DOME @ Research Fest 2010 Imperial College - the Design Out Medical Error (DOME) project

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"Design- Out Medical Error" project at Design London Imperial College

"Design- Out Medical Error" project at Design London Imperial College

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  • 1. How can healthcare processes be redesigned without the most frequent medical mistakes that harm patients? Designing Out Medical Error The Method Analyse ward processes and find Systemic holes Industry Data Design and test Ward Data Collection Collection solutions • FMEAs through focus groups • Expert Interviews to determine • Development of design briefs to determine the most frequent the systemic causes (holes) of based on ideas from industries medical errors in the ward medical errors about systems causes processes • Interviews and site visits to • Testing of final solutions in • Observations in the wards industrial settings with similar surgical wards systems holes The findings so far (step 2 Industry data collection): 1st level Systemic causes Systems design Systemic Holes Work design –supply chain Job Design Training Design of Audit – control systems processes Reminders – notifiers – posters Equipment – sinks-trolleys-dispensers Ergonomics in Information Standardization – Servicescape Management Repetition Space – Rooms – Bed Space Designers (Jonathan West, Grace Davey and Ed Matthews Helen Hamlyn Royal College of Art) Medical Doctors/Researchers (Oliver Anderson and Andrea Brodie , St Mary’s Hospital) Management Researchers (Maria Kapsali and Emma Stanton, Design London Imperial Business School ) www.imperial.ac.uk/business-school http://www.domeproject.org.uk