Design thinking to improve healthcare delivery in the intensive care unit: Promise, pitfalls, and lessons learned.
Design thinking to improve healthcare delivery in the intensive care unit: Promise, pitfalls, and lessons learned.
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DOI：
10.1016/j.jcrc.2022.153999
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发表时间：
2022-06
影响因子：
3.7
通讯作者：
Kruser JM
中科院分区：
文献类型：
--
作者：
Krolikowski KA;Bi M;Baggott CM;Khorzad R;Holl JL;Kruser JM
设计思维是一种以同理心为特征的解决问题的方法，设计师通过这种方法将最终用户和关键利益相关者的观点整合到开发解决方案的整个过程中。这种方法植根于不同的领域，包括工程、计算机科学、心理学和商业，并在医疗保健中日益广泛。在这里，我们描述了设计思维的承诺，以帮助解决医疗保健提供中的棘手问题，包括复杂的社会和技术重症监护病房系统中的问题。我们强调了我们的团队使用设计思维来解决复杂问题的经验，即根据患者的个人目标、价值观和偏好来提供维持生命的治疗。然而，考虑到医疗保健中设计失败的高风险，我们也讨论了这种方法的局限性和不适当应用的潜在后果。最后，我们提出了一条将设计思维的哲学和工具与医疗保健提供科学中的现有方法相结合的前进道路，如定性研究、质量改进方法和实施科学。最终，我们认为，设计思维是一种有价值的方法，可以通过患者、他们的家人和一线临床医生的视角，引导设计师、临床医生、研究人员和管理人员更真实地理解医疗保健体验。
Design thinking is a problem-solving approach characterized by the empathetic lens through which designers integrate perspectives of end-users and key stakeholders throughout the entire process of developing solutions. This approach is rooted in diverse fields including engineering, computer science, psychology, and business and is increasingly widespread in healthcare. Herein, we describe the promise of design thinking to help solve intractable problems in healthcare delivery, including those within the complex social and technical intensive care unit system. We highlight our team’s experience using design thinking to address the complex problem of aligning the delivery of life-sustaining treatments with patients’ individual goals, values, and preferences. However, given the high stakes of design failure in healthcare, we also discuss the limitations of this approach and the potential consequences of inadequate application. Finally, we suggest a pathway forward that combines the philosophy and tools of design thinking with existing methods within healthcare delivery science, such as qualitative research, quality improvement methods, and implementation science. Ultimately, we argue that design thinking is a valuable approach to guide designers, clinicians, researchers, and administrators towards a more genuine understanding of the healthcare experience, through the lens of patients, their families, and frontline clinicians.
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影响因子：
4.9
作者：
Anders S;Albert R;Miller A;Weinger MB;Doig AK;Behrens M;Agutter J
通讯作者：
Agutter J
影响因子：
3
作者：
Curran GM;Bauer M;Mittman B;Pyne JM;Stetler C
通讯作者：
Stetler C
DOI：
10.1097/qai.0000000000002216
发表时间：
2019-12-01
影响因子：
3.6
作者：
Beres, Laura K.;Simbeza, Sandra;Sikazwe, Izukanji
通讯作者：
Sikazwe, Izukanji
影响因子：
3.6
作者：
Bowen, Glenn A.
通讯作者：
Bowen, Glenn A.