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Comparing User Perceptions of Surgical Environments: Simulations in a High-Fidelity Physical Mock-Up Versus a
Anjali Joseph1, Sahar Mihandoust1, Deborah Wingler2
1Center for Health Facility Design and Testing, Clemson University, SC, USA.
HERD
|September 13, 2021
Summary
Comparing operating room (OR) mock-ups to actual ORs, this study found user perceptions and behaviors were largely similar, validating the use of simulations in healthcare design for workflow and safety improvements.
Area of Science:
- Healthcare Design
- Human Factors Engineering
- Patient Safety
Background:
- Simulation-based evaluations of high-fidelity physical mock-ups are common in facility design to assess workflow and patient safety.
- Limited understanding exists regarding the similarity of user experiences in simulated versus actual healthcare environments.
Purpose of the Study:
- To compare end-user perceptions and behaviors in a high-fidelity operating room (OR) mock-up simulation with those in a built, occupied OR.
Main Methods:
- Utilized interviews, surveys, and observations to compare user evaluations of an OR mock-up and a post-occupancy OR.
- Analyzed workflow disruptions via video recordings of simulated and actual pediatric surgeries.
Main Results:
- User perceptions and behaviors were mostly similar regarding workstation location, space, task performance, storage access, boom setup, and cleanability.
- Differences were noted in the perceived supportiveness of the mobile Circulating Nurse (CN) workstation, boom maneuverability, and environmental disruptions.
Conclusions:
- Simulation-based evaluations are highly beneficial during the design phase, offering valuable insights for design and clinical teams.
- These simulations help address workflow and safety concerns before construction, optimizing OR design.
