simulation-based mock-up€¦ · 2017-05-10  · presentation overview simulation-based mock-up...

APR 27, 2017

Jonas Shultz, MSc EDACHuman Factors Specialist, HQCA

Adjunct Lecturer, Anesthesia, UofC

Jonas.Shultz@hqca.ca

SIMULATION-BASED

MOCK-UP

EVALUATIONS

Presentation Overview

Simulation-based mock-up evaluation

Return on investment

Mock-up guidelines

Virtual reality mock-ups

An independent corporation legislated under

the Health Quality Council of Alberta Act with a

mandate to promote and improve patient safety

and health service quality on a province-wide

basis.

Health Quality Council of Alberta

Simulation-based mock-up

evaluation framework

- Started in Feb 2015

- Printed in Mar 2016

- Document and appendices

available from:

hqca.ca/humanfactors

Framework

Project lead / principle author

Jonas Shultz

Project team / contributing authors

Bev Knudtson

Jason Laberge

Mirette Dubé

Steve Fowler

Susan Biesbroek

Trevor Peter

Framework

Stakeholders

Contributed knowledge, expertise and feedback to

develop and disseminate the framework

Stakeholders

CSA Z8000

Canadian Health Care Facilities

Provides a nationally recognized

baseline for the design and

construction of hospitals and

selected care facilities.

Guidelines in Alberta

Health Facilities Capital

Program Manual

Describes responsibilities,

accountabilities and

processes for the

planning and delivery of

the Program for Alberta.

Facility Guidelines Institute

Simulation-based mock-up evaluation

Simulation-based mock-up evaluation

Full scale mock-up

Simple mock-up Detailed mock-up Live mock-up

Simulation-based mock-up evaluation

Photo used with permission

Simulation-based mock-up evaluation

Data is collected and analyzed

Recommendations made to:

• Guide design decisions

• Optimize the environment

Simulation-based mock-up evaluation

Framework goals:

• Enhance awareness

• Assist with planning for an evaluation

• Provide guidance to conduct evaluation

Return on Investment

ED Exam Room OP Exam RoomACU Pt Room ICU Room

Photos courtesy of Alberta Health ServicesCaird, Shultz, Mayer, Chisholm, & Teteris, 2010

South Health Campus

South Health Campus

Caird, Shultz, Mayer, Chisholm, Teteris, 2010

Mock-up design Built design

South Health Campus Cost of mock-up evaluations C$ 258,993

Cost savings at full build C$1,947,200

Net savings at full build C$1,735,207

South Health Campus

Caird, Shultz, Mayer, Chisholm, Teteris, 2010

Mock-up Guidelines: Optimizing Return-On-Investment

(ROI) for Patient Safety

Jonas Shultz, HQCA

David Borkenhagen, W21C

Mock-up guidelines

Develop evidence-based guidelines outlining

which mock-up fidelity is most effective

• cost effectiveness (ROI)

• outcomes (identified latent conditions, hazards, etc)

VR mock-upDetailed mock-upSimple mock-up

VR mock-upDetailed mock-upSimple mock-up

Medication Room South Health Campus

Mock-up guidelines

Med Room Post Occupancy Evaluation

Medication Room South Health Campus

Co

mp

ute

rA

DC

A

DC

Com

pute

rS

upp-

lies

Frid

ge

Co

un

ter

Nursing

Nursing aide

Housekeeping

Materials management

Pharmacy

Success 1: The room is

configured so items used

together are located next to

each other.

Success 2: The whole room

is being utilized.

Med Room Post Occupancy Evaluation

Med Room Post Occupancy Evaluation

Day 1 Day 2

20

Most interruptions were to access or get

past someone working at the ADC.

Med Room Post Occupancy Evaluation

Recommended layoutExisting layout

Virtual reality

mock-up

Comparing mock-ups

Medication Room South Health Campus

Virtual Reality Mock-ups

VR VIDEO

VR – Link Analysis

RN1

RN2

RN3

Rx

VR mock-up

VR – Link Analysis

Workflow – VR Mock-up

Existing layout Proposed layout

VR – Bump Analysis

If distance is less than

0.2 m = Bump

VR – Bump Analysis

Recommended layout

15 bumps

Existing layout

32 bumps

VR – Congestion Analysis

Congestion: Actual path is 0.2 m

longer then optimal path.

Optimal path

Actual path

VR – Congestion Analysis

Scenario Average number of congestion issues

Existinglayout

Recommendedlayout

TOTAL

1 person Omitted Omitted Omitted2 people 42 36 393 people 63 47 554 people 105 87 96TOTAL 632 512

Next Steps

Analyze data from 3 mock-up types

Compare predictive validity

Compare costs

Develop mock-up selection guidelines

VR mock-upDetailed mock-upSimple mock-up

Thank you!

Jonas Shultz, MSc EDAC

Jonas.Shultz@hqca.ca

Apr 27, 2017