TY - JOUR
T1 - Evaluating the use of systems thinking methods in healthcare
T2 - a RE-AIM analysis of AcciMap and Net-HARMS
AU - King, Brandon J.
AU - Read, Gemma J. M.
AU - Hulme, Adam
AU - Chari, Satyan
AU - Clay-Williams, Robyn
AU - Plant, Katherine L.
AU - McCormack, Linda
AU - Tresillian, Michael
AU - Salmon, Paul M.
PY - 2025/9/2
Y1 - 2025/9/2
N2 - There are increasing calls for the application of systems ergonomics methods in healthcare, although evidence for their utility and uptake is limited. In this study, 67 Australian healthcare workers participated in a six-month longitudinal study where they were trained to apply the AcciMap adverse event analysis and Net-HARMS risk assessment methods. Data were gathered in line with the RE-AIM (Reach, Efficacy, Adoption, Implementation, and Maintenance) evaluation framework, including rates of organisational uptake and method validity, perceived workload, usability, and barriers and facilitators to use in practice. Overall RE-AIM ratings for AcciMap were relatively high, and more moderate for Net-HARMS. Time constraints was the most frequently identified barrier to the use of both methods in practice, while there was more organisational resistance to Net-HARMS uptake. Facilitators for the use of both methods include providing quality training and mentorship, additional time and software resources, and dedicated job roles.
AB - There are increasing calls for the application of systems ergonomics methods in healthcare, although evidence for their utility and uptake is limited. In this study, 67 Australian healthcare workers participated in a six-month longitudinal study where they were trained to apply the AcciMap adverse event analysis and Net-HARMS risk assessment methods. Data were gathered in line with the RE-AIM (Reach, Efficacy, Adoption, Implementation, and Maintenance) evaluation framework, including rates of organisational uptake and method validity, perceived workload, usability, and barriers and facilitators to use in practice. Overall RE-AIM ratings for AcciMap were relatively high, and more moderate for Net-HARMS. Time constraints was the most frequently identified barrier to the use of both methods in practice, while there was more organisational resistance to Net-HARMS uptake. Facilitators for the use of both methods include providing quality training and mentorship, additional time and software resources, and dedicated job roles.
KW - Accident analysis
KW - healthcare
KW - method evaluation
KW - RE-AIM
KW - risk assessment
UR - http://www.scopus.com/inward/record.url?scp=85209886105&partnerID=8YFLogxK
U2 - 10.1080/00140139.2024.2423170
DO - 10.1080/00140139.2024.2423170
M3 - Article
C2 - 39552189
AN - SCOPUS:85209886105
SN - 0014-0139
VL - 68
SP - 1542
EP - 1560
JO - Ergonomics
JF - Ergonomics
IS - 9
ER -