Simulation-based User-centered Design: An Approach to Device Development during COVID-19

Colman, Nora; Saldaña, Christopher; Craig, Kentez; Edwards, Nicole Megan; McGough, Jennifer; Mason, Carrie; Hebbar, Kiran

doi:10.1097/pq9.0000000000000427

Cited by 11 publications

(12 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Regarding the interruptive alert, users agreed that it would compromise their workflow less if it allowed users to change their order within the interruptive alert itself, rather than only making suggestions which they would then need to return to the order to correct (►Fig. 4).…”

Section: Resultsmentioning

confidence: 99%

Section: Background and Significancementioning

confidence: 99%

“…Some benefits of implementing a UCD approach include gaining buy-in from intended users, domain knowledge that informs the design, and tacit knowledge that users bring to the table in the design process. 3,4 At our institution, we are studying the effects of different CDS designs on quality outcome measures, specifically on blood transfusion rates. Though a life-saving treatment for some patients, transfusions of blood products can result in patient harm and excess costs for health systems [5][6][7][8][9] when used indiscriminately.…”

Section: Background and Significancementioning

confidence: 99%

See 2 more Smart Citations

User-Centered Design to Reduce Inappropriate Blood Transfusion Orders

et al. 2023

View full text Add to dashboard Cite

Background To improve blood transfusion practices, we applied user-centered design (UCD) to evaluate potential changes to blood transfusion orders. Objectives The aim of the study is to build effective transfusion orders with different designs to improve guideline adherence. Methods We developed three different versions of transfusion orders that varied how information was presented to clinicians ordering blood transfusions. We engaged 14 clinicians (residents, advanced practice providers [APPs], and attending physicians) from different specialties. We used the think aloud technique and rapid qualitative analysis to generate themes to incorporate into our modified orders. Results Most end-users who participated in the semi-structured interviews preferred the interruptive alert design plus behavioral nudges (n = 8/14, 57%). The predominant rationale was that the in-line alert was not visually effective in capturing the end-user's attention, while the interruptive alert forced a brief stop in the workflow to consider the guidelines. All users supported the general improvements, though for different reasons, and as a result, the general improvements remained in the designs for the forthcoming trial. Conclusion The user experience uncovered through the think aloud approach produced a clear and rich understanding of potentially confounding factors in the initial design of different intervention versions. Input from end-users guided the creation of all three designs so each was addressing human factors with parity, which ensured that the results of our study reflected differences in interruptive properties of the alerts and not differences in design.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Background and Significancementioning

confidence: 99%

Section: Background and Significancementioning

confidence: 99%

See 1 more Smart Citation

User-Centered Design to Reduce Inappropriate Blood Transfusion Orders

et al. 2023

View full text Add to dashboard Cite

show abstract

“…Algunos otros autores concluyen que la caja de aerosol es clínicamente irrelevante siempre y cuando el operador se encuentre experimentado en el manejo de la vía aérea, esto en condiciones normales. 9,10,12,[22][23][24][25][26][27][28] A partir de la caja original se han realizado diversas modificaciones que han disminuido las limitaciones originalmente publicadas, recientemente Kim et al evaluaron el TI con diferentes diseños de caja de aerosoles en maniquíes con vía aérea normal y difícil, encontrando que una modificación en la caja reduce el TI, sin encontrar diferencias significativas en el TI sin caja de aerosol versus caja de aerosol modificada tanto para vías aéreas normales como difíciles, por lo que confiere beneficio protector sin retrasar el tiempo de intubación. 29 En nuestro estudio, la capacitación en ambientes simulados mejoró el tiempo de intubación, incluso comparado con la intubación sin caja, similar a lo reportado por Lima et al, que encontraron que el TI mejoró tras cinco maniobras de intubación por cada participante con caja y sin caja de aerosoles, con tiempos similares a lo reportado en nuestro estudio.…”

Section: Discussionunclassified

El entrenamiento médico en la intubación orotraqueal con caja de acrílico en pacientes pediátricos con SARS-CoV-2 disminuye el tiempo de exposición

Luna-Castañeda¹,

Juárez-Ortíz²,

Arellano-Llamas³

et al. 2022

NCT Neumología Y Cirugía De Tórax

View full text Add to dashboard Cite

RESUMEN. Introducción: en la pandemia por SARS-CoV-2, la modificación de la técnica de intubación utilizando dispositivos de barrera (aerosol box) para disminuir la exposición a aerosoles generó ansiedad en los trabajadores de la salud (TS), al incrementar el grado de dificultad y el tiempo de intubación endotraqueal (TI). Los ambientes simulados de intubación incrementan la habilidad para la intubación y disminuye el TI. Objetivo: medir el TI pre y posmaniobra educativa (sin caja sin entrenamiento -SS-, con caja sin entrenamiento -CS-, con caja con entrenamiento -CC-). Material y métodos: retrospectivo, comparativo, con médicos capacitados en el ambiente simulado.

show abstract

“…The development and improvement process utilized a user-centered design process with iterative improvements (Colman et al, 2021). A working version of the software was released within 2 months of project initiation, and updates were released 1-5 times per month via a globally accessible website, www.MedSimStudio.com.…”

Section: Methodsmentioning

confidence: 99%

Med Sim Studio: An Open-Access Simulation Platform for Running and Sharing Dynamic Display of Patient Data in Package Scenarios

Blumenberg

Kessler

2022

Simulation & Gaming

View full text Add to dashboard Cite

Background/Objectives Specialized software may augment in-situ simulation, remote learning, oral boards preparation, and personalized remediation through simulation. Simulation educators often lack access to simulation software that meets their needs because existing software packages are cost prohibitive, have design gaps, or are not user friendly. Additionally, educators require the ability to easily author their own customized cases and share them with colleagues via an integrated software platform. Methods A needs assessment was performed by interviewing simulation educators, residents, medical students, and residency assistant program directors. Based on this, the software platform Med Sim Studio was developed to include vital sign monitoring, hundreds of high-resolution medical images, a video ultrasound library, documentation, evaluation tools, packaged cases reflecting the core EM curriculum, case authoring and sharing ability, and an easy-to-use interface. Over the course of a year and a half, the software was programmed using C++ on Microsoft Visual Studio. Users can author cases which are stored as JSON data objects and can be shared via email, portable media, or retrieved through a central MySQL database. Discussion Med Sim Studio joins other free software resources for simulation with the addition of unique features including immediate access to a comprehensive suite of medical visual stimuli, automated documentation and data collection, cases pre-loaded with the relevant background information and images, and the ability to customize and share cases instantly. Med Sim Studio allows educators to propagate their own scholarship through case sharing functionality. These can be transferred online (via the embedded database functionality or through email attachments), or via portable media (such as USB drive or optical disk). The case-sharing aspect of Med Sim Studio simplifies the process for simulation educators to contribute novel cases and promote the community of medical education.

show abstract

Simulation-based User-centered Design: An Approach to Device Development during COVID-19

Abstract: Supplemental Digital Content is available in the text.

Cited by 11 publications

References 32 publications

User-Centered Design to Reduce Inappropriate Blood Transfusion Orders

User-Centered Design to Reduce Inappropriate Blood Transfusion Orders

El entrenamiento médico en la intubación orotraqueal con caja de acrílico en pacientes pediátricos con SARS-CoV-2 disminuye el tiempo de exposición

Med Sim Studio: An Open-Access Simulation Platform for Running and Sharing Dynamic Display of Patient Data in Package Scenarios

Contact Info

Product

Resources

About