Improving performance through human-centred reconfiguration of existing designs

Catchpole, Ken

doi:10.1136/bmjqs-2012-001677

Cited by 3 publications

(1 citation statement)

References 24 publications

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“…As shown above, RAS has the characteristics of a complex intervention, as evident in the specific challenges having non-technological components, being individual, social, and organizational, and as seen in the changing delivery and organization of health care services (Gillespie et al, 2021). This calls for the application of a human factors and ergonomics (HFE) approach, also highlighted in BMJ and BMJ Quality and Safety (Carayon, Xie, & Kianfar, 2014; K. Catchpole, 2013; Gurses et al, 2012; Koch et al, 2020; McCulloch et al, 2010; Waterson & Catchpole, 2016; Wiegmann & Sundt, 2019), due to its ability to capture the dynamics, complexities, and emerging behaviors of hospitals and hospital departments nested within larger health care systems (Dekker & Leveson, 2015).…”

Section: Introductionmentioning

confidence: 99%

A System Perspective on Implementation and Usage of the Da Vinci Technology at a Large Norwegian Regional Hospital’

Høyland,

Holte,

Gjerstad

et al. 2023

Sage Open

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The aim of this research paper is to identify advantages and barriers to implementation and usage of robotic-assisted surgery (RAS), specifically the Da Vinci robot, at a larger regional hospital in Norway and from a multiple stakeholder perspective. The identified advantages and barriers are connected to the socio-technical system framework SEIPS, thereby establishing a broader contextual system perspective on RAS implementation and usage. Our findings both align and extend upon existing human factors and ergonomics (HFE) knowledge on RAS in the operating room. In terms of specific future directions, we believe that a pressing concern for both management and current HFE research involving RAS implementation and usage relates to exploring and accounting for the close connections between the organization itself and the external stakeholders that exert a considerable influence on the internal work system and processes and the ability to achieve cost-efficiency and safety levels. We further conclude that the SEIPS framework can be a powerful tool in drawing or eliciting the larger contextual picture of RAS implementation and usage, and we encourage further HFE research to explore its application in different contexts to improve the current knowledge base.

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Section: Introductionmentioning

confidence: 99%

A System Perspective on Implementation and Usage of the Da Vinci Technology at a Large Norwegian Regional Hospital’

Høyland,

Holte,

Gjerstad

et al. 2023

Sage Open

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Clinical Chart Audits as a Potential Process Improvement Strategy Within the Radiation Therapy Department of a Community-Based Cancer Center

Barisic

2017

Journal of Medical Imaging and Radiation Sciences

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How to specify healthcare process improvements collaboratively using rapid, remote consensus-building: a framework and a case study of its application

Scheer

Woodward

Ansari

et al. 2021

BMC Med Res Methodol

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Background Practical methods for facilitating process improvement are needed to support high quality, safe care. How best to specify (identify and define) process improvements – the changes that need to be made in a healthcare process – remains a key question. Methods for doing so collaboratively, rapidly and remotely offer much potential, but are under-developed. We propose an approach for engaging diverse stakeholders remotely in a consensus-building exercise to help specify improvements in a healthcare process, and we illustrate the approach in a case study. Methods Organised in a five-step framework, our proposed approach is informed by a participatory ethos, crowdsourcing and consensus-building methods: (1) define scope and objective of the process improvement; (2) produce a draft or prototype of the proposed process improvement specification; (3) identify participant recruitment strategy; (4) design and conduct a remote consensus-building exercise; (5) produce a final specification of the process improvement in light of learning from the exercise. We tested the approach in a case study that sought to specify process improvements for the management of obstetric emergencies during the COVID-19 pandemic. We used a brief video showing a process for managing a post-partum haemorrhage in women with COVID-19 to elicit recommendations on how the process could be improved. Two Delphi rounds were then conducted to reach consensus. Results We gathered views from 105 participants, with a background in maternity care (n = 36), infection prevention and control (n = 17), or human factors (n = 52). The participants initially generated 818 recommendations for how to improve the process illustrated in the video, which we synthesised into a set of 22 recommendations. The consensus-building exercise yielded a final set of 16 recommendations. These were used to inform the specification of process improvements for managing the obstetric emergency and develop supporting resources, including an updated video. Conclusions The proposed methodological approach enabled the expertise and ingenuity of diverse stakeholders to be captured and mobilised to specify process improvements in an area of pressing service need. This approach has the potential to address current challenges in process improvement, but will require further evaluation.

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Improving performance through human-centred reconfiguration of existing designs

Cited by 3 publications

References 24 publications

A System Perspective on Implementation and Usage of the Da Vinci Technology at a Large Norwegian Regional Hospital’

A System Perspective on Implementation and Usage of the Da Vinci Technology at a Large Norwegian Regional Hospital’

Clinical Chart Audits as a Potential Process Improvement Strategy Within the Radiation Therapy Department of a Community-Based Cancer Center

How to specify healthcare process improvements collaboratively using rapid, remote consensus-building: a framework and a case study of its application

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