simulation-based mock-up€¦ · 2017-05-10 · presentation overview simulation-based mock-up...
TRANSCRIPT
APR 27, 2017
Jonas Shultz, MSc EDACHuman Factors Specialist, HQCA
Adjunct Lecturer, Anesthesia, UofC
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
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
