Search the hub
Showing results for tags 'User centred design'.
Found 71 results
-
Content ArticleIn traditional infusion processes, issues such as untimely medication replacement and patients’ difficulty in continuously monitoring their medication levels are prevalent. This study presents the design of a smart infusion automatic medication replacement device aimed at automating infusion management through three key modules: high-precision liquid level monitoring, automated medication replacement, and a smart control system. By monitoring liquid levels in real time, the system eliminates the need for patients to constantly check their medication levels, accurately controlling the amount of medication dispensed and transmitting monitoring signals within safe thresholds. By replacing repetitive manual adjustments with automated processes, healthcare professionals can focus more on patient care rather than the cumbersome medication replacement procedures. The smart infusion automatic medication replacement device enhances the quality of infusion therapy for patients and alleviates the repetitive workload of medical staff.
-
Content ArticleThe usability of an EPR is not a trivial issue. A poorly designed and configured system will have a big impact on everything from productivity to patient safety. Poor usability results in workarounds, including the creation of what is known as shadow IT. That might include spreadsheets, word documents and other background systems that have no governance and create all sorts of unquantified risks. A design-led approach to understanding users' needs is a proven way to making your EPR as usable as possible. This is often undermined when digital transformation is funded by one-off capital injections from the centre which encourages teams to focus on purchasing capital items rather than on optimising their systems. In this article NHS Providers discusses usability, the benefits of investing in learning and development, and shares a case study of optimising your EPR through user experience.
-
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.
-
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. After years of struggle to get our voices heard, the final report of the Cumberlege Review gave women harmed by mesh a ray of hope that perhaps help, and redress, were at hand. The report recommended that the NHS establish specialist mesh centres across the country to provide mesh removal and other treatment options to women suffering from debilitating complications as a result of pelvic mesh surgery. As Founder of Sling the Mesh, I was keen that our 9,000+ members were involved in the process of designing how these specialist centres would be set up. It had taken us a long time to get here and we knew our voice had made a difference to patient safety; it was our concerns as patients that had brought incontinence mesh surgery to a halt and resulted in a ban on vaginal prolapse mesh surgery. The huge group of women who belong to Sling the Mesh and other patient support groups had valid questions and concerns about how the centres would run, and how they would ensure swift and beneficial access to the treatment they so desperately needed. It was absolutely essential that NHS decision-makers understood the range of issues women were facing—from the need for removal to dealing with the autoimmune conditions women were developing after mesh surgery. A tokenistic approach to patient engagement So in November 2020, I established contact with the commissioner in charge of setting up the centres and they agreed to meet with me and members of Sling the Mesh. This meeting was postponed several times and eventually cancelled. Instead of maintaining direct contact with me, the commissioner put me in touch with a communications colleague. No meeting—or any form of meaningful engagement—ever happened. Reading through the stakeholder engagement document, it appears that of the three women who were engaged as patient representatives, two had not had mesh surgery. The one who had was not engaged in any support groups, and this will have limited her ability to raise the wide range of issues and concerns faced by women harmed by mesh. I couldn’t believe that this was the NHS’s choice of patient voice, over the several active and well-engaged mesh patient support groups that are so easy to find. I’m left wondering why they chose not to engage with us. Lack of patient voice leads to further patient safety issues The outcome of the specialist mesh centre process has been incredibly disappointing to women harmed by mesh. A recent blog by Patient Safety Learning and Sling the Mesh outlines some of the key issues—problems that could have been foreseen and potentially avoided by engaging with a more representative selection of end users during the commissioning process. When setting up a service, failure to engage with the patients it is being designed for creates serious risks to patient safety. Lived experience of patient safety issues is not an additional 'skill' to be added into the mix of voices; it comes from painful loss and is often offered to health services and commissioners at great personal cost. The suffering of people who have experienced harm motivates them to prevent it happening to anyone else, and is grounded in a reality that no surgeon, policymaker or politician can comprehend. That’s why it’s important not to choose the easy way out when it comes to patient engagement; the voices that can really speak with authority on the issues need to be front and centre when developing services. This is especially vital in cases like vaginal mesh where it has taken governments and the NHS so many years to listen to patients’ concerns. As people harmed by a medical device we were told would help us, we know the life-changing consequences of healthcare harm, and will do everything in our power to seek the right level of support for victims and prevent it happening again. A safer approach to engaging patients We need to see a change in the way policymakers view patient engagement. There may be fears within NHS management that the observations and requests of patient representatives will stretch resources and have the potential to cause reputational damage. But if we don’t start seeing those voices as essential, we will never make meaningful progress in improving patient safety. Related reading ‘Mesh removal surgery is a postcode lottery’ - patients harmed by surgical mesh need accessible, consistent treatment Doctors’ shocking comments reveal institutional misogyny towards women harmed by pelvic mesh - a Patient Safety Learning blog Specialist mesh centres are failing to offer adequate support to women harmed by mesh (Patient Safety Learning and Sling the Mesh)- Posted
- 4 comments
-
4
-
- (and 6 more)
-
Content Article
Laurence Goldberg, an independent pharmaceutical consultant, discusses the effectiveness and also the potential for harm of unit-dose medicines distribution. In unit-dose dispensing, medication is dispensed in single doses in packages that are ready to administer to the patient. It can be used for medicines administered by any route, but oral, parenteral, and respiratory routes are especially common. The system provides a fully closed-loop process where the patient, the drug and the healthcare professional are identified by machine readable codes and the drug administration process is linked directly to the electronic prescription and is fully recorded There are many variations of unit-dose dispensing. As just one example, when doctors write orders for inpatients, these orders are sent to the central pharmacy. Pharmacists verify these orders and technicians place drugs in unit-dose carts. The carts have drawers in which each patient's medications are placed by pharmacy technicians—one drawer for each patient. The drawers are labelled with the patient's name, ward, room and bed number. Sections of each cart containing all medication drawers for an entire nursing unit often slide out and can be inserted into wheeled medication carts used by nurses during their medication administration cycles. Alternatively, electronic medicine storage cabinets can be located on wards and these are attached to medicine carts which are then filled from the cabinets. Studies often compare unit-dose dispensing to a ward stock system. In a ward stock system, bulk supplies are issued from the pharmacy; the drugs are stored in a medication room on the ward. The correct number of doses must be taken out of the correct medication container for each cycle and taken to the patient for administration. Liquids must be poured by the nurse from the appropriate bottle and each dose carefully measured. Evidence for effectiveness of the practice Though the practice of unit-dose dispensing is generally well accepted and has been widely implemented, the evidence for its effectiveness is modest. Most of the published studies reported reductions in medication errors of omission and commission with unit-dose dispensing compared with alternative dispensing systems such as ward stock systems. Potential for harm Unit-dosing shifts the effort and distraction of medication processing, with its potential for harm, from the ward to central pharmacy. It increases the amount of time nurses have to do other tasks but increases the volume of work within the pharmacy. Like the nursing units, central pharmacies have their own distractions that are often heightened by the unit-dose dispensing process itself and errors do occur. Overall, unit-dose appears to have little potential for harm. The results of most of the observational studies seem to indicate that it is safer than other forms of institutional dispensing. However, the definitive study to determine the extent of harm has not yet been conducted. A major advantage of unit-dose dispensing is that it brings pharmacists into the medication use process at another point to reduce error. Yet about half of the hospitals in a national survey indicated that they bypass pharmacy involvement by using floor stock, borrowing patients' medications and hiding medication supplies. Unit dose drug distribution is being introduced across Europe. In Germany, a recent study showed a saving of 2.61 WTE nurses per 100 beds. There is now growing interest in UK hospitals and pilot sites to develop the system are being established. What are your thoughts on unit-dose dispensing? -
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. Episode 1 Coproduction is Everywhere Paul is on the trail to discovering the knowledge, skills and habits that help coproduce healthcare. It begins by becoming better observers when coproduction occurs Listen to or download Episode 1, "Coproduction is everywhere" Running time: 18 minutes 31 seconds Episode 2 The person will see you now Understanding the lived reality of persons we sometimes call “patients” is useful if we seek insight into how they might take action for their own health, utilizing their own supports and resources Listen to or download Episode 2, "The person will see you now" Running time: 33 minutes 53 seconds Episode 3 Let's get real: the way things are Understanding the current “as is” system that must be navigated by the persons in their various roles and their experience of actually doing it is required if we seek to improve upon it Listen to or download Episode 3, "Let's get real: the way things are" Running time: 20 minuts 35 seconds Episode 4 Allow me to empower you: the wisdom of self-care Coproduced healthcare service involves self-care and the support that enables it. Professional-persons who help create or enable that support for the patient-person are bridge-builders for access to helpful information and resources Listen to or download Episode 4, "Allow me to empower you: the power of self-care" Running time: 27 minuts 50 seconds Episode 5 Stop talking! Equity begins by listening Designing services for pregnant women that address historic & racial inequity involves professional-persons willing to listen to those patient-persons before proposing new approaches Listen to or download Episode 5, "Stop talking! Equity begins by listening" Running time: 31 minuts 21 seconds Episode 6 The biology of it all Understanding of Cystic Fibrosis has transformed at a rapid pace. It’s a story that offers insight into how biologic knowledge contributes to the coproduction of healthcare services for people with this condition Listen to or download Episode 6, "The biology of it all" Running time: 27 minutes 14 seconds Episode 7 The web I tend Living and thriving with a long-term condition involves the integration and application of diverse resources to support the ever-changing needs of the patient-person and family Listen to or download Episode 7, "The web I tend" Running time: 33 minutes 4 seconds Episode 8 Am I allowed to cry here? Morten Södemann of Copenhagen describes how professional-persons and immigrant-persons have designed and co-created services for vulnerable people in a safe space, the Migrant Health Clinic Listen to or download Episode 8, "Am I allowed to cry here?" Running time: 21 minutes 34 seconds Episode 9 Stories clarify Kathryn Kirkland describes how stories can create a shared understanding of the distinct challenges people in different roles confront as patients, family members or professionals. This is especially evident when there’s serious illness. Storytelling helps everyone work together Listen to or download Episode 9, "Stories clarify" Running time: 27 minutes 55 seconds Episode 10 My work depends on the setting… Like many health professionals, John Brennan has had the opportunity to work in different settings which have influenced and enhanced his ability to co-create healthcare services with patient-persons Listen to or download Episode 10, "My work depends on the setting ..." Running time: 30 minutes 06 seconds Episode 11 From principles to practice Bill Lucas shares the story of a learning challenge and offers examples of the ways teachers address these types of challenges Listen to or download Episode 11, "From principles to practices" Running time: 31 minutes 24 seconds Episode 12 Coproduction and macrosystems of healthcare CEO April Kyle and CMO Doug Eby discuss how the indigenous community of Native Americans became the “customer-owners”and governing board of the SouthCentral Foundation which operates the Alaska Native Medical Center. They offer an example of what it’s like for a customer-owner to consult a professional-person Listen to or download Episode 12, "Coproduction and macrosystems of healthcare" Running time: 40 minutes 01 seconds Episode 13 Safer together Emeritus Professor Charles Vincent describes why and how he and Rene Amalberti wrote the pathfinding book, Safer Healthcare, and engages in a conversation with Maren Batalden as she describes the ways she and her colleagues at Cambridge Health Alliance have used those insights in their efforts to make healthcare safer Listen to or download Episode 13, "Safer together" Running time: 34 minutes 53 seconds Episode 14 Looking back and ahead Paul reviews the frame and the content of the podcasts in this series and together in conversation with Christian and Tina they open some possible future themes for the study of coproducing healthcare service Listen to or download Episode 14, "Looking back and ahead"
-
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.
-
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.
-
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. Designing tasks for human performance Chapter 3 objectives and learning outcomes: To describe the human contribution to task performance. To analyse systematically the impact of human performance on key vulnerabilities in the task. To reflect critically on the impact of work system and environmental factors on human performance. To assess the relative strengths and weaknesses of interventions aimed at improving human performance.
-
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.
-
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.
-
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
-
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. This report includes the following findings: A range of complex and interrelated system (tools, technology, organisation, task, environment, and people) factors routinely influence the reliability of the swab count and the achievability of the overall reconciliation process. The reconciliation process has not been formally analysed or designed using human factors expertise (where the interactions between people and other elements of the system in which they work are explored) or any other process design expertise. Blame can be inappropriately placed on scrub practitioners and/or the surgeon when an item goes missing, rather than the reconciliation process being seen as a team activity and one that can be influenced by a wide range of interrelating factors. The design of swabs does not help staff to locate, identify, or track swabs during the reconciliation process. There are technologies and tools that could be used to improve the accuracy of the swab count; however, these have not been embedded into UK healthcare. Safety recommendations The report makes the following recommendations: The Centre for Perioperative Care and Association for Perioperative Practice work together with other key stakeholders to review and amend the process and standards for the reconciliation of swabs, using human factors expertise and user-centred design principles, to reduce the risk of retained swabs to as low as reasonably practicable. Any changes to either organisation’s processes should consider potential unintended consequences and the influence on other safety-critical tasks and include consideration of professional roles and responsibilities in relation to swab reconciliation. NHS England develops a framework to assess whether risks, such as retained swabs, are acceptable, tolerable and have been reduced to as low as reasonably practicable. This will allow organisations to develop their risk strategies and document their risk acceptance criteria and tolerance. The National Institute for Health and Care Research assesses the priority and feasibility of commissioning research to review the viability of implementing technology that could support reducing the risk of retained swabs. The review should balance patient safety, costs, benefits, design, implementation, and the various ways in which the technology could be used to reduce other patient safety concerns to as low as reasonably practicable. Safety observations The report makes the following observations: Manufacturers of swabs can improve patient safety by facilitating better detection of retained swabs through user-centred design. The NHS can improve patient safety by ensuring procurement decisions about swabs are made on a risk-informed basis that incorporates evaluation trials and user-centred design processes in the design, manufacture and testing of products. Multidisciplinary team training can improve patient safety by increasing the understanding of team roles, responsibilities, teamwork, the interrelationships between the work system and people and ultimately improve the care of patients undergoing an invasive procedure. A user-centred evaluation of non-technical tools to aid the swab count can improve patient safety by helping national organisations and trusts assess whether their risk of retained swabs is as low as reasonably practicable. Further reading on the hub: Swab safe management to prevent retained swabs Oxford University surgical lectures: Retained swabs
-
Content ArticleIn these presentation slides, Erik Hollnagel, Professor at the University of Southern Denmark, explains what is meant by the terms 'work as done' and 'work as imagined'. The presentation looks at the implications of designing with the two concepts in mind and highlights ways to better align system design with the realities of work as done.
-
Content ArticleElectronic health record (EHR) nursing summaries have the potential to support nurses in locating and synthesising patient information. However, nurses’ role-specific perspectives are often excluded in the design of the EHR system. The purpose of this study was to describe nurses’ current use of nursing summaries and vital sign information within them and glean their ideas for design improvements. en clinical inpatient nurses participated in interviews and co-design activities. Nurses hardly use the nursing summary to overview a comprehensive patient's health status. The current design of a nursing summary lacks comprehensive patient information and contains much irrelevant data. Nurses prefer vital signs to be prominently displayed on the summary screen for easy visibility. Involving nurses in the design process can lead to a nursing summary that better meets their needs.
-
EventuntilDigital technologies are transforming the way in which health and care is delivered. They have played a crucial role in enabling the delivery of services during the pandemic and are set to continue to play a pivotal role in the design, delivery and innovation of health and care going forward. This event will take a deep dive into the practical implementation of digital solutions in health and care. We will explore how data insights and technology are being used to improve care, access and user experience against the backdrop of the impact of Covid-19. Sessions will also provide an opportunity to assess how a range of digital tools from simple to complex can be used to innovate service design, support integration, improve population health management, and reduce health inequalities, touching on implications for staff and patients. Book a ticket
-
Content ArticleHuman factors and ergonomics (HF/E) is concerned with the design of work and work systems. There is an increasing appreciation of the value that HF/E can bring to enhancing the quality and safety of care, but the professionalisation of HF/E in healthcare is still in its infancy. In this paper, Sujan et al. set out a vision for HF/E in healthcare based on the work of the Chartered Institute of Ergonomics and Human Factors (CIEHF), which is the professional body for HF/E in the UK. The authors consider the contribution of HF/E in design, in digital transformation, in organisational learning and during COVID-19.
-
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.
-
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.
-
Content ArticleInadequate medication adherence is a widespread problem that contributes to increased chronic disease complications and healthcare expenditures. Packaging interventions using pill boxes and blister packs have been widely recommended to address the medication adherence issue. This meta-analysis review from Conn et al. determined the overall effect of packaging interventions on medication adherence and health outcomes. In addition, the authors tested whether effects vary depending on intervention, sample, and design characteristics. Overall, meta-analysis findings support the use of packaging interventions to effectively increase medication adherence.
-
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.
-
Content ArticleThis National Patient Safety Agency (NPSA) booklet presents information concerning how better design can be used to make the dispensing process safer in community pharmacies, dispensing doctor practices and hospital pharmacies. There are a number of new factors that will impact on the dispensing process, such as: electronic prescription services; auto-id and automation technologies; more responsibilities for pharmacy technicians; and enhanced pharmacy services. These factors have been incorporated into these safer design recommendations Organisations, managers and healthcare workers involved in dispensing medicines should use this booklet as a resource to help introduce new initiatives to further minimise harms from medicines.
-
Content Article
.png.477b9af00b1cd536639c528ad4776553.png)
In this blog Patient Safety Learning’s Chief Executive, Helen Hughes, discusses the connection between procurement, supply chains and patient safety, ahead of an upcoming Safety for All Campaign webinar on this topic. At Patient Safety Learning we believe that to reduce avoidable harm in healthcare we need a transformation in our approach to patient safety. Patient safety should not be treated as one of several strategic priorities, but instead as a core purpose of health and social care. This requires us not just to respond to, and mitigate the risk of, harm, but also to design healthcare to be safe for patients and the staff who work within it. This approach extends to how we source, supply and monitor the use of healthcare equipment and products. Procurement and supply chains can be complex and may involve many organisations, with patient safety concerns manifesting themselves in a range of diverse ways, such as in the following three areas: 1. Introduction of new products and technologies While advances in technology can result in significant improvements in care and treatment, it is vital that there is a clear focus on patient safety in their initial rollout and implementation. One example of issues that can emerge was highlighted by an investigation by the Healthcare Safety Investigation Branch (HSIB) into the procurement, usability and adoption of smart infusion pumps.[1] While these pumps are potentially a means of improving medication safety, HSIB’s investigation highlighted how challenges in implementing their use, such as process changes and requirements for new IT infrastructure, created new patient safety risks. 2. Human factors and user-centric design When healthcare equipment and products are being developed it is important that human factors and ergonomics approaches are considered in the design and development process, specifically giving weight to how individuals interact with each other and their environment. Dr Aditi Desai, a Consultant Obstetrician and Gynaecologist, highlighted in a blog on the hub the patient safety issues that can emerge when medical instruments and devices, such as operating theatre tables, are not designed in a user-centric manner.[2] 3. Patient outcomes In addition to considering patient safety in the design and development of healthcare equipment and products, we also need to ensure this in relation to their ongoing use. An important part of this is monitoring the quality of care they deliver from the patient's perspective, through systems such as Patient Reported Outcome Measures (PROMs). Considering how the healthcare system responded to reports of harmful side effects from medicines and medical devices, a key issue highlighted by the Independent Medicines and Medical Devices Safety (IMMDS) Review was inadequate data on patient outcomes.[3] The Review highlighted the need to collect data far more widely and routinely than we do currently, ensuring we can assess the benefits and patient safety risks associated with current and new interventions. References HSIB. Procurement, usability and adoption of ‘smart’ infusion pumps, 3 December 2020. Aditi Desai. Absence of user-centric design: a threat to patient safety. Patient Safety Learning’s the hub, 13 April 2021. The IMMDS Review. First Do No Harm: The report of the IMMDS Review, 21 July 2020. -
Content Article
Pre-Hospital Care Podcast: Designing the RSI
Patient Safety Learning posted an article in Techniques
The Pre-Hospital Care Podcast is designed to have engaging and inspirational conversations with some of the World’s leading experts relating to pre-hospital care. This session interviews flight paramedic Paul Swinton, to talk about how to optimise the rapid sequence intubation (RSI) in the pre-hospital environment. It unpacks some of the nuances, challenges, and approaches that Paul has found from being both a pre-hospital practitioner and in innovating the layout and design for an RSI in creating the SCRAM bag. SCRAM™ (Structured CRitical Airway Management) is an innovative solution for enhancing the performance of emergency airway management. It involves the systemisation, standardisation, cognitive offloading, human factors and good governance are core principles to the design and philosophy of SCRAM. -
Content ArticleThe Covid-19 pandemic has presented new challenges for patients with non-communicable diseases (NCDs) as healthcare systems experience increased resource constraints, conflicting priorities, challenges related to emerging or re-emerging diseases, and difficulties in prioritising NCD services. This report summarises a World Health Organization (WHO) meeting held in December 2020 that aimed to harness the power of community knowledge to tailor priorities, programmes and practices for NCDs and mental health, so that they are realistic, appropriate and attractive to the target populations. Patient experts and representatives with NCDs addressed the following questions: What does meaningful engagement mean? How do we engage meaningfully? Where do we go from here?
.png.477b9af00b1cd536639c528ad4776553.png)