Healthcare system analysis
As health systems errors have grown; we
got more in need to find appropriated solutions. Moreover; depending on how far
these errors been understandable that it determines efficient nature of them later. And that undoubtedly move our thoughts to find remarkable unique ones.
If we are gathering briefly former mentioned steps we call them ‘’Analysis’.
There are many articles talking about systems analysis and how it might be work
with different kind of problems and errors. Most of them focusing on the
system solutions for errors give complicated work problems, but here would like to focus on nature of errors that
give us strong backbone about solutions finding journey. The
process of working system analysis is not simple ever as some imagine, months ongoing
effort daily with certain system segment only in order to reach proper error
identification but the good news that this job has not ever done individually,
is a team job.
But the real question is the process of analysis really necessary, in other meaning; that carries valuable significance to the future system performance and its quality. We could say system without analysis means; no further development and work error corrections. In general; System analysis yields an understanding how system works and how different system elements interact. Also used to modify, adapt, redesign and comfort the working elements with additional needs and demands. The process of the analysis for work system determines the human factors and human engineering tools usable, which if followed; we would produce working system devoid of numerous errors and human mistakes. In conventional approach of system was focusing more on the working elements and operation unites related to that elements neglected the behavior of humankind with the system and human associated factors.
Recently; found most of IT produced errors owned far or soon, roots to human factor engineering. That embarrasses human much and open a lot of questions, how humankind do well with machines, would be discuss in coming posts. The role of analysis process is much significant to find new solutions, reduce risk, identify new system objects, leading to good design and exaggerate; safety, quality, performance of the system. There are steps followed in process of system analysis briefly reviewed:
But the real question is the process of analysis really necessary, in other meaning; that carries valuable significance to the future system performance and its quality. We could say system without analysis means; no further development and work error corrections. In general; System analysis yields an understanding how system works and how different system elements interact. Also used to modify, adapt, redesign and comfort the working elements with additional needs and demands. The process of the analysis for work system determines the human factors and human engineering tools usable, which if followed; we would produce working system devoid of numerous errors and human mistakes. In conventional approach of system was focusing more on the working elements and operation unites related to that elements neglected the behavior of humankind with the system and human associated factors.
Recently; found most of IT produced errors owned far or soon, roots to human factor engineering. That embarrasses human much and open a lot of questions, how humankind do well with machines, would be discuss in coming posts. The role of analysis process is much significant to find new solutions, reduce risk, identify new system objects, leading to good design and exaggerate; safety, quality, performance of the system. There are steps followed in process of system analysis briefly reviewed:
Step 1: it is the process of identify
system segment and declare the involved portion which serve an analysis team to
determine the proper elements as physician order , document administration, prescription
platform.
Step 2: drawing preliminary system map
that firstly; facilitate the work with different system elements and create
represented itinerary with proper identified objects. This map has say more
details such as system working segment, sort of technologies used,
environmental factors and human influences on execution.
Step 3: representation of the team
members who carry out the analysis process. Work team representation is essence
of the analysis examination, monitoring and assessment.
Step 4: Initial scan of the systems,
after determining involved segments of work should be analyzed. Then each of
them scanned carefully for further error identification and some other
technical assessments.
Step 5: involved segment should be enclosed by
boundaries, whether hierarchical, temporary and spatial boundaries would
isolate the site of work away from rest of system components to avoid more
errors.
Step 6: performance determination of
each system elements to make proper scan of all components. the determination
carries out in qualitative and quantitative methodologies make sense to
distinguish error categories of problematic mistake.
Step 7: The team should implements formal data collection to
revise and update the work system map according to current involved errors
through defining the work performance baseline regularly.
Step 8: the team can begin to
analyze the collected data and find out the weakness, variances and previous of
events could cause system fail. The analysis period can extend for months or
years in certain cases and the team should be more patient in this step; it
considered crucial point of analysis process.
Step 9: one the failure causes
become clear and declared including IT errors or/and human produced, the 2nd
step is planning for solutions what is called Hazard control plan that will
serve team to be more focused on certain points of weakness and prevent confusion.
Step 10: the innovative solutions
should be designed and tested separately to each work segment, performance
sustainability is most important here and after testing good effective
solutions that would implemented and conjugated with other system elements.
The process of system analysis is
not light topic of discussions and easily can find full books talking in
details but I hope this hint about healthcare system analysis process give you
even the main concepts about analysis and procedures.
Reference:
Kaushal
R, Bates DW, Landrigan C, et al. Medication
errors
and pediatric inpatients. JAMA 2001
Apr;285(16):2114–20.
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Cook R, Woods DD. Adapting to new technology in
the
operating room. Hum Factors 1996
Dec;38(4):593–613.
28.
Berg M, Langenberg C, vd Berg I, et al.
Considerations
for sociotechnical design: experiences
with
an electronic patient record in a clinical context.
Int
J Med Inform 1998 Oct–Dec;52(1–3):243–51.

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