Realizing Improved Patient Care through Human-centered Design in the OR

 描述(由申请人提供)：手术部位感染和手术失误等不良事件的发生率是手术室(OR)中的一个巨大问题，这是由于患者的高度脆弱性以及不同学科的提供者和提供护理的一系列设备、技术和物理空间之间需要复杂的互动。在所有接受手术的患者中，有2%到5%会发生手术部位感染，导致显著的死亡率和发病率。分心和干扰是手术过程中医疗差错的主要原因，往往会导致严重的患者伤害。虽然改善患者安全的重大努力一直集中在提高外科工作人员的技能和培训上，但很少有努力针对医疗保健提供者的工作环境。 建议的“在手术室通过以人为本的设计实现更好的病人护理”(RIPCHD.OR)学习实验室的超常目标是为普通外科手术室的设计和操作开发一个基于证据的框架和方法，以提高安全性。RIPCHD.OR将使用多学科的以人为中心的方法，结合基于证据的设计、人的因素和系统工程原则。 克莱姆森大学将与南卡罗来纳州医科大学(MUSC)和南卡罗来纳州健康科学(HSSC)合作开发RIPCHD.OR学习实验室。从这个学习实验室中产生的设计、流程和技术解决方案将在位于南卡罗来纳州查尔斯顿的新的MUSC门诊手术中心实施和测试。 将在四年内实施与OR套件设计的关键方面相关的三个高度相关和集成的患者安全重点项目： 项目1：揭开麻醉相关警报和通信的面纱 项目2：了解手术室内的交通流量和门洞 项目3：集成或套间设计

 DESCRIPTION (provided by applicant): The incidence of adverse events such as surgical site infections and surgical errors are a huge problem in the operating room (OR) due to the high vulnerability of the patient and the complex interactions required between providers of different disciplines and a range of equipment, technology and the physical space where care is provided. Two to five percent of all patients who undergo an operation will develop a surgical site infection leading to significant mortality and morbidity. Distractions and interruptions are major causes of medical errors during surgery and often lead to serious patient harm. While significant efforts to improve patient safety have been focused on enhancing skills and training for surgical staff, little effort has been directed at the environment in which healthcare provider work. The overreaching goal of the proposed 'Realizing Improved Patient Care through Human-Centered Design in the OR' (RIPCHD.OR) learning lab is to develop an evidence-based framework and methodology for the design and operation of a general surgical operating room to improve safety. RIPCHD.OR will use a multidisciplinary human-centered approach incorporating evidence based design, human factors and systems engineering principles. Clemson University will collaborate with the Medical University of South Carolina (MUSC) and the Health Sciences South Carolina (HSSC) to develop the RIPCHD.OR learning lab. The design, process and technology solutions that emerge from this learning lab will be implemented and tested in the new MUSC Ambulatory Surgery Center in Charleston, SC. Three highly interrelated and integrated patient safety focused projects related to key aspects of OR suite design will be undertaken over the course of four years: Project 1: Unmasking of anesthesia related alarms and communications Project 2: Understanding traffic flows and door openings in the OR Project 3: Integrated OR suite design