Evaluation of Methods to Measure Production Pressure: A Literature Review

Academic Article


  • Background: Production pressure is a major contributor to the occurrence of medical errors. Production pressure is the demand on health care professionals to increase the quantity of work at the expense of quality. Purpose: The purpose was to summarize the state of the science on measuring production pressure in health care settings so that evidence-based strategies could be identified that minimize medical errors. Methods: This was a literature review. The electronic databases PubMed, Embase, and Scopus were queried using the keywords "work pressure" or "production pressure." Results: Production pressure is often measured with quantitative approaches that measure efficiency, staff workload, capacity utilization (number of hospital beds occupied), or psychometric instruments. Ethnography is a qualitative method that is also used to assess production pressure. Conclusions: There were several strategies identified to minimize the impact of production pressure on the occurrence of medical errors. These strategies can be categorized as administrator, educational, or workflow related.
  • Published In

    Digital Object Identifier (doi)

    Pubmed Id

  • 12874270
  • Author List

  • Wilbanks BA
  • Start Page

  • E14
  • End Page

  • E19
  • Volume

  • 35
  • Issue

  • 2