Pascale Carayon1, Bat-Zion Hose2, Abigail Wooldridge3, Thomas B Brazelton4, Shannon M Dean5, Ben L Eithun6, Michelle M Kelly4, Jonathan E Kohler7, Joshua Ross8, Deborah A Rusy9, Peter L T Hoonakker10. 1. Department of Industrial and Systems Engineering, University of Wisconsin-Madison, United States; Wisconsin Institute for Healthcare Systems Engineering, University of Wisconsin-Madison, United States. Electronic address: pcarayon@wisc.edu. 2. Department of Anesthesiology and Critical Care at the Perelman School of Medicine, University of Pennsylvania, United States. 3. Department of Industrial and Enterprise Systems Engineering, University of Illinois at Urbana-Champaign, United States. 4. American Family Children's Hospital, UW Health, United States; Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, United States. 5. Department of Pediatric Medicine, St Jude's Hospital, United States. 6. American Family Children's Hospital, UW Health, United States. 7. Department of Surgery, UC Davis Children's Hospital, United States. 8. American Family Children's Hospital, UW Health, United States; Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, United States; Department of Emergency Medicine, University of Wisconsin School of Medicine and Public Health, United States. 9. American Family Children's Hospital, UW Health, United States; Department of Anesthesiology, University of Wisconsin School of Medicine and Public Health, United States. 10. Wisconsin Institute for Healthcare Systems Engineering, University of Wisconsin-Madison, United States.
Abstract
BACKGROUND: As problems of acceptance, usability and workflow integration continue to emerge with health information technologies (IT), it is critical to incorporate human factors and ergonomics (HFE) methods and design principles. Human-centered design (HCD) provides an approach to integrate HFE and produce usable technologies. However, HCD has been rarely used for designing team health IT, even though team-based care is expanding. OBJECTIVE: To describe the HCD process used to develop a usable team health IT (T3 or Teamwork Transition Technology) that provides cognitive support to pediatric trauma care teams during transitions from the emergency department to the operating room and the pediatric intensive care unit. METHODS: The HCD process included seven steps in three phases of analysis, design activities and feedback. RESULTS: The HCD process involved multiple perspectives and clinical roles that were engaged in inter-related activities, leading to design requirements, i.e., goals for the technology, a set of 47 information elements, and a list of HFE design principles applied to T3. Results of the evaluation showed a high usability score for T3. CONCLUSIONS: HFE can be integrated in the HCD process through a range of methods and design principles. That design process can produce a usable technology that provides cognitive support to a large diverse team involved in pediatric trauma care transitions. Future research should continue to focus on HFE-based design of team health IT.
BACKGROUND: As problems of acceptance, usability and workflow integration continue to emerge with health information technologies (IT), it is critical to incorporate human factors and ergonomics (HFE) methods and design principles. Human-centered design (HCD) provides an approach to integrate HFE and produce usable technologies. However, HCD has been rarely used for designing team health IT, even though team-based care is expanding. OBJECTIVE: To describe the HCD process used to develop a usable team health IT (T3 or Teamwork Transition Technology) that provides cognitive support to pediatric trauma care teams during transitions from the emergency department to the operating room and the pediatric intensive care unit. METHODS: The HCD process included seven steps in three phases of analysis, design activities and feedback. RESULTS: The HCD process involved multiple perspectives and clinical roles that were engaged in inter-related activities, leading to design requirements, i.e., goals for the technology, a set of 47 information elements, and a list of HFE design principles applied to T3. Results of the evaluation showed a high usability score for T3. CONCLUSIONS: HFE can be integrated in the HCD process through a range of methods and design principles. That design process can produce a usable technology that provides cognitive support to a large diverse team involved in pediatric trauma care transitions. Future research should continue to focus on HFE-based design of team health IT.
Authors: Pascale Carayon; Peter Hoonakker; Ann Schoofs Hundt; Megan Salwei; Douglas Wiegmann; Roger L Brown; Peter Kleinschmidt; Clair Novak; Michael Pulia; Yudi Wang; Emily Wirkus; Brian Patterson Journal: BMJ Qual Saf Date: 2019-11-27 Impact factor: 7.035
Authors: Abigail Wooldridge; Pascale Carayon; Peter Hoonakker; Bat-Zion Hose; Joshua Ross; Jonathan E Kohler; Thomas Brazelton; Benjamin Eithun; Michelle M Kelly; Shannon M Dean; Deborah Rusy; Ashimiyu Durojaiye; Ayse P Gurses Journal: Cogn Technol Work Date: 2018-08-31 Impact factor: 2.372
Authors: A Parush; G Mastoras; A Bhandari; K Momtahan; K Day; B Weitzman; B Sohmer; A Cwinn; S J Hamstra; L Calder Journal: J Biomed Inform Date: 2017-10-16 Impact factor: 6.317
Authors: Jessica M Ray; Osama M Ahmed; Yauheni Solad; Matthew Maleska; Shara Martel; Molly M Jeffery; Timothy F Platts-Mills; Erik P Hess; Gail D'Onofrio; Edward R Melnick Journal: JMIR Hum Factors Date: 2019-02-27