title: Taking ergonomics to the bedside--a multi-disciplinary approach to designing safer healthcare.
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.affiliation: Helen Hamlyn Centre for Design, Royal College of Art, Kensington Gore, London, UK.
authors.forename: Beverley
authors.initials: B
authors.lastname: Norris
authors.affiliation: Helen Hamlyn Centre for Design, Royal College of Art, Kensington Gore, London, UK. Electronic address: jonathan.west@rca.ac.uk.
authors.forename: Jonathan
authors.initials: J
authors.lastname: West
authors.affiliation: Clinical Safety Research Unit, Centre for Patient Safety and Service Quality, Imperial College London, UK; Department of Surgery and Cancer, Imperial College London, UK.
authors.forename: Oliver
authors.initials: O
authors.lastname: Anderson
authors.affiliation: Helen Hamlyn Centre for Design, Royal College of Art, Kensington Gore, London, UK.
authors.forename: Grace
authors.initials: G
authors.lastname: Davey
authors.affiliation: Clinical Safety Research Unit, Centre for Patient Safety and Service Quality, Imperial College London, UK.
authors.forename: Andrea
authors.initials: A
authors.lastname: Brodie
mesh_terms: D003695:Delivery of Health Care / Q000379:methods / Q000592:standards*; D004389:Durable Medical Equipment / Q000592:standards; D004867:Equipment Design / Q000379:methods; D004864:Equipment and Supplies / Q000592:standards; D006804:Ergonomics / Q000379:methods*; D006801:Humans; D033183:Interdisciplinary Communication; D019300:Medical Errors / Q000517:prevention & control; D061214:Patient Safety
keywords: FMEA; Medical devices; Patient safety