Journal
APPLIED ERGONOMICS
Volume 98, Issue -, Pages -Publisher
ELSEVIER SCI LTD
DOI: 10.1016/j.apergo.2021.103559
Keywords
Systematic review; Health care; Flow disruptions; Work system deviations
Categories
Funding
- Agency for Healthcare Research and Quality (AHRQ), U.S. Department of Health and Human Services (HHS) [HS026491-01]
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This systematic review provides information on methodologies, measurements and classification systems used in observational studies of flow disruptions in clinical environments, analyzing 30 studies and synthesizing the findings into a framework for conducting rigorous methodological studies aimed at understanding clinical systems.
This systematic review provides information on the methodologies, measurements and classification systems used in observational studies of flow disruptions in clinical environments. The PRISMA methodology was applied and authors searched two databases (PubMed and Web of Science) for studies meeting the following inclusion criteria: (a) were conducted in a healthcare setting, (b) explored systems-factors leading to deviations in care processes, (c) were prospective and observational, (d) classified observations, and (e) were original research studies published in peer-reviewed journals. Thirty studies were analyzed and a variety of methods were identified for observer training, data collection and observation classification. Although primarily applied in surgery, comparable research has been successfully conducted in other venues such as trauma care, and delivery rooms. The findings of this review were synthesized into a framework of considerations for conducting rigorous methodological studies aimed at understanding clinical systems.
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