Healthcare workers’ perspectives on participatory system dynamics modelling and simulation: designing safe and efficient hospital pharmacy dispensing systems together

Abstract

With increasingly complex safety-critical systems like healthcare being developed and managed, there is a need for a tool that permits decision-makers to better understand the complexity, test various strategies and guide effective changes. System Dynamics (SD) modelling is an effective approach that can aid strategic decision-making in healthcare systems but has been underutilised partly due to the challenge of engaging healthcare stakeholders in the modelling process. This paper, therefore, investigates the applicability of a participatory SD approach based on healthcare workers' perspectives on ease of use (usability) and usefulness (utility). The study developed an interactive simulation dashboard platform which facilitated participatory simulation for exploring various hospital pharmacy staffing level arrangements and their impacts on interruptions, fatigue, workload, rework, productivity and safety. The findings reveal that participatory SD approach can enhance team learning by converging on a shared mental model, aid decision-making and identifying trade-offs. The implications of these findings are discussed as well as experience and lessons learned on modelling facilitation.

Insights Beyond Functionality: Empowering Digital Mental Health User Experiences Through Participatory Engagement and Evaluation

“…The evaluation of healthcare dig-ital platforms through participatory design has several benefits. Firstly, it ensures that the plat-form meets the specific needs and preferences of the target users 77 . By involving users in the design process, the platform can be customized to address their unique challenges and require-ments 78 .…”

Análise ergonômica do trabalho e dinâmica de sistemas

“…Os sistemas produtivos, em decorrência das constantes interações entre os fatores organizacionais (por exemplo, estrutura disponibilizada, turno de trabalho e metas produtivas), fatores humanos (por exemplo, carga de trabalho, fadiga, tomada de decisão e erro) e os recorrentes problemas produtivos (por exemplo, quedas de produtividade e retrabalho), configuram-se como sistemas complexos (Bouloiz et al, 2013;Robinson, 2020).…”

The effects of environmental, operational, and organizational factors on the usage of and satisfaction with electronic medical records

“…By using the technology acceptance model (TAM), it also continued to study healthcare providers' acceptance and satisfaction with the healthcare IT environment and associated usability (Abraham et al, 2009; Hudson et al, 2018; Kazley & Ozcan, 2007; Makam et al, 2013; Sutton et al, 2019; Weeger & Gewald, 2015). The latest study tried to develop a participatory system dynamic model from the perspective of healthcare workers (Ibrahim Shire et al, 2020), and the most representative model is the Systems Engineering Initiative for Patient Safety (SEIPS), which is a macro‐level system approach correlated with cognitive, physical, and organizational ergonomics (Carayon et al, 2006, 2014). The work system models were to gain a deeper understanding of the complex dynamic interactions between various influential factors such as staffing level management, workload, safety, and efficiency (Applebaum et al, 2010; Rathert et al, 2019).…”