

    Physicians Plus Surgery Center
    Richard Burner, MD
    Cheryl Wilson

    William S. Middleton Veterans Memorial Hospital
    Sandra Cade, MSN
    Craig Renner, MPH

  • Schultz, K., Carayon, P., Hundt, A.S., & Springman, S.R. (2007). Care transitions in the outpatient surgery process: Facilitators and obstacles to information flow and their consequences. Cognition, Technology & Work, 9 (4), 219-231.

    Carayon, P., Hundt, A.S., Alvarado, C., Springman, S.R., & Ayoub, P. (2006). Patient safety in outpatient surgery: The viewpoint of the healthcare providers. Ergonomics, 49 (5-6), 470-485. PMID: 16717005

    Carayon, P., Hundt, A.S., Alvarado, C.J., Springman, S., Borgsdorf, A., & Jenkins, L. (2005). Implementing a systems engineering intervention for improving safety in outpatient surgeries in advances in patient safety. In Henriksen, Battles, Marks, & Lewin (Eds.). Advances in Patient Safety: From Research to Implementation, AHRQ Publication.PMID: 21249998

    Hundt, A.S., Carayon, P., Springman, S.R., Smith, M., Florek, K., Sheth, R. & Dorshort, M. (2005). Outpatient surgery and patient safety – The patient’s voice. In Henriksen, Battles, Marks, & Lewin (Eds.). Advances in Patient Safety: From Research to Implementation, AHRQ Publication. PMID: 21250022

    Carayon, P., Alvarado, C. J., Hundt, A.S., Springman, S., Borgsdorf, A., & Hoonakker, P. (2005). An employee questionnaire for assessing patient safety in outpatient surgery. In Henrikson, Battles, Marks, & Lewin (Eds.).Advances in Patient Safety: From Research to Implementation, AHRQ Publication. PMID: 21250041

    Schultz, K., Carayon, P., & Hundt, A.S. (2005). A macroergonomic framework of awareness in transitions of care: Application to the preoperative surgery process. Human Factors in Organizational Design and Management – VIII.

    Carayon, P., Gurses, A., Hundt, A.S., Ayoub, P., & Alvarado, C.J. (2005). Performance obstacles and facilitators of healthcare providers. In Korunka & Hoffman, (Eds.). Organization Psychology and Health Care, (vol. 4. Peiro and Schaufeli), Hampp Publishers: Munich.

    Schultz, K., Carayon, P., & Hundt, A.S. (2005). Patient care process and information flow in outpatient surgery.Proceedings of the Human Factors and Ergonomics Society (HFES) 49th Annual Meeting, Orlando, FL.

    Carayon, P., Schultz, K., & Hundt, A.S. (2004). Righting wrong site surgery. Joint Commission Journal of Quality and Safety, 30 (7), 405-410. PMID: 15279505

    Karsh, B-T., Carayon, P., Smith, M., Skibinski, K., Thomadsen, B., Brennan, P. & Murray, M.E. (2004). The University of Wisconsin-Madison multidisciplinary graduate certificate in patient safety. In K. Henriksen, J.B. Battles, E. Marks, & D.I. Lewin (Eds.). Advances in Patient Safety: From Research to Implementation.

    Alvarado, C.J., Carayon, P., & Hundt, A.S., (2004). Patient Safety Climate (PSC) in outpatient surgery centers. Proceedings of the Annual Meeting of the Human Factors and Ergonomics Society 48th Annual Meeting, New Orleans, LA.

    Carayon, P., Alvarado, C., Hsieh, Y., & Hundt, A.S. (2003). A macroergonomic approach to patient process analysis: Application in outpatient surgery. Proceedings of the XVth Triennial Congress of the International Ergonomics Association, Seoul, Korea.

    Carayon, P., Bogsdorf, A., Ayoub, P., Hundt, A. & Alvarado, C. (2003). Making a community safer for patients: The development of the Madison Patient Safety Collaborative. Paper presented at the XVth Triennial Congress of the International Ergonomics Association, Seoul, Korea.

    Hundt, A.S., Carayon, P., Ayoub, P. & Alvarado, C. (2003). Collecting workers’ perceptions of performance obstacles in outpatient surgery. Proceedings of the Human Factors and Ergonomics Society (HFES) 47th Annual Meeting, Denver, CO.

    Carayon, P., Hundt, A.S., Ayoub, P., Gurses, A., & Alvarado, C. (2003). Performance obstacles and facilitators of healthcare providers. VIIIth European Conference on Organizational Psychology and Health Care, Vienna, Italy.

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