Presentation
From System Analysis to System Change: Designing Solutions That Work
DescriptionThe proposed panel discussion will focus on the often ‘black box’ process of moving from the needs assessment or systems analysis stage of patient safety research and initiatives to a viable and testable solution. Human Factors practitioners and researchers in healthcare face myriad challenges in moving from needs assessment and system analysis to viable, testable solutions. The value of HF is to reveal the everyday complexity of clinical work, and the many, often messy, interactions within the healthcare system. This yields a multitude of intersecting challenges and multi-level solutions, often in contrast to the predominant clinical approaches of training, awareness raising, checklists, or teamwork solutions. While the wider range of more robust solutions can demonstate significant gains for otherwise recurrent clinical challenges, identifying the best course of action with so many possibilities can itself be problematic. Further, the complexity and dynamic nature of the healthcare environment can lead to competing and shifting priorities from administration and frontline clinicians, loss of initial champions for change, and significant design constraints.
When we make changes within complex systems, it often reveals how limited our initial models were. We will discuss the advantages and disadvantages of using stakeholder engagement to prioritize and rule out possible problems/solutions, and how many pitfalls can be avoided by identifying the right stakeholder mix from a variety of criteria beyond expertise. We will also consider the use of AI as a partner in the ideation process and simulation modeling to evaluate and narrow down solutions. The challenges of creating context specific or generalizable approaches will be addressed, and how not only to identify key partners and champions, but how to address turnover in personnel and sustainability through multiple partners and focusing from the start on ‘sticky’ interventions. We will discuss specific approaches to co-designing with partners as well as the associated opportunities and challenges. Moving from initial design to pilot testing will also be explored, approaches to evaluation, and how to decide on using limited resources to both engineer solutions and evaluate them scientifically.
This moderated panel will illuminate the process by detailing specific case examples of moving from needs assessment to testable solutions, describing cases that were success stories as well as failures. These cases will be used to highlight and discuss the following, with the moderator posing additional questions.
- How to prioritize solution options given time and resource constraints as well as multiple and sometimes conflicting stakeholders.
- Challenges and opportunities engaging stakeholders in the process including competing priorities and leveraging the creativity of everyday lived experience.
- Opportunities for co-designing solutions and integrating the tenets of co-design into the Human Factors process.
- Balancing context-specific solutions with the need for generalizability and scalability.
- What to do when you realize you created a solution and were wrong about all your assumptions.
- How to balance scientific rigor of measurement with practical need to solve the problem.
- Use of AI, simulation modeling, and other techniques for testing solution scenarios.
When we make changes within complex systems, it often reveals how limited our initial models were. We will discuss the advantages and disadvantages of using stakeholder engagement to prioritize and rule out possible problems/solutions, and how many pitfalls can be avoided by identifying the right stakeholder mix from a variety of criteria beyond expertise. We will also consider the use of AI as a partner in the ideation process and simulation modeling to evaluate and narrow down solutions. The challenges of creating context specific or generalizable approaches will be addressed, and how not only to identify key partners and champions, but how to address turnover in personnel and sustainability through multiple partners and focusing from the start on ‘sticky’ interventions. We will discuss specific approaches to co-designing with partners as well as the associated opportunities and challenges. Moving from initial design to pilot testing will also be explored, approaches to evaluation, and how to decide on using limited resources to both engineer solutions and evaluate them scientifically.
This moderated panel will illuminate the process by detailing specific case examples of moving from needs assessment to testable solutions, describing cases that were success stories as well as failures. These cases will be used to highlight and discuss the following, with the moderator posing additional questions.
- How to prioritize solution options given time and resource constraints as well as multiple and sometimes conflicting stakeholders.
- Challenges and opportunities engaging stakeholders in the process including competing priorities and leveraging the creativity of everyday lived experience.
- Opportunities for co-designing solutions and integrating the tenets of co-design into the Human Factors process.
- Balancing context-specific solutions with the need for generalizability and scalability.
- What to do when you realize you created a solution and were wrong about all your assumptions.
- How to balance scientific rigor of measurement with practical need to solve the problem.
- Use of AI, simulation modeling, and other techniques for testing solution scenarios.
Event Type
Discussion Panel
TimeTuesday, March 248:30am - 10:00am EDT
LocationMurray Hill East
Patient Safety Research and Initiatives