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Publication
Co-designing a monitoring system to support patient safety in emergency care
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Advisor(s)
Abstract(s)
Going to a hospital can be a stressful and anxious experience for many patients, particularly those
needing emergency care. These individuals are more likely to wait long hours to be treated, admitted, or
discharged. Portuguese emergency departments (EDs) are struggling to treat patients quickly and safely
due to the increased number of patients going into Eds (Brazão et al. 2016). This situation highlights
concerns about patients’ safety issues and their implications for timely detection of clinical deterioration
in patients during their waiting times in EDs. Identifying signs of clinical deterioration at the earliest stages
can allow for prompt intervention that can significantly impact on patient outcomes, especially in
emergency care settings where patients’ health conditions can deteriorate quickly. However, the
available resources are limited, and innovative approaches to support clinical practice are required.
This abstract presents a case study of a participatory co-design approach to develop, a patient clinical deterioration alert system, focused on the Portuguese ED ecosystem. Research focused on understanding patient safety risks in ED has highlighted that emergency department ward staB (EDWS) should be involved in identifying strategies to facilitate patient safety during emergency care (Källberg et al. 2017). Involving EDWS is specifically important when designing healthcare services and systems improvements that impact clinical practice. This showed the need to engage EDWS and patients’ representatives who recently discharged from an ED in hospital in Portugal to ensure their needs, preferences, and experiences are incorporated in the design of the new system.
Participatory and co-design methods were used to engage EDWS and patients’ representatives in the development of the new patient monitoring system to alert clinical deterioration in the ED. This study is part of a 2-year funded project SAFETRACK involving a multidisciplinary team of academic experts in health, informatics, electronic engineering, and companies in software development, medical devices, and commercial medical solutions to explore how ED in hospital can better respond to patient safety issues. We will share our experience of using co-designing to develop the new patient monitoring system, SAFETRACK, and supporting the iterative prototyping of two integrated components: the sensor capsule 361 and the digital interface. Although this study engaged key stakeholders to collaboratively rethink the issue of patient monitoring in ED in hospital, we found some practical and cultural considerations that makes a participatory and collaborative approach quite challenging in this context of emergency care. Engaging EDWS in design required researchers to engage in ethical protocols in hospital, meeting the emergency management team several times to ensure trustworthiness, adaptability, and flexibility to the healthcare professional burden agendas. However, participating in this study was acknowledged as an opportunity to be more reflective about daily clinical practices in a space where people can voice their opinions and ideas without facing criticism or judgment and objectively addresses the needs of the participants. We will present barriers, and facilitators that arose during the participatory co-design process with healthcare institutions and the multidisciplinary SAFETRACK team, as well as the new patient monitoring system envisioned by the healthcare professionals in the design process. The participatory co-design approach led to a better understanding of the current and future challenges in patient monitoring in hospital ED.
This abstract presents a case study of a participatory co-design approach to develop, a patient clinical deterioration alert system, focused on the Portuguese ED ecosystem. Research focused on understanding patient safety risks in ED has highlighted that emergency department ward staB (EDWS) should be involved in identifying strategies to facilitate patient safety during emergency care (Källberg et al. 2017). Involving EDWS is specifically important when designing healthcare services and systems improvements that impact clinical practice. This showed the need to engage EDWS and patients’ representatives who recently discharged from an ED in hospital in Portugal to ensure their needs, preferences, and experiences are incorporated in the design of the new system.
Participatory and co-design methods were used to engage EDWS and patients’ representatives in the development of the new patient monitoring system to alert clinical deterioration in the ED. This study is part of a 2-year funded project SAFETRACK involving a multidisciplinary team of academic experts in health, informatics, electronic engineering, and companies in software development, medical devices, and commercial medical solutions to explore how ED in hospital can better respond to patient safety issues. We will share our experience of using co-designing to develop the new patient monitoring system, SAFETRACK, and supporting the iterative prototyping of two integrated components: the sensor capsule 361 and the digital interface. Although this study engaged key stakeholders to collaboratively rethink the issue of patient monitoring in ED in hospital, we found some practical and cultural considerations that makes a participatory and collaborative approach quite challenging in this context of emergency care. Engaging EDWS in design required researchers to engage in ethical protocols in hospital, meeting the emergency management team several times to ensure trustworthiness, adaptability, and flexibility to the healthcare professional burden agendas. However, participating in this study was acknowledged as an opportunity to be more reflective about daily clinical practices in a space where people can voice their opinions and ideas without facing criticism or judgment and objectively addresses the needs of the participants. We will present barriers, and facilitators that arose during the participatory co-design process with healthcare institutions and the multidisciplinary SAFETRACK team, as well as the new patient monitoring system envisioned by the healthcare professionals in the design process. The participatory co-design approach led to a better understanding of the current and future challenges in patient monitoring in hospital ED.
Description
This work was funded by CENTRO-01-0247-FEDER-070111 and national funds provided by FCT – Fundação para a Ciência e Tecnologia, I.P. (UI/05704/2020). The researchers (authors) are supported by CEECINST/00051/2018.
Keywords
Co-design research, Healthcare professionals’ engagement, emergency care, prototyping, patient monitoring system