Design Thinking-Informed Simulation: An Innovative Framework to Test, Evaluate, and Modify New Clinical Infrastructure
| Autor: | Kari White, Glen Bandiera, Dominic Gascon, Ryan Brydges, Lori Nemoy, Lee Barratt, Candis Kokoski, Christopher Hicks, Andrew Petrosoniak, Doug M. Campbell, Margaret Moy Lum-Kwong |
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| Rok vydání: | 2020 |
| Předmět: |
Process management
Epidemiology Computer science Process (engineering) Interprofessional Relations Medicine (miscellaneous) Design elements and principles Design thinking Plan (drawing) Space (commercial competition) Education Workflow 03 medical and health sciences 0302 clinical medicine Brainstorming Health care Humans Computer Simulation Hospital Design and Construction 030212 general & internal medicine business.industry 030208 emergency & critical care medicine Test (assessment) Modeling and Simulation Ergonomics business Emergency Service Hospital |
| Zdroj: | Simulation in healthcare : journal of the Society for Simulation in Healthcare. 15(3) |
| ISSN: | 1559-713X |
| Popis: | INTRODUCTION Designing new healthcare facilities is complex and transitions to new clinical environments carry high risks, as unanticipated problems may arise resulting in inefficient care and patient harm. Design thinking, a human-centered design method, represents a unique framework to support the planning, testing, and evaluation of new clinical spaces throughout all phases of construction. Healthcare simulation has been used to test new clinical spaces, yet most report using simulation only in the late design stages. Moreover, healthcare design models have potentially underused human factors approaches calling for human-centered design. We applied a multimodal simulation-based approach underpinned by the principles of design thinking throughout the planning and construction stages of a newly renovated academic emergency department. METHODS A multidisciplinary team developed and integrated 3 simulation strategies (table-top, mock-up, and in situ simulation) into the 5-step process of design thinking. Through end-user engagement, we identified potential challenges, prototyped solutions through table-top and mock-up simulations, and iteratively tested these solutions through in situ simulation within the actual clinical space. RESULTS The team used end-user engagement and feedback to brainstorm and implement effective solutions to problems encountered before opening the new emergency department. The iterative steps and targeted use of simulation resulted in redesigning departmental processes and actual clinical space while mitigating anticipated safety threats and departmental deficiencies. CONCLUSIONS Design thinking coupled with multimodal simulation across all phases of construction enhanced the design and testing of new clinical infrastructure. Applying this approach early, thoroughly, and efficiently will help healthcare organizations plan changes to clinical spaces. |
| Databáze: | OpenAIRE |
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