Embedding the Concordat in the NHS: Design, Evaluation and Procurement

Transcription

1 Embedding the Concordat in the NHS: Design, Evaluation and Procurement Dr. Sue Hignett Reader in Healthcare Ergonomics & Patient Safety

2 Concordat definition of HFE.. Catchpole (2010) Enhancing clinical performance through an understanding of the effects of teamwork, tasks, equipment, workspace, culture and organisation on human behaviour and abilities and application of that knowledge in clinical settings Better to use the IEA (2000) definition of Human Factors (Ergonomics) modified by Hignett (2014), 'Scientific discipline concerned with the understanding of interactions [performance] among humans [patients and staff] and other elements of a [healthcare] system [with the vision of enhancing human experience in a collaborative, inclusive partnership]. HFE professionals apply theoretical principles, data and methods to design in order to optimise human well-being and overall system performance. [Approaches include the study of tasks, equipment, workspace, culture, teamwork and organisation in [clinical] care settings].

3 Inclusive Design Design of environments and products to be usable by people with the widest possible range of abilities to the greatest extent possible, operating within the widest possible range of situations (environments, conditions, circumstances)

4 HFE (design) approach DIAL-F Model Active patient engagement: Independently initiating and engaging with the risk management system e.g. using the call bell Hignett, S. (2013) Why Design Starts with People. The Health Foundation: Patient Safety Resource Centre. (Accessed 10 June 2013)

5 Designing safer healthcare environments for Staff Determine the spatial requirements for treating and caring for patients General Medical and Surgical wards, Intensive Care, Neonatal Units Department of Health guidance (Health Building Notes)

6 Average spatial requirement for Ergonomic Envelopes (not room dimension) Acute medical/surgical ward bed space = 10.84m 2 (Ave. width 3.41m x length 3.18m ) Hignett, S. Lu, J. (2008) Ensuring bed space is right first time. Health Estate Journal, February Toilet/shower = 5.03m 2 (Ave. width 2.6m x length 2.01m) Hignett, S. Lu, J. (2008) Ensuring bed space is right first time. Health Estate Journal, February ICU bed space = 22.83m 2 (Ave. width 4.68m x length 4.71m) Hignett, S. Lu, J. (2007). Minimum Space Requirements to Prevent Injuries in Critical Care Nurses: An Evaluation of Three High Risk Tasks Critical Care Clinics of North America 19, Bariatric bed space = 16.61m 2 (Ave. width 3.93m x length 4.23m) Hignett, S. Griffiths, P., Chipchase, S., Tetley, A. (2007). Risk assessment and process planning for bariatric patient handling pathways. Health and Safety Executive Research Report RR573 Accessed 17th July 2007 Neonatal cot space = 13.5m 2 (Ave. width 4.13m x length 3.27m) Neonatal Health Building Note. Department of Health, Estates and Facilities Management Directorate

7 Designing safer healthcare environments for Patients: Falls risks HTA developed iteratively with visits to: Coronary Care Unit Medical Ward (Older People) Orthopaedic (Trauma) Top level activities: Hignett, S. (2012) Can inclusive environmental design be achieved in acute hospitals? Achieving quality outputs in a complex industry. Proceedings of the 2 nd International Conference on Human Factors and Ergonomics in Healthcare / 4 th International Conference on Applied Human Factors and Ergonomics. San Francisco, July. p

8 Step 4: Locate the Toilet

9 2008: National Ambulance Fleet Strategy Group Standardised Ambulance from 2008 Incorporated over 80% of recommendations Used by 6-8 of 11 Ambulance Trusts in England over last 4 years Saving of approx. 2.5 million

10 NHS Supply Chain Formed from: NHS Logistics Authority parts of NHS PASA Operated by DHL Logistics on behalf of the NHS Business Services Authority Manages the procurement and delivery of over 620,000 products and services: bandages to baked beans, gloves to implants and diagnostic equipment (e.g. mobile MRI scanners)

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12 Procurement of beds To upgrade the beds and mattresses To set up a proactive maintenance programme To manage the storage and movement of assets Options 1. Recommended supplier Gradual standardisation 2. Single capital purchase Beds, mattresses, pressure care systems 3. Bed replacement programme With service support Possible leasing option Hignett, S. Lang, R Changing to electric hospital beds: A project management case study. British Journal of Health Care Management. 9, 8,

13 Thurs May 7 th - Fri 8 th For more information: p.waterson@lboro.ac.uk