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Taking ergonomics to the bedside--a multi-disciplinary approach to designing safer healthcare.
Appl Ergon. 2014 May; 45(3):629-38.AE

Abstract

A multi-disciplinary approach to designing safer healthcare was utilised to investigate risks in the bed-space in elective surgical wards. The Designing Out Medical Error (DOME) project brought together clinicians, designers, psychologists, human factors and business expertise to develop solutions for the highest risk healthcare processes. System mapping and risk assessment techniques identified nearly 200 potential failure modes in hand hygiene, isolation of infection, vital signs monitoring, medication delivery and handover of information. Solutions addressed issues such as the design of equipment, reminders, monitoring, feedback and standardisation. Some of the solutions, such as the CareCentre™, which brings many of the processes and equipment together into one easy to access workstation at the foot of the bed, have been taken forward to clinical trials and manufacture. The project showed the value of the multi-disciplinary and formal human factors approaches to healthcare design for patient safety. In particular, it demonstrates the application of human factors to a complete design cycle and provides a case study for the activities required to reach a safe, marketable product.

Authors+Show Affiliations

Helen Hamlyn Centre for Design, Royal College of Art, Kensington Gore, London, UK.Helen Hamlyn Centre for Design, Royal College of Art, Kensington Gore, London, UK. Electronic address: jonathan.west@rca.ac.uk.Clinical Safety Research Unit, Centre for Patient Safety and Service Quality, Imperial College London, UK; Department of Surgery and Cancer, Imperial College London, UK.Helen Hamlyn Centre for Design, Royal College of Art, Kensington Gore, London, UK.Clinical Safety Research Unit, Centre for Patient Safety and Service Quality, Imperial College London, UK.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

24135560

Citation

Norris, Beverley, et al. "Taking Ergonomics to the Bedside--a Multi-disciplinary Approach to Designing Safer Healthcare." Applied Ergonomics, vol. 45, no. 3, 2014, pp. 629-38.
Norris B, West J, Anderson O, et al. Taking ergonomics to the bedside--a multi-disciplinary approach to designing safer healthcare. Appl Ergon. 2014;45(3):629-38.
Norris, B., West, J., Anderson, O., Davey, G., & Brodie, A. (2014). Taking ergonomics to the bedside--a multi-disciplinary approach to designing safer healthcare. Applied Ergonomics, 45(3), 629-38. https://doi.org/10.1016/j.apergo.2013.09.004
Norris B, et al. Taking Ergonomics to the Bedside--a Multi-disciplinary Approach to Designing Safer Healthcare. Appl Ergon. 2014;45(3):629-38. PubMed PMID: 24135560.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Taking ergonomics to the bedside--a multi-disciplinary approach to designing safer healthcare. AU - Norris,Beverley, AU - West,Jonathan, AU - Anderson,Oliver, AU - Davey,Grace, AU - Brodie,Andrea, Y1 - 2013/10/14/ PY - 2012/07/26/received PY - 2013/08/14/revised PY - 2013/09/02/accepted PY - 2013/10/19/entrez PY - 2013/10/19/pubmed PY - 2014/10/21/medline KW - FMEA KW - Medical devices KW - Patient safety SP - 629 EP - 38 JF - Applied ergonomics JO - Appl Ergon VL - 45 IS - 3 N2 - A multi-disciplinary approach to designing safer healthcare was utilised to investigate risks in the bed-space in elective surgical wards. The Designing Out Medical Error (DOME) project brought together clinicians, designers, psychologists, human factors and business expertise to develop solutions for the highest risk healthcare processes. System mapping and risk assessment techniques identified nearly 200 potential failure modes in hand hygiene, isolation of infection, vital signs monitoring, medication delivery and handover of information. Solutions addressed issues such as the design of equipment, reminders, monitoring, feedback and standardisation. Some of the solutions, such as the CareCentre™, which brings many of the processes and equipment together into one easy to access workstation at the foot of the bed, have been taken forward to clinical trials and manufacture. The project showed the value of the multi-disciplinary and formal human factors approaches to healthcare design for patient safety. In particular, it demonstrates the application of human factors to a complete design cycle and provides a case study for the activities required to reach a safe, marketable product. SN - 1872-9126 UR - https://www.unboundmedicine.com/medline/citation/24135560/Taking_ergonomics_to_the_bedside__a_multi_disciplinary_approach_to_designing_safer_healthcare_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0003-6870(13)00181-6 DB - PRIME DP - Unbound Medicine ER -