Clinical Support Systems

A rbeitsw issenschaft Berlin

Define the Process Flow Requirements

Technische Universitä t Berlin

Heike SanderIngo Marsolek Claus BackhausWolfgang Friesdorf

Situation – ergonomic model of a clinical work system

Problem – suitability of the clinical support system

Ergonomic Background – the human interface

Method – define the process flow requirements

Strategy – integrate ergonomic aspects

Structure

Situation – model of a clinical work system

O u tco m eStartin g Situ atio n

W o rk Pro cessTask Settin g Task Fu lfi llm en t

Reso urces

Situation – model of a clinical work system

Q uality Task Fu lfi llm en t

Task Setting=

Effi ciencyQ u ality

Reso u rces=

Situation – model of a clinical work system

O u tco m eStartin g Situ atio n

W o rk Pro cess

Patient

Ph ysician /N u rseTask Settin g Task Fu lfi llm en t

Reso urces

Improve quality!Improve efficiency!

Clinical Support System

Ergonomic Background

Ergonomic principles for the dialogue design between humans and technology:

Suitable for the task

Self-descriptive

Controllable

Conform with user expectations

Tolerant of errors

Suitable to adapt individual

Suitable for learningSupport the human

within the task fulfillment

1. Problem – suitability

2. Problem – vertical interaction

Level Task Problem

hospital hospital management financial

surgicaldepartment

OR managementlogistics

financialmedical

ORtheatre surgical intervention

medicalmedical-technological

device monitoring medical-technological

3. Problem – horizontal interaction

pre-medicatio

n

surgicalintervent

ion

intensivecare

normalcare

serial interaction

parallel interaction

An ergonomic strategy

Try to understand the existing work processesConsider possible changes for the future

Achieve an overview of the work processes

Identify and release the efficiency potential

Decide to processes orientationDefine the requirements for the clinical support systemConsider possible improvements to the work flow

Putting these together…

Motivation!

Encourage staff participation earlyInvolve the clinical staff

Incorporate their ideasImprove steadily!

1. Describe the existing workflow using agreed definitions 2. Identify the existing strengths and deficits

3. Define current and future requirements

4. Discuss and simulate possible changes

5. Start an introduction and training program as soon as possible

Participation!

An ergonomic method

6. Evaluate what you’ve done!

ESCTAIC14th Annual Meeting2nd - 4th October 2003

Berlin - Germany

A rbeitsw issenschaft Berlin