Application of participatory ergonomics to the redesign of the family-centred rounds process

作者：Xie Anping^*; Carayon Pascale; Cox Elizabeth D; Cartmill Randi; Li Yaqiong; Wetterneck Tosha B; Kelly Michelle M

来源：Ergonomics, 2015, 58(10): 1726-1744.

DOI：10.1080/00140139.2015.1029534

• participatory ergonomics
• family-centred rounds
• healthcare system redesign
• pediatric hospital
• checklist

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). Practitioner Summary: The application of participatory ergonomics (PE) to healthcare system redesign is limited. This study broadens PE application from designing individual tasks in specific jobs to address physical ergonomic issues to designing complex healthcare processes to address cognitive and organisational ergonomic issues.

• 出版日期2015-10-3