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Showing results for tags 'User-centred design'.
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Content ArticleA hypothetical proposal for a national incident reporting system in the United States. Drawing on lessons from aviation safety history and patient safety literature, a detailed plan is progressively built (initially centred in psychiatry), covering aspects that make an incident reporting system effective. Incident reporting systems have faced many implementation problems. This article shows that by exploring fields adjacent to medicine and much further afield, solutions to long-standing problems can be found. It proposes potentially novel ideas, yet to have been tried in incident reporting both in the United States and in the UK.
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Content ArticleIn this article for the Journal of mHealth, Victoria Betton looks at the importance of a user-centred design approach to developing electronic patient records (EPRs). She highlights four key principles, based on human factors, that should be considered when designing an EPR: Start early with user needs—take time to build user needs and goals into your thinking from the start of your business case and keep them at the core of your requirements. Use observation, interviews and analysis of data (for example, clinical incident reports) to give you the insights you need. Bake in adoption from the get-go—make sure there is sufficient resource and time in the business case to engage and involve EPR users at each stage of the process, from defining needs through to procurement, implementation and ongoing optimisation over time. Get it right before you configure—use wireframes and simulation to test out before you start to configure the EPR. Make it as easy as possible for users to enter data in the right place the first time. Iterate—create a process that allows for ongoing iteration, learning and optimisation of the EPR. Don’t send floor walkers in for two weeks and ask them to leave. Ongoing adaptation and improvement are key.
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Content ArticleThis blog shares extracts and learnings from 'A user centred design blueprint for NHS trusts', a dissertation written by Tracey Watson for her Degree Master of Science in Digital Health at Imperial College. In her dissertation, Tracey sought to answer the question: "What are the key success elements of user centred design that need to be understood in order to gain use and optimise digital transformation?" She investigated her question through semi-structured interviews with NHS Trust executives, change practitioners and user centred design experts. This blog summarises Tracey’s exploration of the challenge and context for user centred design in NHS trusts.
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Community Post
Better use of data for medication safety in hospitals
Kenny Fraser posted a topic in Medicine management
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NHS hospital staff spend countless hours capturing data in electronic prescribing and medicines administration systems. Yet that data remains difficult to access and use to support patient care. This is a tremendous opportunity to improve patient safety, drive efficiencies and save time for frontline staff. I have just published a post about this challenge and Triscribe's solution. I would love to hear any comments or feedback on the topic... How could we use this information better? What are hospitals already doing? Where are the gaps? Thanks- Posted
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Community PostWhen you enter a hospital, be it as a patient or a member of staff, an interesting thing happens. The glass doors close behind you and you are irretrievably in a different existential space. Outside, beyond that threshold is the material world. But inside you are a new Jonah having been swallowed by a mammoth whale I’m interested in exploring that existential space in the interests of quantifying the healing environment.
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News ArticleThe NHS has announced that Dr Hilary Cass OBE, former President of the Royal College of Paediatrics and Child Health, will lead an independent review into gender identity services for children and young people. The review will be wide-ranging in scope looking into several aspects of gender identity services, with a focus on how care can be improved for children and young people including key aspects of care such as how and when they are referred to specialist services, and clinical decisions around how doctors and healthcare professionals support and care for patients with gender dysphoria. It will also set out workforce recommendations for specialist healthcare professionals and examine the recent rise in the number of children seeking treatment. Dr Cass will then make clear recommendations for children and young people’s gender identity services reporting back next year. The Gender Identity Development Service for Children and Adolescents is managed by the Tavistock and Portman NHS Foundation Trust. The Care Quality Commission (CQC) is due to carry out a focused inspection of The Tavistock and Portman NHS Foundation Trust, Gender Identity Services for children and young people, during the autumn. The inspection will cover parts of the safe, effective, caring, responsive and well-led key questions and will include feedback from people using the service, parents, relatives, carers, and staff. Separately, Dr Cass will also review the service’s clinical practice with the support of the Royal College of Paediatrics and Child Health and engagement of other professional bodies to provide multi-professional insight working closely with the CQC. The review includes an examination of the issues surrounding children and young people who are prescribed puberty blocking and cross sex hormone drugs. Dr Hilary Cass OBE, independent chair, said: “It is absolutely right that children and young people, who may be dealing with a complexity of issues around their gender identity, get the best possible support and expertise throughout their care.” “This will be an inclusive process in which everyone will have the opportunity to make their views known. In particular I am looking forward to hearing from young people and their families to understand their experiences. “This review provides an opportunity to explore the most appropriate treatment and services required.” Read full story Source: NHS England, 22 September 2020
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Content Article
Error traps: Let’s raise awareness
Patient Safety Learning posted an article in Error traps
An error trap is a situation that could lead into avoidable harm if not mitigated. It is a situation where the circumstances in combination with human cognitive limitations make errors more likely.[1] Error traps can be found throughout health and social care in medicines, equipment and devices, in documentation, and in many other areas we see every day while going about our daily jobs in health and social care. We want to raise awareness of these error traps on the hub but more importantly we want to hear your suggestions of what needs to be done to prevent them and examples of where action has been take and worked. View our error trap gallery and share your examples. How many times have you been to the drug cupboard/trolley at work and looked at it with despair? How many times have you looked at a written prescription or plan of care and were unable to read the writing? How many times have you gone into the storeroom and spent ages looking for what you want as everything looks the same or it has moved to a different spot? These are what we call error traps. It is as if you have an annoying brother/sister that is trying to catch you out! Sometimes in healthcare, no matter where you work, there are times when it is not easy to do the right thing. Often, we know about these traps and have become used to living with them. We may set up processes that mitigate us making the mistake. This is great, but is this addressing the problem? We have diagnosed the problem, but we haven’t stopped that potential error from happening again. In the world of ergonomics it is the forcing function commonly cited in human factors case studies as recommendations for error-prevention in health and safety contexts. It means forcing users to do something in a certain way in order to proceed on a journey. A great example is how banks have prevented customers from leaving their card in the ATM. The forcing function is that the machine will bleep to prompt the customer to remove the card from the machine before the money is released. This prevents cards being left in the machine. Whereas if there was just a sign saying ‘remember to take your card’ there will always be a risk that people will not read the sign – the sign may fall off or be removed or it will become invisible as people rush about in their daily lives. So how can we solve these error traps in health and social care? We have created an error trap gallery for hub members to share examples of error traps they have come across and also examples of where action has been take and worked. View our error trap gallery and share your examples Reference 1. Steve Highley. An Encounter with an Error Trap. 6 August 2015. https://www.hastam.co.uk/an-encounter-with-an-error-trap/- Posted
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Content ArticleMaryanne Mariyaselvam, Clinical Research Fellow at Queen Elizabeth Hospital, presenting at this year's Improving Patient Safety & Care 2020 conference: Safer culture, safer systems, safer patients.
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Content ArticleFollowing the first confirmed case of COVID-19 in Pennsylvania, facilities began submitting patient safety reports to the Pennsylvania Patient Safety Reporting System related to management of this emerging infection. Events in the analysis most often took place in the Emergency Department, on a Medical/Surgical Unit, or in the Intensive Care Unit. This is a study of 343 Event Reports From 71 Hospitals in Pennsylvania. The table within this document outlines the factors associated with patient safety concerns within COVID-19.
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Content ArticleTo get the safest—and not just the cheapest—devices, the NHS needs to start taking ergonomics seriously, experts say. In March 2020, the UK government commissioned non-medical manufacturers, including Dyson and Renault, to produce ventilators for the excess number of patients expected to have respiratory failure as a result of COVID-19. Because the machines would be used by non-specialist clinicians during the pandemic, NHS England commissioned guidance1 on ergonomic (also known as human factors) design of the ventilators, aimed at achieving “optimum human safety and performance.” However, the commissioning of the ventilator guidance remains an exception rather than the rule. There are, however, signs that the NHS is starting to take human factors seriously—and COVID-19 is a driver.
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Content ArticleMany people with learning disabilities are not getting their annual health check, facing increased risk factors to a number of diseases as a result. This article, by Jim Blair and published by the British Journal of Family Medicine, considers what more can be done to help those most at risk
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Content ArticleHealthcare is advancing at a quicker rate than ever before. With the introduction of Artificial Intelligence (AI), you can now get a cancerous mole diagnosed with a mobile device. The reliance on technology has never so great. With technology predicted to replace as much as 80 per cent of a physician’s everyday routine, we must question what the new threats posed to patient safety are? This article, written by CFC Underwriting, explains some of the pitfalls of the new technology. CFC is a specialist insurance provider. and a pioneer in emerging risk.
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Content ArticleInpatients could play an important role in identifying, preventing and reporting problems in the quality and safety of their care. To support them effectively in that role, informatics solutions must align with their experiences. The authors of this research paper published in the Journal of the American Medical Informatics Association set out to understand how inpatients experience undesirable events and to surface opportunities for those informatics solutions.
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Content ArticleWe can use what we’ve learned from the crisis to make a 21st-century service fit for patients and staff alike, says Joel Schamroth in a blog to the Guardian. This pandemic is forcing us to rethink how we deliver healthcare. For too long patients have experienced fragmented services, administrative hurdles and unreliable lines of communication. The “patient experience” often remains an afterthought in the NHS, leading to worse health outcomes, and costing the NHS dearly. The lesson the public is learning is that money can be made available when it’s deemed to be important. In a matter of weeks COVID-19 has shown us that change is possible.
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Content ArticleUsing human factors science increases the likelihood of obtaining well-designed and easy to use products to deliver safe patient care. Poor designs, by contrast, can cause unintended harm to patients. This guide, developed by the Clinical Human Factors Group, is to help staff working in procurement or with medical devices and equipment, to use human factors to specify and select the best and safest products to use in healthcare. This is important because conformity with regulations and standards does not always guarantee safe outcomes when products are used in practice. This guide is particularly relevant to medical devices but can be used for other healthcare products.
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Content Article'The Productive Ward: Releasing time to care' was a quality improvement programme developed by the NHS Institute for Innovation and Improvement (NHSI) and introduced in 2007. It was designed to improve efficiency, productivity and performance at ward level in acute hospitals. It was based on three principles: good ward organisation so that materials were readily accessible displaying ward-level metrics such as patient safety and experience use of visual aids to understand patient status at a glance. This NIHR (National Institute for Health Research) funded study, published in the Health Services and Delivery Research journal, used quantitative and qualitative methods to evaluate the programme in six acute hospitals in England. It found some evidence of a lasting impact, such as wards continuing to display metrics and using equipment storage systems. But most hospitals that adopted the programme had stopped using it after three years, often due to a change in their approach to quality improvement. Productive Ward resources are still available from NHS England’s Sustainable Improvement team, but are under review. This evaluation may be helpful in designing future similar schemes.
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Content ArticleListening to patients is hugely important as they are at the very the heart of what we do. We need to listen to them more, as they help us all move the conversation on safety forward. This short video from the Health Service Journal includes patients, relatives and patient advocates and staff who speak about their experiences from being in the healthcare system.
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Content ArticleThis model from NHS Improvement will help you understand the demand and capacity needs of services with a complex pathway. The high complexity model is intended for services that have more complex pathways e.g. chronic (more than one year) services in acute, mental health or community services, where patients may return for several follow up appointments at intervals which may change depending on how their condition progresses. You can use this model to inform decision making and planning, in supporting delivery of timely care to patients. This web page includes the following tools: high complexity model user guidance demand and capacity: high complexity model (blank) demand and capacity: high complexity model (populated).
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Content ArticleResearch shows that when patients are engaged in their healthcare, it can lead to measurable improvements in safety and quality. To promote stronger engagement, the Agency for Healthcare Research and Quality (AHRQ) has developed a guide to help patients, families, and health professionals in primary care settings work together as partners to improve care. The Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families (the Guide) is a resource to help primary care practices partner with patients and their families to improve patient safety. The Guide is composed of materials and resources to help primary care practices implement patient and family engagement to improve patient safety.
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Content ArticleA Learning Disabilities service in Leicester found that Experience Based Co-Design (EBCD) was the ideal way to bring together users, families and staff to share experiences of care and design and implement change.
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Content Article
Assistive technology: definitions, examples and safe use
Claire Cox posted an article in Equipment
The phrase ‘assistive technology’ is often used to describe products or systems that support and assist individuals with disabilities, restricted mobility or other impairments to perform functions that might otherwise be difficult or impossible. An assistive technology product can be classed either as a medical device, which needs a CE mark and is regulated by the applicable legislation, or it can be an ‘aid for daily living’. It depends on the claims made by the manufacturer. This guidance set out by the Medicines and Healthcare products Regulatory Agency (MHRA) helps manufacturers and healthcare professionals understand the definition of assistive technology and the difference between medical devices and aids to daily living. -
Content Article
SHIFT to Safety - Canadian Patient Safety Institute
Claire Cox posted an article in Healthcare Excellence Canada
Established by Health Canada in 2003, the Canadian Patient Safety Institute (CPSI) works with governments, health organisations, leaders and healthcare providers to inspire extraordinary improvement in patient safety and quality. SHIFT to Safety is a major shift to empower staff with the tools and information they need to keep patients safe, at any level. Through SHIFT to Safety, the CPSI will help: Patients and their families shift to advocate for their healthcare safety. Healthcare providers shift to prioritise safety when caring for patients. Leaders in healthcare organisations shift to create a positive patient safety culture. SHIFT to Safety promotes a positive, safe healthcare experience for patients, providers, and leaders in healthcare organisations. The tools and resources empower everyone to understand how to make safety a priority while navigating the healthcare system. Includes a short video explaining SHIFT to Safety. -
Content Article
South Australian Patient Safety Report (2017)
Claire Cox posted an article in International reports
This is South Australia patient Safety Report for 2017. South Australia Health is committed to creating and maintaining a sustainable quality environment which provides services that are consumer centred, driven by information and organised by safety , by ensuring that: patients can get care when they need it healthcare staff respect and respond to patient choices, needs and values partnerships are formed between patients, their family, carers and healthcare providers up-to-date knowledge and evidence is used to guide decisions about care safety and quality data is collected, analysed and fed back for improvement action is taken to improve patients’ experience safety is made a central feature of how healthcare facilities are run, how staff work and how funding is organised. The report includes: Safety and quality programs Coronial findings Infection control and prevention strategy Medication safety Blood and blood product safety -
Content ArticleThis report, by Anna Starling for The Health Foundation, identifies additional implications of the new care models programme for local health and social care leaders embarking on cross-organisational change. The new care models programme is a large-scale experiment by the NHS’s national bodies to develop ‘major new care models’ that can be replicated across England. Introduced by the NHS’s Five year forward view in 2014 and launched in 2015, it aims to break down the traditional barriers between health and care organisations to establish more personalised and coordinated health services for patients. The programme aims to reconcile ‘top-down’ and ‘bottom-up’ approaches to change management. To do this, 50 local vanguard sites were selected to develop new care models, supported by a national programme led by NHS England over 3 years. What will I learn? The report identifies 10 lessons to support providers and commissioners seeking to adopt this new approach: Start by focusing on a specific population. Involve primary care from the start. Go where the energy is. Spend time developing shared understanding of challenges. Work through and thoroughly test assumptions about how activities will achieve results. Find ways to learn from others and assess suitability of interventions. Set up an ‘engine room’ for change. Distribute decision-making roles. Invest in workforce development at all levels. Test, evaluate and adapt for continuous improvement.
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Content Article
Webinar: Using Human Factors in Hospital Technology Procurement
Claire Cox posted an article in Equipment design
Healthcare information technology procurement is critical for healthcare organisations, as procurement decisions on medical devices and IT infrastructure will impact safety, efficiency, staff and patient experiences. In this webinar, Svetlena Taneva, from Healthcare Human Factors, University Health Network, discusses using Human Factors in hospital technology. The webinar covers: human factors pitfall of hospital procurement usability testing task efficiency examples of good and not so good design.
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