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Co-designing a monitoring system to support patient safety in emergency care

2024-06Conference object Open access
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dc.contributor.authorNeves, Sandra
dc.contributor.authorGuarino, Maria Pedro
dc.date.accessioned2025-01-22T10:42:05Z
dc.date.available2025-01-22T10:42:05Z
dc.date.issued2024-06
dc.descriptionThis 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.pt_PT
dc.description.abstractGoing 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.pt_PT
dc.description.abstractThis 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.pt_PT
dc.description.abstractParticipatory 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.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.urihttp://hdl.handle.net/10400.8/10415
dc.language.isoengpt_PT
dc.relationCenter for Innovative Care and Health Technology
dc.subjectCo-design research, Healthcare professionals’ engagement, emergency care, prototyping, patient monitoring systempt_PT
dc.titleCo-designing a monitoring system to support patient safety in emergency carept_PT
dc.typeconference object
dspace.entity.typePublication
oaire.awardTitleCenter for Innovative Care and Health Technology
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/6817 - DCRRNI ID/UIDB%2F05704%2F2020/PT
oaire.citation.conferencePlaceSheffiled, United Kingdom, 25th-27th June 2024pt_PT
oaire.citation.title7th International Conference on Design4Healthpt_PT
oaire.fundingStream6817 - DCRRNI ID
person.familyNameNeves
person.familyNameGuarino
person.givenNameSandra
person.givenNameMaria Pedro
person.identifier.ciencia-id5B11-280A-E9BD
person.identifier.ciencia-idF21A-BD01-2D52
person.identifier.orcid0000-0002-1679-6002
person.identifier.orcid0000-0001-6079-1105
person.identifier.ridB-5594-2015
person.identifier.scopus-author-id56348477000
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.nameFundação para a Ciência e a Tecnologia
rcaap.rightsopenAccesspt_PT
rcaap.typeconferenceObjectpt_PT
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