Journal
APPLIED ERGONOMICS
Volume 41, Issue 5, Pages 657-665Publisher
ELSEVIER SCI LTD
DOI: 10.1016/j.apergo.2009.12.011
Keywords
Human factors and ergonomics; Patient safety; Healthcare; Innovation; Adoption; Dissemination; Diffusion; Implementation
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Funding
- National Center for Research Resources, National Institutes of Health [1UL1RR025011]
- Agency for Healthcare Research and Quality [1R01 HS015274-01]
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The use of Human Factors and Ergonomics (HFE) tools, methods, concepts and theories has been advocated by many experts and organizations to improve patient safety To facilitate and support the spread of HFE knowledge and skills in healthcare and patient safety, we propose to conceptualize HFE as innovations whose diffusion, dissemination, implementation and sustainability need to be understood and specified Using Greenhalgh et al (2004) model of innovation, we identified various factors that can either hinder or facilitate the spread of HFE innovations in healthcare organizations Barriers include lack of systems thinking, complexity of HFE innovations and lack of understanding about the benefits of HFE innovations Positive impact of HFE interventions on task performance and the presence of local champions can facilitate the adoption, implementation and sustainability of HFE innovations This analysis concludes with a series of recommendations for HFE professionals, researchers and educators. (C) 2010 Elsevier Ltd. All rights reserved
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