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

2007

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.

2006

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

2005

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.

2004

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.

2003

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.