Identifying Latent Design Issues in Mobile Products to Prevent Patient Harm

Author(s):  
Scott D. Wood ◽  
Roger Chapman ◽  
Lesley Taylor ◽  
Pamela Wright ◽  
Jeanie Scott

This paper describes a rigorous yet practical process for evaluating mobile health care products (native and webbased software applications) to identify design issues that present a risk to patients. The process uses a model-based approach to application analysis, combining techniques from human factors, human-computer interaction, safety engineering and patient safety. Examples from mobile products in development are used to illustrate how the process facilitates detection of common design issues. Lessons learned from developing and applying the process also are discussed.

1998 ◽  
Vol 38 (4) ◽  
pp. 621-638 ◽  
Author(s):  
M. John Hodgson ◽  
Gilbert Laporte ◽  
Frederic Semet

2016 ◽  
Vol 32 (5) ◽  
pp. 472-479 ◽  
Author(s):  
Elizabeth Mort ◽  
Jeffrey Bruckel ◽  
Karen Donelan ◽  
Lori Paine ◽  
Michael Rosen ◽  
...  

Despite decades of investment in patient safety, unintentional patient harm remains a major challenge in the health care industry. Peer-to-peer assessment in the nuclear industry has been shown to reduce harm. The study team’s goal was to pilot and assess the feasibility of this approach in health care. The team developed tools and piloted a peer-to-peer assessment at 2 academic hospitals: Massachusetts General Hospital and Johns Hopkins Hospital. The assessment evaluated both the institutions’ organizational approach to quality and safety as well as their approach to reducing 2 specific areas of patient harm. Site visits were completed and consisted of semistructured interviews with institutional leaders and clinical staff as well as direct patient observations using audit tools. Reports with recommendations were well received and each institution has developed improvement plans. The study team believes that peer-to-peer assessment in health care has promise and warrants consideration for wider adoption.


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