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Simulation based mock-up evaluation: HQCA Framework & AHS Case Studies Jonas Shultz, MSc EDAC Human Factors Lead, HQCA Adjunct Lecturer, Dept. of Anesthesia, UofC [email protected] October 26, 2015 Susan Biesbroek, MSc Human Factors Specialist, AHS Jason Laberge, MSc Manager of Human Factors, AHS

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Page 1: Simulation based mock-up evaluation · A simulation-based mock-up evaluation should be considered, and if applicable planned, as part of the pre-design process ... Mock-up design

Simulation based mock-up evaluation: HQCA Framework & AHS Case Studies

Jonas Shultz, MSc EDAC Human Factors Lead, HQCA Adjunct Lecturer, Dept. of Anesthesia, UofC [email protected]

October 26, 2015

Susan Biesbroek, MSc Human Factors Specialist, AHS

Jason Laberge, MSc Manager of Human Factors, AHS

Page 2: Simulation based mock-up evaluation · A simulation-based mock-up evaluation should be considered, and if applicable planned, as part of the pre-design process ... Mock-up design

Framework Development

Simulation based mock-up evaluations: Full scale mock-up environment Individuals or teams enact relevant tasks Data is collected and analyzed from the simulations Recommendations made to:

guide design decisions optimize the environment

Page 3: Simulation based mock-up evaluation · A simulation-based mock-up evaluation should be considered, and if applicable planned, as part of the pre-design process ... Mock-up design

Framework Development

Literature review Stakeholder kick-off meeting on Feb 27/15 28 attendees representing: o Alberta Health Services o Alberta Infrastructure o Architecture Firms o Center for Health Design o Continuing Care o Covenant Health

o CSA Canada o Health Quality Council

of Alberta o Patients o Primary Care o W21C

Page 4: Simulation based mock-up evaluation · A simulation-based mock-up evaluation should be considered, and if applicable planned, as part of the pre-design process ... Mock-up design

Framework Development

• Project lead & team members drafted framework document

• Stakeholder feedback • National/international (USA, UK) feedback:

– Human Factors – Patient Simulation – Healthcare Architecture

• Dissemination anticipated Jan 2016 – Publically available on HQCA website – CSA Z8000

Page 5: Simulation based mock-up evaluation · A simulation-based mock-up evaluation should be considered, and if applicable planned, as part of the pre-design process ... Mock-up design

Framework Goals

• Enhance awareness and use of simulation-based mock-up evaluations

• Assist with planning for an evaluation, as applicable, before the design process starts

• Provide guidance for individuals/ organizations to conduct a mock-up evaluation

Page 6: Simulation based mock-up evaluation · A simulation-based mock-up evaluation should be considered, and if applicable planned, as part of the pre-design process ... Mock-up design

Framework Principles

1. A simulation-based mock-up evaluation should be considered, and if applicable planned, as part of the pre-design process that established the need for a project.

Page 7: Simulation based mock-up evaluation · A simulation-based mock-up evaluation should be considered, and if applicable planned, as part of the pre-design process ... Mock-up design

Framework Principles

2. The mock-up evaluation should be thoroughly planned to maximize effectiveness.

Page 8: Simulation based mock-up evaluation · A simulation-based mock-up evaluation should be considered, and if applicable planned, as part of the pre-design process ... Mock-up design

Framework Principles

Page 9: Simulation based mock-up evaluation · A simulation-based mock-up evaluation should be considered, and if applicable planned, as part of the pre-design process ... Mock-up design

Framework Principles

Mock-up fidelity

Page 10: Simulation based mock-up evaluation · A simulation-based mock-up evaluation should be considered, and if applicable planned, as part of the pre-design process ... Mock-up design

Framework Principles

3. Construction of the mock-up should align with evaluation timing and objectives.

Page 11: Simulation based mock-up evaluation · A simulation-based mock-up evaluation should be considered, and if applicable planned, as part of the pre-design process ... Mock-up design

Framework Principles

• Evaluation objectives

Page 12: Simulation based mock-up evaluation · A simulation-based mock-up evaluation should be considered, and if applicable planned, as part of the pre-design process ... Mock-up design

Framework Principles

• Evaluation objectives and design stage

Page 13: Simulation based mock-up evaluation · A simulation-based mock-up evaluation should be considered, and if applicable planned, as part of the pre-design process ... Mock-up design

Framework Principles

4. The simulation scenarios that are created and enacted should test the evaluation objectives.

Page 14: Simulation based mock-up evaluation · A simulation-based mock-up evaluation should be considered, and if applicable planned, as part of the pre-design process ... Mock-up design

Framework Principles

5. Recommendations should be informed by evidence-based data from scenario enactments.

Page 15: Simulation based mock-up evaluation · A simulation-based mock-up evaluation should be considered, and if applicable planned, as part of the pre-design process ... Mock-up design

Simulation Based Mock-up Evaluation Case Studies

Page 16: Simulation based mock-up evaluation · A simulation-based mock-up evaluation should be considered, and if applicable planned, as part of the pre-design process ... Mock-up design

SHC Mock-ups

ED Exam Room

Out Patient Exam Room

ACU Patients Room

ICU Patient Room

(Caird, Shultz, Mayer, Chisholm, & Teteris, 2010)

Photos from https://www.healthdesign.org/chd/conferences-events/designing-patient-safety-seminar

http://cp.mcafee.com/d/k-Kr418idEInuhjjjsjdTdKefKcnh76T77T6bLL6T77T6bEL6QrIFL9Lc3xNIhH3qtgCSvck1hcmJLmQSj5HrRJdLCzB1D_pvW_8CzBxZ5NPHTbFELIsOyMM-esVqWtAklrTjVkffGhBrwqrjdICXCXCOsVHkiP2D4_Q-pd3Wi8MU03Byq6mH1TU_2TQb-p-4WoxZ94oiwhbHrenMCnFHLPb5WuHa6NdyeQH3zZ8v4zUaQYxYpWj_jVAWv4PaTQWSCSkQTCjob6Azh04WKyhEwmzZfxfpOH0SCyrIDDq
Page 17: Simulation based mock-up evaluation · A simulation-based mock-up evaluation should be considered, and if applicable planned, as part of the pre-design process ... Mock-up design

SHC Mock-ups

Page 18: Simulation based mock-up evaluation · A simulation-based mock-up evaluation should be considered, and if applicable planned, as part of the pre-design process ... Mock-up design

South Health Campus Cost of mock-up evaluations $ 258,993 Cost savings at full build $1,947,200 Net savings at full build $1,735,207

SHC Mock-ups

Page 19: Simulation based mock-up evaluation · A simulation-based mock-up evaluation should be considered, and if applicable planned, as part of the pre-design process ... Mock-up design

ITOR Mock-up

Photo from: http://www.dialogdesign.ca/projects/mccaig-tower-at-foothills-medical-centre/gallery/10/

http://www.dialogdesign.ca/projects/mccaig-tower-at-foothills-medical-centre/gallery/10/
Page 20: Simulation based mock-up evaluation · A simulation-based mock-up evaluation should be considered, and if applicable planned, as part of the pre-design process ... Mock-up design

ITOR Mock-up

Page 21: Simulation based mock-up evaluation · A simulation-based mock-up evaluation should be considered, and if applicable planned, as part of the pre-design process ... Mock-up design

Mock-up design Current design

Moved wall out and

relocated supply

cabinets

Mock-up design (Feb 16, 2010)

Built design (Nov 28 & 29, 2012)

ITOR Mock-up

Page 22: Simulation based mock-up evaluation · A simulation-based mock-up evaluation should be considered, and if applicable planned, as part of the pre-design process ... Mock-up design

Mock-up design Current design Mock-up design (Feb 16, 2010)

Built design (Nov 28 & 29, 2012)

ITOR Mock-up

Page 23: Simulation based mock-up evaluation · A simulation-based mock-up evaluation should be considered, and if applicable planned, as part of the pre-design process ... Mock-up design

Mock-up design Current design Mock-up design (Feb 16, 2010)

Built design (Nov 28 & 29, 2012)

ITOR Mock-up

Page 24: Simulation based mock-up evaluation · A simulation-based mock-up evaluation should be considered, and if applicable planned, as part of the pre-design process ... Mock-up design

ITOR Mock-up

Mock-up design Current design Mock-up design (Feb 16, 2010)

Built design (Nov 28 & 29, 2012)

Page 25: Simulation based mock-up evaluation · A simulation-based mock-up evaluation should be considered, and if applicable planned, as part of the pre-design process ... Mock-up design

ITOR Mock-up

Mock-up design Current design

Nursing area bumps:

↓ 44%

(25 vs 14)

Mock-up design (Feb 16, 2010)

Built design (Nov 28 & 29, 2012)

Page 26: Simulation based mock-up evaluation · A simulation-based mock-up evaluation should be considered, and if applicable planned, as part of the pre-design process ... Mock-up design

Acknowledgements Project lead

• Jonas Shultz

Project team member • Bev Knudtson, Jason Laberge, Mirette Dube, Steve Fowler, Susan

Biesbroek, Trevor Peter

Stakeholder members • Byron King, Carmella Steinke, Cathy Scrimshaw, Christine Vis, Dan

Huffman, David Baker, David Crocker, Deanna Picklyk, Deb Maerz, Doug Kitlar, Geryalyn L’Heureux, Greg Hallihan, Jan Davies, Jane Kondo, Janice Cullen, Joan Rooke, Joanne Ganton, Jon Popowich, Ken Rea, Marlene Donnahue, Paul Perschon, Robin Snell, Sue Barnes, Terry Qaqish

External expert reviewers • Ellen Taylor, Tony Easty, Craig Zimring, Sue Hignett, Anjali Joseph

Administrative support • Christie Langtry, Angelika Schlacher, Cassandra MacBeth, Claudia

Gonzalez

Page 27: Simulation based mock-up evaluation · A simulation-based mock-up evaluation should be considered, and if applicable planned, as part of the pre-design process ... Mock-up design

For more information …

• Listen to the W21C patient safety podcast – goo.gl/qRN3oF

• Contact Jonas Shultz

– [email protected]


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