How Human Factors Ergonomics Builds the Case for Clinician Well-Being as a Quality Metric

I had the absolute pleasure in interviewing my friend and colleague Dr. Michael Privitera recently- Dr. Privitera is Professor Emeritus of Psychiatry at University of Rochester Medical Center (URMC) as well as a member, NIOSH  (National Institute for Occupational Safety and Health) Office for Total Worker Health® and the NIOSH Healthy Work Design and Well-Being Program: Healthy Work Design Council.  In this episode, Dr. Privitera explained how both Human Factors Ergonomics (HFE) and Macro/Cognitive Ergonomics is a field dedicated to jointly optimizing worker well-being and system efficiency in healthcare. 
 
He is on a mission to help standardize HFE as a framework for evaluating and redesigning work flow to improve patient outcomes, as well as reverse healthcare burnout. Please tune in to hear more about Dr. Privitera’s expertise, and how we can all become more involved in advocating for a healthier culture of medicine!
 
 
Discussion Questions:
  • How does HFE help evaluate and prevent Burnout from a systems perspective?
  • Explain Total Worker Health Principles in Healthcare?
  • How is Macro/Cognitive Ergonomics related to Burnout?
  • What is the Neurobiologic Impact of Burnout with regards to Chronic High Occupational Stress?
 
Listen to the complete podcast.

 

Michael R. Privitera, MD, MS

Dr. Privitera is Professor of Psychiatry at University of Rochester Medical Center (URMC), and Medical Director, Medical Faculty and Clinician Wellness Program, which works on individual and organizational interventions to reduce clinician burnout. He received a Patient Safety Award 2018-2019 from his malpractice carrier MCIC. The goal of this project was to deliver a Human Factor-Based Leadership curriculum that uses an Integrated Model of Patient Safety and Staff wellbeing which was developed over a six year period. The outcome of this project helped leaders identify and reduce latent conditions in healthcare systems that contribute to error and clinician burnout.

He was Chair 2015-2019, Medical Society of the State of New York Task Force on Physician Stress and Burnout and stepped down from this position to focus upon making better known the connection of clinician wellbeing to patient wellbeing.

Dr Privitera was a member of the Federation of State Medical Boards Task Force on physician burnout, which led to their policy recommendations of 2018 of limiting state board physician mental health questions to current impairment and not about past psychiatric history to help encourage physicians to seek help and avoid stigma. He has presented on Integrated Model: Patient Safety and Clinician Wellbeing, and Human factor-Based Leadership at the International Symposium of Human Factors in Healthcare, Institute for Healthcare Improvement Patient Safety Congress and American Hospital Association Leadership Summit.

He was a member, National Institute of Occupational Safety and Health Office for Total Worker Health® and the NIOSH Healthy Work Design and Well-Being Program: Healthy Work Design Council in 2020. He has written in publications of Physician Leadership Journal, The Joint Commission, American Hospital Association, National Patient Safety Foundation, Medscape, Journal of Hospital Administration and Journal of Legal Medicine on physician burnout.

Privitera MR, Chang CC, Chosewood LC. (2023, Dec. 13). Want to Improve the Well-Being of Health Workers? The System Itself Must Change. NIOSH Science Blog.
 
 
 

Dr. Katie Cole

Affectionately called “The Healer’s Healer,” Dr. Katie Cole is an award-winning psychiatrist and consultant who works with physicians and organizations to reinvigorate their passion for medicine, create healthier work/life balance, and prevent costly burnout.