دورية أكاديمية
أعرض في EDS

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

التفاصيل البيبلوغرافية
العنوان: How to co-design a prototype of a clinical practice tool: a framework with practical guidance and a case study.
المؤلفون: Woodward M; THIS Institute (The Healthcare Improvement Studies Institute), Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK., Dixon-Woods M; THIS Institute (The Healthcare Improvement Studies Institute), Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK., Randall W; The Royal College of Midwives, London, UK., Walker C; The Royal College of Midwives, London, UK., Hughes C; The Royal College of Midwives, London, UK., Blackwell S; The Royal College of Midwives, London, UK., Dewick L; Royal College of Obstetricians and Gynaecologists, London, UK., Bahl R; Royal College of Obstetricians and Gynaecologists, London, UK.; University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK., Draycott T; Royal College of Obstetricians and Gynaecologists, London, UK.; North Bristol NHS Trust, Westbury on Trym, UK., Winter C; PROMPT Maternity Foundation, Bristol, UK., Ansari A; THIS Institute (The Healthcare Improvement Studies Institute), Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK., Powell A; THIS Institute (The Healthcare Improvement Studies Institute), Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK., Willars J; THIS Institute (The Healthcare Improvement Studies Institute), Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK., Brown IAF; THIS Institute (The Healthcare Improvement Studies Institute), Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK., Olsson A; THIS Institute (The Healthcare Improvement Studies Institute), Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK., Richards N; THIS Institute (The Healthcare Improvement Studies Institute), Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK., Leeding J; THIS Institute (The Healthcare Improvement Studies Institute), Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK., Hinton L; THIS Institute (The Healthcare Improvement Studies Institute), Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK., Burt J; THIS Institute (The Healthcare Improvement Studies Institute), Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK., Maistrello G; RAND Europe, Cambridge, UK., Davies C; RAND Europe, Cambridge, UK., van der Scheer JW; THIS Institute (The Healthcare Improvement Studies Institute), Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK jan.vanderscheer@thisinstitute.cam.ac.uk.
مؤلفون مشاركون: Thiscovery Authorship Group, ABC Contributor Group
المصدر: BMJ quality & safety [BMJ Qual Saf] 2024 Mar 25; Vol. 33 (4), pp. 258-270. Date of Electronic Publication: 2024 Mar 25.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BMJ Pub. Group Country of Publication: England NLM ID: 101546984 Publication Model: Electronic Cited Medium: Internet ISSN: 2044-5423 (Electronic) Linking ISSN: 20445415 NLM ISO Abbreviation: BMJ Qual Saf
أسماء مطبوعة: Original Publication: London : BMJ Pub. Group
مواضيع طبية MeSH: Research Design* , Evidence-Based Medicine*, Pregnancy ; Humans ; Female ; User-Centered Design
مستخلص: Clinical tools for use in practice-such as medicine reconciliation charts, diagnosis support tools and track-and-trigger charts-are endemic in healthcare, but relatively little attention is given to how to optimise their design. User-centred design approaches and co-design principles offer potential for improving usability and acceptability of clinical tools, but limited practical guidance is currently available. We propose a framework (FRamework for co-dESign of Clinical practice tOols or 'FRESCO') offering practical guidance based on user-centred methods and co-design principles, organised in five steps: (1) establish a multidisciplinary advisory group; (2) develop initial drafts of the prototype; (3) conduct think-aloud usability evaluations; (4) test in clinical simulations; (5) generate a final prototype informed by workshops. We applied the framework in a case study to support co-design of a prototype track-and-trigger chart for detecting and responding to possible fetal deterioration during labour. This started with establishing an advisory group of 22 members with varied expertise. Two initial draft prototypes were developed-one based on a version produced by national bodies, and the other with similar content but designed using human factors principles. Think-aloud usability evaluations of these prototypes were conducted with 15 professionals, and the findings used to inform co-design of an improved draft prototype. This was tested with 52 maternity professionals from five maternity units through clinical simulations. Analysis of these simulations and six workshops were used to co-design the final prototype to the point of readiness for large-scale testing. By codifying existing methods and principles into a single framework, FRESCO supported mobilisation of the expertise and ingenuity of diverse stakeholders to co-design a prototype track-and-trigger chart in an area of pressing service need. Subject to further evaluation, the framework has potential for application beyond the area of clinical practice in which it was applied.
Competing Interests: Competing interests: None declared.
(© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY. Published by BMJ.)
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فهرسة مساهمة: Investigator: R Cousens; J Moxey; L Steer; A Paterson; A Sartori; A Lake; AM Karia; AMA Croot; B Everson; B Attal; C Personeni; CLK Khoo; C Vale; C Shakespeare; C Anwar; D Wolstenholme; DV Westaway; E Crookes; E Price; G Brehaut; HK Twinney; H Sharpe; H Bull; I Medda; JJ Mills; J Jardine; JF Bodle; J McKay; K Hooper; K Tvarozkova; K Cornthwaite; L Shaw; L Houghton; LM Saunders; M Nwandison; M Blott; M Edmondson; M Gailey; N Johns; P Hewitt; P Steer; S Relph; S Roy; S Stanford; T Fitzpatrick; Z Ismaeljibai; Z Barry
Keywords: Healthcare quality improvement; Human factors; Obstetrics and gynecology; Quality improvement methodologies; Trigger tools
تواريخ الأحداث: Date Created: 20231221 Date Completed: 20240327 Latest Revision: 20240403
رمز التحديث: 20240403
مُعرف محوري في PubMed: PMC10982632
DOI: 10.1136/bmjqs-2023-016196
PMID: 38124136
قاعدة البيانات: MEDLINE
الوصف
تدمد:2044-5423
DOI:10.1136/bmjqs-2023-016196