Promoting Wellness by Addressing Human Factors in Delivery of Care

Human Factors /Ergonomics

What Are Human Factors and Ergonomics (HFE)?

Burnout Reduction Requires Combination of Individual Interventions and Organizational/Systemic Interventions.

A scientific discipline

concerned with understanding the interactions among humans and other elements of a system. Applies principles, data and methods.

Purpose: To optimize human well-being and overall system performance.

Patient safety is one component of system performance.

Range of HFE: Physical, cognitive and organizational (macro) ergon

A scientific discipline

concerned with understanding the interactions among humans and other elements of a system. Applies principles, data and methods.

Purpose: To optimize human well-being and overall system performance.

Patient safety is one component of system performance.

Range of HFE: Physical, cognitive and organizational (macro) ergonomics.

Goal of HFE method:

Fit the system to the people instead of fitting the people to the system.

International Ergonomics Association

www.iea.cc

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Burnout Reduction Requires Combination of Individual Interventions and Organizational/Systemic Interventions.

For clinicians 80 % of the occupational stressors are organizational/systemic.

Individual interventions to reduce burnout must be paired with organizational interventions to be significantly effective.

Organizational application of HFE in workflows, operations and leadership is the goal.

Application of HFE

Burnout Reduction Requires Combination of Individual Interventions and Organizational/Systemic Interventions.

Application of HFE

Human factors/ ergonomics in the delivery of service is considered in many occupations

of high impact such as airline industry and nuclear power industry,

but not considered sufficiently by stakeholders in healthcare delivery. A common administrative framework of healthcare involves focus upon costs, quality and patient satisfaction(The Tri

Human factors/ ergonomics in the delivery of service is considered in many occupations

of high impact such as airline industry and nuclear power industry,

but not considered sufficiently by stakeholders in healthcare delivery. A common administrative framework of healthcare involves focus upon costs, quality and patient satisfaction(The Triple Aim). Many industries which support healthcare and healthcare

administrators do not have firsthand knowledge of the complexities in delivering

care. As a result, the experience and human factors of providing care

are often overlooked at high level decision-making unless incorporated into

the healthcare delivery framework proposed as the fourth aim of The

Quadruple Aim framework.

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Clinician Burnout: Impact and Interventions

PUBLICATIONS AVAILABLE TO DOWNLOAD BELOW

Promoting Clinician Wellbeing and Patient Safety Using Human Factors Science: Reducing Unnecessary Occupational Stress. Health, 2022, 14, 1334-1356
Integrating Patient Safety and Clinician Wellbeing. Physician Leadership Journal. May/June 2021 p 39-46
Integrating Patient Safety and Clinician Wellbeing- American Hospital Association Webinar April 15, 2021 Recoding link below.

https://youtu.be/FGNzMDCjHh8

Addressing Human Factors in Burnout and the Delivery of Healthcare: Quality & Safety Imperative of the Quadruple Aim. Health (2018), 10, 629-644.
Human Factor Based Leadership: Critical Leadership Tools to Reduce Burnout and Latent Error in a Time of Accelerating Change.

Health (2019), 1224-1 245

Human Factors/Ergonomics (HFE) in Leadership and Management: Organizational Interventions to Reduce Stress in Healthcare

Delivery Health (2020) 12, 1262-1278.

Physician Burnout and Barriers to Care on Professional Applications. Journal of Legal Medicine (2019) 39:3, 235-246,
· Physicians’ Electronic Health Records Use at Home, Job Satisfaction, Job Stress and Burnout. Journal of Hospital Administration (2018). Vol. 7(4) 52-59.
Is Burnout a form of Depression? It is not that simple.. Medscape Psychiatry. Requested Commentary. May 16, 2018.
Creating a “Manageable Cockpit” for Clinicians: A Shared Responsibility. JAMA IM. June 2018 Vol 178 (6): 741-2
· Managing the Disruptive Physician. The periFACTS OB/GYN Academy (2020), Activity #20003P.
HFE Organizational Application Infographic by AHA- based upon Promoting Clinician Wellbeing paper 2022.

Integrated Model: Patient Safety and Clinician Wellbeing

Video Seminar Series Links to Videos

Slides for Module 1: Human Factor Relevance in Quality and Safety

Slides for-Module 2: Bio Psychosocial Approach to Wellness, Quality and Safety

Slides for Module 3: Human Factor Based Quality and Safety Examples

Background of Concepts

Brief Bio

Helping Patients and Clinicians While Adding Safety, Quality and Value to Healthcare

The Culture of Medicine as a Predisposing and Perpetuating Dilemma

Dr. Privitera is Professor Emeritus at University of Rochester Medical Center (URMC), and was Medical Director, Medical Faculty and Clinician Wellness Program, which worked on individual and organizational interventions to reduce clinician burnout. He was Chair, Medical Society of the State of New York Task Force on Physician Stress and Burnout 2015-2019, and stepped down to focus more on relationship of Clinician Wellbeing and Patient Safety. He received a Patient Safety Award 2018-2019 from his malpractice carrier MCIC. The goal of this project was to develop and deliver a Human Factor-Based Leadership curriculum that uses an Integrated Model of Patient Safety and Staff wellbeing. The outcome of this project helped leaders identify and reduce latent conditions in healthcare systems that contribute to error and clinician burnout. He now on the Faculty of Institute for Healthcare Improvement, Boston MA. He is working with colleagues on a HRSA Grant called Workplace Change Collaborative, funded by Lorna Breen Act of Congress for Healthcare Worker Wellbeing. For further information.

michael_privitera@urmc.rochester.edu or Text 585-721-7583.

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The Culture of Medicine as a Predisposing and Perpetuating Dilemma

Helping Patients and Clinicians While Adding Safety, Quality and Value to Healthcare

The Culture of Medicine as a Predisposing and Perpetuating Dilemma

Clinicians, to get through training and clinical rotations have been able to demonstrate that they have significant resilience and have been able to conquer challenges put in front of them.

Healthcare reform, well-meaning patient safety and healthcare value efforts along with business of medicine factors have created a perfect storm for ca

Clinicians, to get through training and clinical rotations have been able to demonstrate that they have significant resilience and have been able to conquer challenges put in front of them.

Healthcare reform, well-meaning patient safety and healthcare value efforts along with business of medicine factors have created a perfect storm for causing burnout. The culture of medicine includes a culture of silence and endurance. The message: Do not let anyone think you are weak. Since all these stressors come from authorities, initial assumption is that it must be good and possible to do. However there is no agency that oversees what the total job description of the clinician should be. Human limits get exceeded with inadequate awareness by leaders and the clinicians themselves

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Helping Patients and Clinicians While Adding Safety, Quality and Value to Healthcare

Burnout leads to withdrawing from patients, being less emotionally connected with them, as well as increasing the risk of medical error from the effects of acute or chronic occupational stress.

Reducing burnout creates value on investment as well as return on investment. Value added includes improved emotional availability for compassion

Burnout leads to withdrawing from patients, being less emotionally connected with them, as well as increasing the risk of medical error from the effects of acute or chronic occupational stress.

Reducing burnout creates value on investment as well as return on investment. Value added includes improved emotional availability for compassion with patients, improved patient experience, better clinician brain functioning in the care of patients, less disruptive behavior occurring among staff.

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Promoting Wellness by Addressing Human Factors in Delivery of Care

Promoting Wellness by Addressing Human Factors in Delivery of Care

Human Factors /Ergonomics

What Are Human Factors and Ergonomics (HFE)?

Burnout Reduction Requires Combination of Individual Interventions and Organizational/Systemic Interventions.

Burnout Reduction Requires Combination of Individual Interventions and Organizational/Systemic Interventions.

Burnout Reduction Requires Combination of Individual Interventions and Organizational/Systemic Interventions.

Burnout Reduction Requires Combination of Individual Interventions and Organizational/Systemic Interventions.

Burnout Reduction Requires Combination of Individual Interventions and Organizational/Systemic Interventions.

Application of HFE

Burnout Reduction Requires Combination of Individual Interventions and Organizational/Systemic Interventions.

Application of HFE

Clinician Burnout: Impact and Interventions

Background of Concepts

Brief Bio

Helping Patients and Clinicians While Adding Safety, Quality and Value to Healthcare

The Culture of Medicine as a Predisposing and Perpetuating Dilemma

The Culture of Medicine as a Predisposing and Perpetuating Dilemma

Helping Patients and Clinicians While Adding Safety, Quality and Value to Healthcare

The Culture of Medicine as a Predisposing and Perpetuating Dilemma

Helping Patients and Clinicians While Adding Safety, Quality and Value to Healthcare

Helping Patients and Clinicians While Adding Safety, Quality and Value to Healthcare

Helping Patients and Clinicians While Adding Safety, Quality and Value to Healthcare

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