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Showing results for tags 'User centred design'.
Found 69 results
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Content ArticleWhen operating on a patient, a surgeon may put swabs (pieces of gauze that come in a range of types, shapes and sizes) into the patient’s body to absorb bodily fluids such as blood. The operating theatre team count the swabs in and out, using a process known as reconciliation, to ensure all swabs are accounted for at the end of the operation. However, sometimes a swab can be unintentionally retained (left inside a patient’s body). This type of patient safety incident is known as a ‘Never Event’ – that is, an event that NHS England considers to be wholly preventable. This report is intended for healthcare organisations, policymakers, and the public to help improve patient safety in relation to retained swabs following invasive procedures.
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Content ArticleIn this essay for Interactions magazine, Donald A Norman argues that human-centred design has become such a dominant theme in design that it is now accepted by interface and application designers automatically, without thought, let alone criticism. He believes this as a dangerous state and his essay aims provoke thought, discussion and reconsideration of some of the fundamental principles of human-centred design.
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Content ArticleIncreasing diversity amongst surgeons results in a wide range of sizes and strengths. There are many types of biases affecting women surgeons. This study evaluates what challenges women surgeons may have with surgical equipment. Key findings include: 89% of women surgeons report difficulty with surgical instruments due to size. 71% of women surgeons report difficulty with surgical instruments due to grip strength. The study highlights a potential source of gender bias which could be addressed to improve equity for women surgeons.
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Content ArticleNew developments in artificial intelligence (AI) are extensively discussed in public media and scholarly publications. While in many academic disciplines debates on the challenges and opportunities of AI and how to best address them have been launched, the human factors and ergonomics (HFE) community has been strangely quiet. In this paper, Gudela Grote discusses three main areas in which HFE could and should significantly contribute to the socially and economically viable development and use of AI: decisions on automation versus augmentation of human work; alignment of control and accountability for AI outcomes; counteracting power imbalances among AI stakeholders. She then outlines actions that the HFE community could undertake to improve their involvement in AI development and use, foremost translating ethical into design principles, strengthening the macro-turn in HFE, broadening the HFE design mindset, and taking advantage of new interdisciplinary research opportunities.
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Content ArticleIn her latest blog, Patient Safety Commissioner Henrietta Hughes discusses MHRA's Yellow Card reporting system and why, until we have mandatory reporting, including for devices that are working as designed, we will continue to see avoidable harm occurring to patients. She stresses that it is vital that the voices and views of patients, clinicians, manufacturer, and health providers participate in the design and delivery of devices.
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EventuntilIn this Patient Partnership Week webinar, the Patients Association will be talking about their work with patients, the Royal College of Physicians and NHS England to explore what the future of outpatient care should look like. The webinar will be chaired by Sarah Tilsed, Head of Patient Partnership. Joining her are: Dr Fiona McKevitt, Clinical Director for Outpatient Recovery and Transformation, NHS England Dr Theresa Barnes, Clinical Lead for Outpatients, Royal College of Physicians Irene Poku, Representative Patient and Public Involvement and Engagement with experience of using outpatient services. Sarah champions the voice of patients in our work and the work of other organisations. As outpatients is such a pivotal part of the NHS and is visited by millions of patients, it really is important that patients feed into the design and delivery of this service, as they know what is and isn’t working for them in terms of their care. The webinar will explore how patients have been involved. Register
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Content ArticleClive Flashman, Patient Safety Learning's Chief Digital Officer, shares his presentation slides from the Health Plus Care 2022 conference. The presentation slides include basic principles, how to involve the patient and public in design, key issues and Clive's ten top tips for digital health innovators.
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Content ArticlePoorly designed electronic health records (EHRs) are common, and research shows poor design consequences include clinician burnout, diagnostic error, and even patient harm. One of the major difficulties of EHR design is the visual display of information, which aims to present information in an easily digestible form for the user. High-risk industries like aviation, automotive, and nuclear have guidelines for visual displays based on human factors principles for optimised design. In this study, Pruitt et al. reviewed the visual display guidelines from three high-risk industries—automotive, aviation, nuclear—for their applicability to EHR design and safety.
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Content ArticleIn this blog, Clare Crowley and Nick Woodier, National Investigators at the Healthcare Safety Investigation Branch (HSIB) look at the simple but often overlooked measures that NHS staff and organisations can take to improve the design and display of information in the workplace. They refer to a recent HSIB investigation that highlighted how the choice of information to display, and the visibility and accuracy of that information, can influence how NHS staff access and use it.
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Content ArticleTechnology holds promise for the future of healthcare. It can prevent illness, enable early diagnosis, empower health management and support general wellbeing. But how might people use technology to have more control over their health and wellbeing? And do they want to? This report explores the role of technology in managing, improving and supporting health and wellbeing. The NHS Confederation, in partnership with Google Health, commissioned Ipsos to explore people’s behaviours, attitudes and beliefs about responsibility and control when it comes to their health, the role that health technologies play in this and their expectations about the future of healthcare. A survey of more than 1,000 adults in the UK – a third of whom live with one or more long-term conditions (LTCs) – and interviews with individuals with LTCs and who have frequent interaction with the health system, forms the centrepiece of this report.
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Content ArticleAlarms are signals intended to capture and direct human attention to a potential issue that may require monitoring, assessment or intervention. They play a critical safety role in high-risk industries such as healthcare, which relies heavily on auditory and visual alarms. While there are some guidelines to inform alarm design and use, alarm fatigue and other alarm issues are challenges in the healthcare setting. The automotive, aviation, and nuclear industries have used the science of human factors to develop alarm design and use guidelines. This study in the journal Patient Safety aimed to assess whether these guidelines may provide insights for advancing patient safety in healthcare.
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Content ArticleThe aim of Royal Surrey's Human Factors & Team Resource Management Programme is to raise the awareness, understanding and application of the science of human factors within healthcare to improve staff and patient safety and wellbeing. Their ambition is to ensure their staff are familiar with the term 'human factors', understand what it is, how to recognise when HF dynamics affect system performance and safety, and know where to go to find out more. Take a look at their website, their programme and human factors projects.
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Content ArticleThis download is the third of three chapters of a book which complements the Chartered Institute of Ergonomics and Human Factors' Healthcare Learning Pathway and is intended as a practical resource for students The book aims to provide well-founded, practical guidance to those responsible for leading and implementing human factors programmes and interventions in health and social care.
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Content ArticleIn this blog, published by the Healthcare Safety Investigation Branch, Laura Pickup talks about the importance of considering the design of healthcare equipment and how it impacts on risk to patient safety. She highlights that there is a confusion between ‘use error’ and ‘abnormal use’ and questions whether it is really fair to hold NHS staff accountable when the use of equipment or devices has led to a safety incident.
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Content ArticlePaul Batalden is the host of "The Power of Coproduction". Prepared as a pediatric physician, he has been an international architect, teacher, and advocate for the improvement of healthcare services for five decades. His current focus is the coproduction of healthcare services.
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Content ArticleThere is a huge challenge to improve technology adoption and readiness across the NHS. This article in HSJ looks at a partnership between tech services company Agyle and Dorset County Hospital (DCH) which aimed to develop a digital patient record strategy which places user experience at the heart of its approach. DCH's objective was for its staff to access a decreasing number of systems, designed around clinical processes, with data flowing seamlessly between those systems. The article looks at how Agyle and DCH worked together to achieve improved clinical safety, interoperability, cost-effectiveness and future-proofing through their strategy.
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Content ArticleThis chapter from the book 'Managing future challenges for safety' starts with the premise that the future of work is unpredictable. This has been illustrated by the COVID-19 pandemic, and further profound changes in contexts of work will bring significant and volatile changes to future work, as well as health, safety, security, and productivity. Micronarrative testimony from healthcare practitioners whose work has been affected dramatically by the emergence of the pandemic is used in this chapter to derive learning from experience of this major change. The narratives concern the nature of responding to a rapidly changing world, work-as-imagined and work-as-done, human-centred design and systems thinking and practice, and leadership and social capital. Seven learning points were drawn from clinicians’ reflections that may be more widely relevant to the future of work.
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Community Post
Can the NHS learn from healthcare systems overseas?
Steve Turner posted a topic in Organisational
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Is it time to change the way England's healthcare system is funded? Is the English system in need of radical structural change at the top? I've been prompted to think about this by the article about the German public health system on the BBC website: https://www.bbc.co.uk/news/health-62986347.amp There are no quick fixes, however we all need to look at this closely. I believe that really 'modernising' / 'transforming' our health & #socialcare systems could 'save the #NHS'. Both for #patients through improved safety, efficiency & accountability, and by making the #NHS an attractive place to work again, providing the NHS Constitution for England is at the heart of changes and is kept up to date. In my experience, having worked in healthcare for the private sector and the NHS, and lived and worked in other countries, we need to open our eyes. At present it could be argued that we have the worst of both worlds in England. A partially privatised health system and a fully privatised social care system. All strung together by poor commissioning and artificial and toxic barriers, such as the need for continuing care assessments. In my view a change, for example to a German-style system, could improve patient safety through empowering the great managers and leaders we have in the NHS. These key people are held back by the current hierarchical crony-ridden system, and we are at risk of losing them. In England we have a system which all too often punishes those who speak out for patients and hides failings behind a web of denial, obfuscation and secrecy, and in doing this fails to learn. Vast swathes of unnecessary bureaucracy and duplication could be eliminated, gaps more easily identified, and greater focus given to deeply involving patients in the delivery of their own care. This is a contentious subject as people have such reverence for the NHS. I respect the values of the NHS and want to keep them; to do this effectively we need much more open discussion on how it is organised and funded. What are people's views? -
Content Article
In this opinion piece, Kath Sansom, Founder of the Sling the Mesh Campaign, argues that when health services fail to engage meaningfully with patients it causes patient safety issues. Drawing on her own experience as a patient and the founder of a large patient support group, she talks about the invaluable perspective that patients who have experienced healthcare harm can offer policymakers. She also explains why it is important to hear from a wide group of patients who have experienced a variety of issues.- Posted
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Content ArticleA Learning Health System (LHS) is a model of how routinely collected health data can be used to improve care, creating ‘virtuous cycles’ between data and improvement. This requires the active involvement of health service stakeholders, including patients themselves. However, to date, research has explored patients being ‘data donors’ rather than considering patients as active contributors. This study in the journal Health Expectations aimed to understand how patients should be actively involved in a LHS.
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Content Article
Laurence Goldberg, an independent pharmaceutical consultant, discusses the effectiveness and also the potential for harm of unit-dose medicines distribution. -
Content ArticleSafety at design is giving due consideration to safety at the conceptual stage of your design. We mostly do not look at this and what we end up completing the design of a product with high ergonomics risks to the end users. What should we consider and how should we go about this? These and many more are will looked at in this presentation from Ehi Iden, chief executive of Occupational Health and Safety Managers.
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Content ArticleIn this video, Michal Seres, who lives with Crohn's disease, talks about his experience of living with an ostomy bag and how he came to develop his own tools to help manage his treatment. Michael established 11 Health, a company which aims to create a collaborative community of patients, healthcare professionals and researchers to develop digital health solutions for patients with chronic illness. Michael talks about the importance of including patients in developing devices and treatments, and how positive, supportive relationships foster collaboration.
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Content ArticleSurgeons' News is a magazine for surgical, dental and allied healthcare professionals. Published quarterly by the Royal College of Surgeons of Edinburgh, it features comment and opinion from leading professionals, plus reviews and reports on subjects relevant to all career levels. In an article in the June issue (page 18), Maryanne Mariyaselvam describes some of the latest solutions being developed to protect patients and clinicians from potential errors.
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Content Article
DesignKit
Patient Safety Learning posted an article in Suggest a useful website
Human-centered design is a practical, repeatable approach to arriving at innovative solutions. DesignKit 'methods' are step-by-step guides to unleashing your creativity, putting the people you serve at the centre of your design process to come up with new answers to difficult problems.
