Decision-centred design in healthcare: The process of identifying a decision support tool for airway management
| Autor: | Tim Horberry, Kristie Lee Young, R. Schnittker, Stuart Marshall |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Decision support system Process management Process (engineering) Psychological intervention Physical Therapy Sports Therapy and Rehabilitation Human Factors and Ergonomics Decision Support Techniques 03 medical and health sciences Patient safety 0302 clinical medicine Anesthesiology Humans 0501 psychology and cognitive sciences Airway Management Safety Risk Reliability and Quality Engineering (miscellaneous) 050107 human factors 05 social sciences Human factors and ergonomics 030210 environmental & occupational health Focus group 3. Good health Task analysis Female Psychology Decision model |
| Zdroj: | Applied Ergonomics. 77:70-82 |
| ISSN: | 0003-6870 |
| Popis: | Current decision support interventions for airway management in anaesthesia lack the application of Human Factors Engineering; leading to interventions that can be disruptive, inefficient and error-inducing. This study followed a decision-centred design process to identify decision support that can assist anaesthesia teams with challenging airway management situations. Field observations, Critical Decision Method interviews and focus groups were conducted to identify the most difficult decisions and their requirements. Data triangulation narrowed the focus to key decisions related to preparation and planning, and the transitioning between airway techniques during difficulties. Five decision-support interventions were identified and positively rated by anaesthesia team members in relation to their perceived effectiveness. An organized airway equipment trolley was chosen as the most beneficial decision support intervention. This study reiterated the key importance of both Human Factors Engineering and data triangulation when designing for healthcare. |
| Databáze: | OpenAIRE |
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