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How to co-design a prototype of a clinical practice tool: a framework with practical guidance and a case study.

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Summary

Designing clinical tools like track-and-trigger charts can be improved using user-centered methods. The FRESCO framework guides this process through five practical steps, enhancing usability and acceptability for healthcare professionals.

Keywords:
Healthcare quality improvementHuman factorsObstetrics and gynecologyQuality improvement methodologiesTrigger tools

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Area of Science:

  • Healthcare design
  • Clinical practice improvement
  • Human factors engineering

Background:

  • Clinical tools are widespread but often lack optimized design.
  • User-centered design and co-design principles can enhance tool usability and acceptance.
  • Practical guidance for designing clinical tools is limited.

Purpose of the Study:

  • To propose and evaluate a framework (FRESCO) for the co-design of clinical practice tools.
  • To provide practical guidance for incorporating user-centered methods and co-design principles.
  • To improve the usability and acceptability of clinical tools through a structured design process.

Main Methods:

  • Developed the Framework for co-dESign of Clinical practice tOols (FRESCO) with five steps.
  • Applied FRESCO in a case study to co-design a track-and-trigger chart for fetal monitoring.
  • Utilized multidisciplinary advisory groups, prototype development, usability evaluations, clinical simulations, and workshops.

Main Results:

  • The FRESCO framework successfully guided the co-design of a prototype track-and-trigger chart.
  • The process involved 22 advisory group members, 15 usability testers, and 52 simulation participants.
  • The final prototype was developed to a stage ready for large-scale testing, integrating diverse stakeholder input.

Conclusions:

  • The FRESCO framework effectively mobilizes diverse expertise for co-designing clinical tools.
  • The framework offers a practical approach to improving the design of essential healthcare tools.
  • FRESCO has potential for broader application in clinical practice and beyond, pending further evaluation.