{"id":{"repo_id":"mit","oai_identifier":"oai:dspace.mit.edu:1721.1/143213"},"canonical_url":"https://search.dev.ndltd.org/etd/mit/oai:dspace.mit.edu:1721.1/143213","repository":{"repo_id":"mit","name":"MIT","base_url":"https://dspace.mit.edu/oai/request"},"display":{"title":"Safety in Hospital Medication Administration Applying STAMP Processes","abstract":"Repeated application of root cause analysis techniques has not led to significant hospital medication administration safety improvements. The healthcare industry has begun to draw on scientific approaches to safety from outside traditional medical fields, including human factors engineering and systems design. This thesis lays the foundation to advance quality hospital healthcare for patients and providers by reducing hospital medication errors and enhancing hospital safety practices using STAMP techniques. A CAST analysis is performed for a frequently occurring hospital medication administration error to demonstrate the power of avoiding future losses through causal analysis based on systems theory compared to root cause analysis techniques. An STPA hazard analysis for hospital medication administration is also performed. The current hospital safety management system is analyzed, highlighting gaps where applying STAMP analysis to the hospital organization structure would enhance the safety within the hospital organization at large. Potential future directions in healthcare safety engineering are discussed.","abstract_html":"Repeated application of root cause analysis techniques has not led to significant hospital medication administration safety improvements. The healthcare industry has begun to draw on scientific approaches to safety from outside traditional medical fields, including human factors engineering and systems design. This thesis lays the foundation to advance quality hospital healthcare for patients and providers by reducing hospital medication errors and enhancing hospital safety practices using STAMP techniques. A CAST analysis is performed for a frequently occurring hospital medication administration error to demonstrate the power of avoiding future losses through causal analysis based on systems theory compared to root cause analysis techniques. An STPA hazard analysis for hospital medication administration is also performed. The current hospital safety management system is analyzed, highlighting gaps where applying STAMP analysis to the hospital organization structure would enhance the safety within the hospital organization at large. Potential future directions in healthcare safety engineering are discussed.","abstract_has_math":false,"creators":["Baker, Elizabeth White"],"institution":"Massachusetts Institute of Technology","degree_name":"Master","degree_level":null,"degree_discipline":null,"degree_department":"System Design and Management Program.","school":null,"contributors":[],"advisors":["Leveson, Nancy G."],"committee_chairs":[],"committee_members":[],"year":2022,"date_issued":"2022-02","date_published":"2022-02","updated_at":"2026-07-22T22:21:16Z","subjects":[],"languages":[],"rights":["In Copyright - Educational Use Permitted","Copyright retained by author(s)"],"rights_urls":["https://rightsstatements.org/page/InC-EDU/1.0/"],"identifier_entries":[]},"links":{"outbound_url":"https://hdl.handle.net/1721.1/143213","outbound_label":"Handle","outbound_source":"dc:identifier.uri"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor.advisor","label":"Advisor","values":["Leveson, Nancy G."]},{"key":"dc:contributor.department","label":"Department","values":["System Design and Management Program."]},{"key":"dc:creator","label":"Author","values":["Baker, Elizabeth White"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.accessioned","label":"Dc Date Accessioned","values":["2022-06-15T13:04:01Z"]},{"key":"dc:date.available","label":"Dc Date Available","values":["2022-06-15T13:04:01Z"]},{"key":"dc:date.issued","label":"Date","values":["2022-02"]},{"key":"dc:publisher","label":"Institution","values":["Massachusetts Institute of Technology"]},{"key":"dc:type","label":"Dc Type","values":["Thesis"]},{"key":"thesis:degree_name","label":"Degree Name","values":["Master","Master of Science in Engineering and Management"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:rights","label":"Dc Rights","values":["In Copyright - Educational Use Permitted","Copyright retained by author(s)"]},{"key":"dc:rights.uri","label":"Rights URI","values":["https://rightsstatements.org/page/InC-EDU/1.0/"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier.uri","label":"Identifier URI","values":["https://hdl.handle.net/1721.1/143213"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["Repeated application of root cause analysis techniques has not led to significant hospital medication administration safety improvements. The healthcare industry has begun to draw on scientific approaches to safety from outside traditional medical fields, including human factors engineering and systems design. This thesis lays the foundation to advance quality hospital healthcare for patients and providers by reducing hospital medication errors and enhancing hospital safety practices using STAMP techniques. A CAST analysis is performed for a frequently occurring hospital medication administration error to demonstrate the power of avoiding future losses through causal analysis based on systems theory compared to root cause analysis techniques. An STPA hazard analysis for hospital medication administration is also performed. The current hospital safety management system is analyzed, highlighting gaps where applying STAMP analysis to the hospital organization structure would enhance the safety within the hospital organization at large. Potential future directions in healthcare safety engineering are discussed."]},{"key":"dc:description.degree","label":"Dc Description Degree","values":["S.M."]},{"key":"dc:title","label":"Title","values":["Safety in Hospital Medication Administration Applying STAMP Processes"]}]}],"canonical_facts":{"dc:contributor.advisor":["Leveson, Nancy G."],"dc:contributor.department":["System Design and Management Program."],"dc:creator":["Baker, Elizabeth White"],"dc:date.accessioned":["2022-06-15T13:04:01Z"],"dc:date.available":["2022-06-15T13:04:01Z"],"dc:date.issued":["2022-02"],"dc:description.abstract":["Repeated application of root cause analysis techniques has not led to significant hospital medication administration safety improvements. The healthcare industry has begun to draw on scientific approaches to safety from outside traditional medical fields, including human factors engineering and systems design. This thesis lays the foundation to advance quality hospital healthcare for patients and providers by reducing hospital medication errors and enhancing hospital safety practices using STAMP techniques. A CAST analysis is performed for a frequently occurring hospital medication administration error to demonstrate the power of avoiding future losses through causal analysis based on systems theory compared to root cause analysis techniques. An STPA hazard analysis for hospital medication administration is also performed. The current hospital safety management system is analyzed, highlighting gaps where applying STAMP analysis to the hospital organization structure would enhance the safety within the hospital organization at large. Potential future directions in healthcare safety engineering are discussed."],"dc:description.degree":["S.M."],"dc:identifier.uri":["https://hdl.handle.net/1721.1/143213"],"dc:publisher":["Massachusetts Institute of Technology"],"dc:rights":["In Copyright - Educational Use Permitted","Copyright retained by author(s)"],"dc:rights.uri":["https://rightsstatements.org/page/InC-EDU/1.0/"],"dc:title":["Safety in Hospital Medication Administration Applying STAMP Processes"],"dc:type":["Thesis"],"thesis:degree_name":["Master","Master of Science in Engineering and Management"]},"updated_at":"2026-07-22T22:21:16Z"}