Interdisciplinary Development of an Improved Emergency Department Procedural Work Surface Through Iterative Design and Use Testing in Simulated and Clinical Environments

Zhang, Xiao C.; Bermudez, A.M.; Reddy, P S; Sarpatwari, Ravi; Chheng, Darin B.; Mezoian, Taylor; Schwartz, Victoria R.; Simmons, Quinneil J.; Jay, Gregory D.; Kobayashi, Leo

doi:10.1016/j.annemergmed.2016.08.436

Cited by 7 publications

(6 citation statements)

References 10 publications

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“…The advantages of applying human-engineering-based methodologies were presented in many studies, from improving work procedures through multi-stage task analysis and identification of potential failures [12] improving communication between medical care provider and patient, and among the medical staff, [13] adapting the physical medical environment to the patient and medical staff [14], improvement of diagnostic and medical decision-making procedures [12,15], to the ergonomic planning and design of medical systems [16] as well as many other subjects.…”

Section: Human Factors Engineering In Patient Safetymentioning

confidence: 99%

Patient Safety and the Significance of Human Factors Engineering Modality: A Review

Bashkin

2018

COJNH

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The issue of patient safety and medical human error has been arousing growing concern around the world. Attempts to reduce the rate of human error present a great challenge, and there is an increased understanding that the issue of patient safety in healthcare systems is a complex one that requires in-depth analysis and understanding. Despite the many programs and interventions designed to reduce the rate of human medical errors, various publications that expose the extent of this phenomenon point to a high percentage of human errors that causes injury, and to the difficulties in improving patient safety. The understanding that the focus must be on prevention and the growing need for practical solutions have led to the involvement of disciplines such as human-factors engineering in an attempt to understand the root causes of safety problems and find ways to prevent them. Human-factors engineering is a proactive approach that may contribute to the planning of safe medical systems by taking into account the diverse needs, capabilities, and limitations of the human beings involved in these systems. This article reviews the benefits and challenges in applying the principles of human-factors engineering to promote patient safety, as well as the implications for policy in the field

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Section: Human Factors Engineering In Patient Safetymentioning

confidence: 99%

Patient Safety and the Significance of Human Factors Engineering Modality: A Review

Bashkin

2018

COJNH

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“…Currently, there are several clinical environments and settings that are best suited, and in desperate need, for design thinking and meaningful healthcare innovation; the Emergency Department (ED), a place of high-stakes clinical practice and diagnostic uncertainty, is one of these locations. 15 This paper will focus on the design theory, methodology, and implementation of a co-curricular health design elective that equips the next generation of health care providers with the skills and con dence to break down traditional silos and transform the healthcare system. Speci c goals include: 1) The introduction of design thinking methods to both medical students and Emergency Medicine (EM) faculty;…”

Section: Introductionmentioning

confidence: 99%

Innovation per DiEM: Design in Emergency Medicine, A Longitudinal Medical School Design Curriculum

Zhang

Pugliese

et al. 2019

Preprint

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Background The use of design principles in tackling complex health issues is gaining significant traction. Medical education must evolve to prepare future clinicians on design thinking methods. Method Twenty second-year medical students and seven EM faculty mentors from the Sidney Kimmel Medical College were enrolled in eight, 3-hour experiential design didactic sessions in 2017-18. Student teams were matched with EM physician-mentors to apply design thinking methods to specific ED problems. Didactic content included: 1) empathy building; 2) idea generation; 3) prototyping; 4) testing; 5) the user experience; 6) service design; 7) business canvas planning; 8) idea presentation. The curriculum was developed based the Kolb’s cycle, constructivist framework and Stanford d.school design thinking and students were evaluated using the Kirkpatrick Model through self-evaluation, group presentations, and project deliverables. Results Quantitative evaluation of the simulated training session was extracted through an 11-item questionnaire using a 5-point Likert scale. Overall responses were positive. Both students and faculty reported that participation in the curriculum was a valuable experience and provided deeper insight into applying design in healthcare. Areas of improvement included requests for longitudinal feedback, diverse collaborative efforts, and practical design workshops. The majority of learners recommended this curriculum to future learners. Conclusion Innovation per DiEM is a unique design curriculum that focuses on EM challenges with active EM clinician mentorship. Future goals include developing longitudinal evaluation and broadening healthcare challenges beyond the context of the ED.

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“…54 HF has been used in device design within the ED to create a work surface to replace the Mayo stand. 55 Additionally, investigators have begun to explore the effects of HF on measures of ED operations, including patient flow, 56 boarding, 57 and surge capacity. 58 Indeed, this diversity of opportunities provides a unique environment in EM for HF practitioners to observe and address needs in the larger landscape of health care.…”

Section: Hf In Emmentioning

confidence: 99%

Human Factors and Simulation in Emergency Medicine

Hayden

Wong

Ackerman

et al. 2017

Academic Emergency Medicine

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This consensus group from the 2017 Academic Emergency Medicine Consensus Conference "Catalyzing System Change through Health Care Simulation: Systems, Competency, and Outcomes" held in Orlando, Florida, on May 16, 2017, focused on the use of human factors (HF) and simulation in the field of emergency medicine (EM). The HF discipline is often underutilized within EM but has significant potential in improving the interface between technologies and individuals in the field. The discussion explored the domain of HF, its benefits in medicine, how simulation can be a catalyst for HF work in EM, and how EM can collaborate with HF professionals to effect change. Implementing HF in EM through health care simulation will require a demonstration of clinical and safety outcomes, advocacy to stakeholders and administrators, and establishment of structured collaborations between HF professionals and EM, such as in this breakout group.

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Interdisciplinary Development of an Improved Emergency Department Procedural Work Surface Through Iterative Design and Use Testing in Simulated and Clinical Environments

Cited by 7 publications

References 10 publications

Patient Safety and the Significance of Human Factors Engineering Modality: A Review

Patient Safety and the Significance of Human Factors Engineering Modality: A Review

Innovation per DiEM: Design in Emergency Medicine, A Longitudinal Medical School Design Curriculum

Human Factors and Simulation in Emergency Medicine

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