Revealing complex interdependencies in surgical instrument reprocessing using SEIPS 101 tools

Sterile Processing Departments (SPDs) must clean, maintain, store, and organize surgical instruments which are then delivered to Operating Rooms (ORs) using a Courier Network, with regular coordination occurring across departmental boundaries. To represent these relationships, we utilized the System...

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Bibliographic Details
Published in:Applied ergonomics 2024-09, Vol.119, p.104307-104307, Article 104307
Main Authors: Segarra, Gabriel C., Catchpole, Ken, Rayo, Michael F., Hegde, Sudeep, Jefferies, Christine, Woodward, Jeffrey, Taaffe, Kevin
Format: Article
Language:English
Subjects:
Equipment Reuse
Humans
Operating Rooms
Patient Safety
SEIPS 101
Sterile processing
Sterilization - methods
Surgery
Surgical Instruments
Systems Analysis
Task Performance and Analysis
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Summary:Sterile Processing Departments (SPDs) must clean, maintain, store, and organize surgical instruments which are then delivered to Operating Rooms (ORs) using a Courier Network, with regular coordination occurring across departmental boundaries. To represent these relationships, we utilized the Systems Engineering Initiative for Patient Safety (SEIPS) 101 Toolkit, which helps model how health-related outcomes are affected by healthcare work systems. Through observations and interviews which built on prior work system analyses, we developed a SEIPS 101 journey map, PETT scan, and tasks matrices to represent the instrument reprocessing work system, revealing complex interdependencies between the people, tools, and tasks occurring within it. The SPD, OR and Courier teams are found to have overlapping responsibilities and a clear co-dependence, with critical implications for the successful functioning of the whole hospital system.
ISSN:0003-6870
1872-9126
1872-9126
DOI:10.1016/j.apergo.2024.104307