TY - JOUR
AU - D. A. Soman
AU - S. N. Koscelny
AU - D. Neyens
AU - A. Dietrich
AU - M. Narasimhan
AU - K. Taaffe
AU - D. Allison
AU - A. Joseph
A1 - 
AB - With the rise in mental and behavioral health (MBH) conditions among school-age children in the United States (US), the number of Emergency Department (ED) visits have also increased. However, ED settings struggle to meet the needs of children with MBH conditions safely and efficiently. This study integrated SEIPS (Systems Engineering Initiative for Patient Safety) 3.0 and 2.0 frameworks to explore the temporal and non-linear aspects of pediatric MBH patients' journey and work processes (professional, patient, and collaborative work) to identify process barriers to pediatric MBH care in the ED. This mixed-method, multiple case study used observations, staff interviews, and time stamps of patient visits from electronic medical records at four EDs in the south-eastern US to inform the integrated patient journey and staff workflow process maps. Most barriers identified related to "medical and psychiatric evaluations" and "disposition and treatment plan" segments of the patient journey, suggesting potential points for interventions.
AD - School of Architecture, Center for Health Facilities Design and Testing, Clemson University, Clemson, SC, USA.; Department of Industrial Engineering, Clemson University, Clemson, SC, USA.; Department of Emergency Medicine, PRISMA Upstate, Greenville, SC, USA; University of South Carolina, School of Medicine, Greenville, SC, USA.; Neuropsychiatry & Behavioral Science, School of Medicine Columbia, University of South Carolina, Columbia, SC, USA.; Graduate Studies in Architecture + Health, Clemson University, Clemson, SC, USA; Clemson University School of Health Research, Clemson University, Clemson, SC, USA.; Center for Health Facilities Design and Testing, Clemson University, Clemson, SC, USA.; Center for Health Facilities Design and Testing, Clemson University, Clemson, SC, USA; School of Architecture and Industrial Engineering, Clemson University, Clemson, SC, USA. Electronic address: anjalij@clemson.edu.
AN - 40157127
BT - Appl Ergon
C5 - Healthcare Disparities
DA - Jul
DO - 10.1016/j.apergo.2025.104512
DP - NLM
ET - 20250328
JF - Appl Ergon
LA - eng
N2 - With the rise in mental and behavioral health (MBH) conditions among school-age children in the United States (US), the number of Emergency Department (ED) visits have also increased. However, ED settings struggle to meet the needs of children with MBH conditions safely and efficiently. This study integrated SEIPS (Systems Engineering Initiative for Patient Safety) 3.0 and 2.0 frameworks to explore the temporal and non-linear aspects of pediatric MBH patients' journey and work processes (professional, patient, and collaborative work) to identify process barriers to pediatric MBH care in the ED. This mixed-method, multiple case study used observations, staff interviews, and time stamps of patient visits from electronic medical records at four EDs in the south-eastern US to inform the integrated patient journey and staff workflow process maps. Most barriers identified related to "medical and psychiatric evaluations" and "disposition and treatment plan" segments of the patient journey, suggesting potential points for interventions.
PY - 2025
SN - 0003-6870
SP - 104512
ST - Using patient journey mapping and provider workflows to understand process barriers to pediatric mental and behavioral health care in emergency departments
T1 - Using patient journey mapping and provider workflows to understand process barriers to pediatric mental and behavioral health care in emergency departments
T2 - Appl Ergon
TI - Using patient journey mapping and provider workflows to understand process barriers to pediatric mental and behavioral health care in emergency departments
U1 - Healthcare Disparities
U3 - 10.1016/j.apergo.2025.104512
VL - 126
VO - 0003-6870
Y1 - 2025
ER -