Dubé Mirette, Martel Jessica, Kumagai Jason, Suddes Michael, Cullen Janice, Laberge Jason
Alberta Health Services, Foothills Medical Centre, Calgary, Alberta, Canada.
HERD. 2024 Jul;17(3):209-219. doi: 10.1177/19375867241229078. Epub 2024 Mar 4.
This article describes a case study of a collaborative human factors (HF) and systems-focused simulation (SFS) project to evaluate potential patient and staff safety risks associated with a multimillion-dollar design and construction decision.
The combined integration of HF and SFS methods in healthcare related to testing and informing the design of new environments and processes is underutilized. Few realize the effectiveness of this integration in healthcare to reduce risk and improve decision-making, safety, design, efficiency, patient experience, and outcomes. This project showcases how the combined use of HF and SFS methods can provide objective evidence to help inform decisions.
The project was initiated by a healthcare executive team looking for an objective, user informed analysis of a current connector passageway between two existing buildings. The goal was to understand the implications of keeping the current route for simultaneous use for public and patients service flow versus building and financing a new passageway for separate flow and transport. An interprofessional team of intensive care unit professionals participated in two simulations designed to test the current connector. A failure mode and effects analysis and qualitative debrief feedback was used to evaluate risks and potential failures.
The evaluation resulted in data that enabled informed executive decision making for the most effective, efficient, and safest option for public, staff, and patient transport between two buildings. This evaluation resulted in the decision to go forward with building a multimillion-dollar new connector passageway to improve integrated care and transport.
本文描述了一个关于人为因素（HF）与以系统为重点的模拟（SFS）合作项目的案例研究，该项目旨在评估与一项数百万美元的设计和建设决策相关的潜在患者和工作人员安全风险。
在医疗保健领域，将HF和SFS方法结合用于测试和指导新环境及流程设计的做法未得到充分利用。很少有人意识到这种结合在医疗保健中对于降低风险、改善决策、提高安全性、优化设计、提升效率、改善患者体验及结果方面的有效性。该项目展示了HF和SFS方法的联合使用如何能够提供客观证据以辅助决策。
该项目由一个医疗保健执行团队发起，他们寻求对两座现有建筑之间当前连接通道进行客观的、基于用户意见的分析。目标是了解维持当前通道供公众和患者服务流同时使用，与建造并资助一条用于分流和运输的新通道相比，各自的影响。一个由重症监护室专业人员组成的跨专业团队参与了两次旨在测试当前连接通道的模拟。采用故障模式和影响分析以及定性的汇报反馈来评估风险和潜在故障。
评估得出的数据使管理层能够做出明智决策，确定在两座建筑之间实现公众、工作人员和患者运输的最有效、高效和安全的方案。该评估结果促使决定推进建造一条数百万美元的新连接通道，以改善综合护理和运输。
