Skip to main content
. Author manuscript; available in PMC: 2021 Oct 1.
Published in final edited form as: Appl Ergon. 2020 May 16;88:103141. doi: 10.1016/j.apergo.2020.103141

Table 2.

Three-Element Configurations

Configure
d SEIPS
2.0
Elements		 Example of Element Barriers/Facilitators as they Configured across
the ED/Home Transition Summarized from Patient Interviews		 Parti
cipan
t ID
T, O, P Patient does not follow ED instructions because only trusts PCP (B)
PCP office will not address patient concerns, refers back to ED (B)		 P114
Ta, O, T Patient’s medication allergies were not updated in the EHR (B)
Urgent care clinicians prescribed and ordered antibiotics (F)
Prescribed antibiotic contraindicated with current medication (B)
Community pharmacist worked with urgent care clinicians to antibiotic (F)
Patient had allergic reaction to antibiotic and went to ED (B)		 P103
Ta, P, EE EDP prescribed new medications to pick up at community pharmacy (B)
Patient is no longer able to drive (B)
Patient has no access to public, community, nor insurance-provided transportation options (B)		 P114
T, Ta, P EDP identified new diagnosis (F)
EDP did not communicate the new diagnosis to the patient (B)
EDP suggested patient see PCP after ED visit (F)
Patient did not follow-up with PCP until much later (B)		 P109
T, O, IE Patient lives in a rural area and unable to drive (B)
Patient does not have easy access to a pharmacy (B)
Patient has friends in the community near the pharmacy (F)
Patient uses pill boxes to organize medications (F)
Uses pill boxes to identify when medication supplies are almost out (F)		 P101
T, Ta, EE EDP suggested patient see PCP after ED visit (F)
Patient is far from PCP (B)
Medicaid’s transportation process is complex (B)
PCP appointment process was12 hours due to transportation scheduling (B)		 P114
T, O, EE PCP does not have emergency appointments due to insurance coverage (B)
PCP refers to urgent care (F)
Patient does not have internet access to look up urgent care centers (B)
Patient goes to ED (B)		 P105
T, P, IE EDP gave the patient multiple walkers because they are a fall risk (F)
Patient is too weak to carry a walker up the stairs in their home (B)
Patient is unable to use the walkers as the ED provider intended (B)		 P114

Abbreviations: ED=Emergency Department; EDP=ED Provider; PCP=Primary Care Provider; B=Barrier; F=Facilitator; EE=External Environment; IE=Internal Environment; O=Organization; P=Person(s); T=Tools and Technology; Ta=Task