title: Application of participatory ergonomics to the redesign of the family-centred rounds process.
abstract: Participatory ergonomics (PE) can promote the application of human factors and ergonomics (HFE) principles to healthcare system redesign. This study applied a PE approach to redesigning the family-centred rounds (FCR) process to improve family engagement. Various FCR stakeholders (e.g. patients and families, physicians, nurses, hospital management) were involved in different stages of the PE process. HFE principles were integrated in both the content (e.g. shared mental model, usability, workload consideration, systems approach) and process (e.g. top management commitment, stakeholder participation, communication and feedback, learning and training, project management) of FCR redesign. We describe activities of the PE process (e.g. formation and meetings of the redesign team, data collection activities, intervention development, intervention implementation) and present data on PE process evaluation. To demonstrate the value of PE-based FCR redesign, future research should document its impact on FCR process measures (e.g. family engagement, round efficiency) and patient outcome measures (e.g. patient satisfaction).
authors.affiliation: a Armstrong Institute for Patient Safety and Quality, Johns Hopkins University School of Medicine , Baltimore , MD , USA.|b Department of Anesthesiology and Critical Care Medicine , Johns Hopkins University School of Medicine , Baltimore , MD , USA.
authors.forename: Anping
authors.initials: A
authors.lastname: Xie
authors.affiliation: c Center for Quality and Productivity Improvement, University of Wisconsin-Madison , Madison , WI , USA.|d Department of Industrial and Systems Engineering , University of Wisconsin-Madison , Madison , WI , USA.
authors.forename: Pascale
authors.initials: P
authors.lastname: Carayon
authors.affiliation: e Department of Pediatrics , University of Wisconsin School of Medicine and Public Health , Madison , WI , USA.
authors.forename: Elizabeth D
authors.initials: ED
authors.lastname: Cox
authors.affiliation: c Center for Quality and Productivity Improvement, University of Wisconsin-Madison , Madison , WI , USA.
authors.forename: Randi
authors.initials: R
authors.lastname: Cartmill
authors.affiliation: c Center for Quality and Productivity Improvement, University of Wisconsin-Madison , Madison , WI , USA.|d Department of Industrial and Systems Engineering , University of Wisconsin-Madison , Madison , WI , USA.
authors.forename: Yaqiong
authors.initials: Y
authors.lastname: Li
authors.affiliation: c Center for Quality and Productivity Improvement, University of Wisconsin-Madison , Madison , WI , USA.|d Department of Industrial and Systems Engineering , University of Wisconsin-Madison , Madison , WI , USA.|f Department of Medicine , University of Wisconsin School of Medicine and Public Health , Madison , WI , USA.
authors.forename: Tosha B
authors.initials: TB
authors.lastname: Wetterneck
authors.affiliation: c Center for Quality and Productivity Improvement, University of Wisconsin-Madison , Madison , WI , USA.|e Department of Pediatrics , University of Wisconsin School of Medicine and Public Health , Madison , WI , USA.
authors.forename: Michelle M
authors.initials: MM
authors.lastname: Kelly
mesh_terms: D057189:Checklist; D003695:Delivery of Health Care; D006804:Ergonomics; D005190:Family; D006776:Hospitals, Pediatric; D006801:Humans; D010348:Patient Care Team; D010358:Patient Participation; D010865:Pilot Projects; D056164:Teaching Rounds / Q000458:organization & administration*
keywords: checklist; family-centred rounds; healthcare system redesign; participatory ergonomics; pediatric hospital