重新设计床边供应车,以改善急救部门的工作流程:混合方法参与式设计
Kat Hefter1, Sammy Dreibelbis2, Theresa Haupt1
1Department of Bioengineering, School of Engineering and Applied Sciences, University of Pennsylvania, 210 S. 33rd St., Suite 240, Skirkanich Hall, Philadelphia, PA, 19104, United States.
JMIR human factors
|January 28, 2026
概括
通过参与式设计优化紧急部门 (ED) 供应车,提高了20%的效率,并使关键医疗用品的可用性增加了三倍. 这种以人为中心的方法减少了护士的挫折感,并提高了患者的护理.
科学领域:
- 医疗保健操作 医疗保健操作
- 人类因素工程 人类因素工程
- 紧急医疗 紧急医疗
背景情况:
- 紧急部门 (ED) 面临着混乱环境和供应链效率低下的挑战.
- 无组织,非标准化和库存不足的供应车导致患者护理的重大延误.
- 低效的供应获取影响护理工作流程,并导致倦怠.
研究的目的:
- 通过以人为中心和参与式的设计,改善ED中供应采购的工作流程.
- 为了优化医疗用品在床边车的管理.
主要方法:
- 采用了混合方法,参与式设计方法 (双钻框架).
- 结合了护理工作流程的定性数据和定量库存数据.
- 快速循环原型设计被用来重新设计床边供应车,与ED工作人员合作.
主要成果:
- 总体而言,供应采购时间减少了大约20%.
- 关键医疗用品的可用性增加了三倍.
- 补给频率从每班一次减少到每三班一次.
- 确定了供应的错误分配,高频项目代表性不足.
结论:
- 参与式设计,结合人为因素原则和最终用户的投入,增强了供应库存.
- 获得适当物资的改善对患者护理产生了积极的影响,并减少了护士的倦怠.
- 使用人类因素工程重新设计医院用品车与临床工作流程保持一致,提高效率.
- 共同设计确保了可持续的解决方案,解决了关键的利益相关者需求.
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