title: Stimulated recall methodology for assessing work system barriers and facilitators in family-centered rounds in a pediatric hospital.
abstract: Human factors and ergonomics methods are needed to redesign healthcare processes and support patient-centered care, in particular for vulnerable patients such as hospitalized children. We implemented and evaluated a stimulated recall methodology for collective confrontation in the context of family-centered rounds. Five parents and five healthcare team members reviewed video records of their bedside rounds, and were then interviewed using the stimulated recall methodology to identify work system barriers and facilitators in family-centered rounds. The evaluation of the methodology was based on a survey of the participants, and a qualitative analysis of interview data in light of the work system model of Smith and Carayon (1989, 2001). Positive survey feedback from the participants was received. The stimulated recall methodology identified barriers and facilitators in all work system elements. Participatory ergonomics methods such as the stimulated recall methodology allow a range of participants, including parents and children, to participate in healthcare process improvement.
authors.affiliation: Center for Quality and Productivity Improvement, University of Wisconsin-Madison, USA; Department of Industrial and Systems Engineering, University of Wisconsin-Madison, USA. Electronic address: carayon@engr.wisc.edu.
authors.forename: Pascale
authors.initials: P
authors.lastname: Carayon
authors.affiliation: Center for Quality and Productivity Improvement, University of Wisconsin-Madison, USA; Department of Industrial and Systems Engineering, University of Wisconsin-Madison, USA.
authors.forename: Yaqiong
authors.initials: Y
authors.lastname: Li
authors.affiliation: Center for Quality and Productivity Improvement, University of Wisconsin-Madison, USA; Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, USA.
authors.forename: Michelle M
authors.initials: MM
authors.lastname: Kelly
authors.affiliation: Department of Psychiatry, University of Wisconsin School of Medicine and Public Health, USA.
authors.forename: Lori L
authors.initials: LL
authors.lastname: DuBenske
authors.affiliation: Armstrong Institute for Patient Safety and Quality, Johns Hopkins University, USA.
authors.forename: Anping
authors.initials: A
authors.lastname: Xie
authors.affiliation: Rush Medical College, USA.
authors.forename: Brenna
authors.initials: B
authors.lastname: McCabe
authors.affiliation: Department of Sociology, University of Wisconsin-Madison, USA.
authors.forename: Jason
authors.initials: J
authors.lastname: Orne
authors.affiliation: Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, USA.
authors.forename: Elizabeth D
authors.initials: ED
authors.lastname: Cox
mesh_terms: D000328:Adult; D006804:Ergonomics; D005260:Female; D006272:Health Facility Environment; D006776:Hospitals, Pediatric; D006801:Humans; D008297:Male; D011939:Mental Recall; D010290:Parents / Q000523:psychology*; D010348:Patient Care Team; D011368:Professional-Family Relations; D056164:Teaching Rounds; D014741:Video Recording
keywords: Bedside round in a pediatric hospital; Stimulated recall and participatory ergonomics; Work system