Co-Design with Patients for Improving Patient Safety: Strategies, Barriers and pitfalls.
Co-Design with Patients for Improving Patient Safety: Strategies, Barriers and pitfalls.
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DOI：
10.1177/21695067231192416
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发表时间：
2023-09
期刊：
影响因子：
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通讯作者：
Hemmelgarn, Carole
中科院分区：
文献类型：
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作者：
Xiao, Yan;Miller, Kristen;Werner, Nicole;Smith, Kelly;Hendrix, Noah;Hemmelgarn, Carole
当“前线”工作者是病人和家庭成员执行与健康有关的任务时，会发生什么？随着越来越多的复杂的医疗保健任务由患者和家庭成员执行，并且更加强调以患者和家庭为中心的护理，需要制定策略，使患者和家庭成员参与共同设计“工作系统”和患者-专业人员协作工作。人因专业人员有能力将参与式人体工程学应用于患者和协作任务。然而，在让患者参与设计方面存在许多障碍和陷阱。从象征主义到有意义的研究参与需要耐心，不断反思和对共同设计的承诺。我们的小组将探讨参与和战略的连续性，从象征主义到合作伙伴关系，再到患者安全研究的共同创造，从门诊用药安全到急诊科的诊断。策略和障碍作为一个起点，讨论如何实现有效的工作系统设计。
What happens when “frontline” workers are patients and family members performing health-related tasks? As more and more complex healthcare tasks are performed by patients and family members, and more emphasis is placed on patient- and family-centered care, strategies are needed to engage patients and family members in co-design “work systems” and patient-professional collaborative work. Human factors professionals are well-equipped to apply participatory ergonomics to patient and collaborative tasks. However, there are a number of barriers and pitfalls in engaging patients in design. Moving from tokenism to meaningful engagement in research requires patience, constant reflection, and a commitment to codesign. Our panel will explore the continuum of engagement and strategies to move from tokenism to partnership to cocreation in patient safety research, ranging from ambulatory medication safety to diagnosis in the emergency department. Strategies and barriers are presented as a starting point to discuss how to achieve effective work system designs.