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Design Thinking-Informed Simulation: An Innovative Framework to Test, Evaluate, and Modify New Clinical

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Simulation in Healthcare : Journal of the Society for Simulation in Healthcare
|February 11, 2020
PubMed
Summary

Design thinking and multimodal simulation enhance healthcare facility design. This approach integrates human-centered methods throughout construction, improving clinical spaces and patient safety by identifying and resolving issues early.

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Area of Science:

  • Healthcare Design
  • Human-Centered Design
  • Clinical Simulation

Background:

  • Designing healthcare facilities is complex, with high risks during transitions to new environments.
  • Design thinking offers a human-centered framework for planning and evaluating clinical spaces.
  • Current simulation use in healthcare design often occurs late in the process, potentially missing early opportunities.

Purpose of the Study:

  • To apply a multimodal simulation-based approach using design thinking principles throughout the planning and construction of a renovated academic emergency department.
  • To integrate human factors and end-user engagement into the design process.

Main Methods:

  • A multidisciplinary team integrated table-top, mock-up, and in situ simulation strategies into the 5-step design thinking process.
  • End-user engagement was utilized to identify challenges and prototype solutions.
  • Iterative testing of solutions was performed using in situ simulation in the clinical space.

Main Results:

  • End-user feedback facilitated the brainstorming and implementation of effective solutions for the new emergency department.
  • Iterative simulation and design thinking led to redesigns of departmental processes and the physical space.
  • Anticipated safety threats and deficiencies were mitigated through this proactive approach.

Conclusions:

  • Design thinking combined with multimodal simulation across all construction phases improves the design and testing of clinical infrastructure.
  • Early, thorough, and efficient application of this approach aids healthcare organizations in planning clinical space changes.
  • This methodology enhances patient safety and operational efficiency in new or renovated healthcare facilities.