scholarly journals Designing Shift Handoff Software: Clinical Learners and Design Students Collaborate Using the “Design Thinking” Process

Author(s):  
Blake Lesselroth ◽  
Hannah Park ◽  
Helen Monkman ◽  
Ashten Duncan ◽  
Gabriel Thompson ◽  
...  

Handoffs in patient care responsibilities between practitioners are common in the hospital setting. Because inadequate communication can lead to patient harm, professional organizations have published recommendations and practical guides to support standardized workflow. However, currently available electronic medical record (EMR) tools rarely provide the requisite functionality to support work and often suffer from major usability flaws. Our internal medicine residency program sponsored a quality improvement initiative to improve the design of handoff tools. To support this initiative, our medical informatics program collaborated with a school of architecture and design to identify requirements and ideate interface prototypes. In this article, we describe how we used Design Thinking principles and methods to inform our product design lifecycle, create novel designs, and teach inter-professional students health systems science concepts.

2021 ◽  
Vol 18 (2) ◽  
pp. 1-3
Author(s):  
Ahmed K. Ali

Waste is a modern global crisis. The world is drowning in an unprecedented amount of waste due to an increasing linear economy model that drive societies to consume more every day. It was reported that the average American citizen consume nearly 32 times more that the average Indian citizen. Companies, businesses, and corporates are continuously racing to deplete the planet’s natural resources in an astonishing rate. The design and construction sector alone is responsible for 30-40% of total solid waste worldwide, yet as architects, designers, and planners the waste problem is almost absent from the current discourse, both in practice and academia. Beyond sustainability, and if ideas such as the Dutch “CircularCity” become more appealing to architects, designers, and clients, the architectural education must adopt a transformational shift in the design thinking process to prepare a more responsible future architect. A shift from goal-oriented design to means-oriented design requires a shift in the design education, and the studio pedagogy. A transformation is needed in education, practice, research, and the related professions to address the current and emerging economic challenges more so post crises and pandemics, and through the built environment lens. It is time to define the role of architecture and design in the circular economy paradigm shift.


2020 ◽  
Vol 51 (1) ◽  
pp. 159-185
Author(s):  
Ju Yeon Park, ◽  
Hye Young Chung, ◽  
Sung Hee Kim, ◽  
Young Mi Lee ◽  
Yoo Kyung Lee ◽  
...  

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S81-S81
Author(s):  
Sarah Norman ◽  
Sara Jones ◽  
Cara Acklin ◽  
Christian Cheatham

Abstract Background Antimicrobial stewardship initiatives and efforts have historically had a greater emphasis in the inpatient hospital setting. There is a need for outpatient stewardship, and additionally, accreditation standards are starting to require antimicrobial stewardship efforts in the ambulatory care setting. Fluoroquinolones are a target for antimicrobial stewardship based on their broad-spectrum activity, pharmacokinetics/pharmacodynamics, safety profile, downstream resistance, and risk of super infections. The objective of this study was to compare outpatient fluoroquinolone prescribing rates before and after pharmacist led initiative. Methods This was a prospective, quality improvement initiative between October 1, 2019 to June 1, 2020 at a community-based physician network across Indiana. The pharmacist initiative incorporated a live, educational presentation with intervention 1 and an informational letter to healthcare providers across the outpatient physician network with intervention 2. Data was collected from a computer-generated, prescription report. The primary outcome was fluoroquinolone prescribing rates at Central Indiana (CI) sites before and after pharmacist led interventions. Rate of fluoroquinolone prescribing was defined as total number of fluoroquinolone prescriptions per month. The secondary outcome included percentage of fluoroquinolone use at CI sites. Percentage of fluoroquinolone use was defined as monthly number of fluoroquinolones prescriptions compared to monthly number of all oral antibiotic prescriptions. Results There was a 29.8% decrease (382 vs 268 prescriptions) in outpatient fluoroquinolone prescriptions at CI sites after intervention 1 compared to same month of previous year. There was a 43.7% decrease (428 vs 241 prescriptions) in outpatient fluoroquinolone prescriptions at CI sites after intervention 2. There was an overall 2.4% decrease (4.9% vs 2.5%) in percentage of fluoroquinolone use compared to all oral antibiotics at CI sites after intervention 2 compared to same month of previous year. Conclusion These findings suggest the pharmacist led outpatient antimicrobial stewardship initiative successfully decreased fluoroquinolone prescribing rates across the network. Disclosures Christian Cheatham, PharmD, BCIDP, Antimicrobial Resistance Solutions (Shareholder)


2021 ◽  
Author(s):  
John Hinck ◽  
Steven Davis ◽  
Justin Longmire ◽  
JB Byrnes

This paper examines how a U.S. Air Force (USAF) faculty team reimagined and redesigned an in-person Leader Development Course (LDC) to a virtual version (vLDC). Using the Design Thinking Process for Innovation (DTPI) and action research methods, a new, virtual course was imagined, designed, tested, and improved over a six-cycle-process. Data was collected via multiple sources from 121 participants (19 faculty/staff and 102 students) and analyzed using manual coding and NVivo Software. Results are organized into 22 categories under four themes (general course design, student experience, instructor experience and faculty development, and technology experience) showing a progressive refinement with key lessons learned that led to the final creation of the new virtual course. Of the five key features in action research (actions matter, context-specific research, multiple cycles and phases, inclusion of people as research target, and reflections), participants reported that multiple cycles and reflections were most important in relation to the DTPI so that change could be enacted that reflected participant voices in the design process of the virtual course. The application of the DTPI using action research methods produced results and lessons learned in the design process that contribute to the theory and practice on developing and teaching in a virtual learning environment. The study fills a gap in the scholarly field and informs other institutions on the process, failures, and successes of course redesign to a virtual version.Keywords: design thinking process for innovation, action research, USAF, leader development


Author(s):  
Mollie Claypool ◽  

The paper ascribes to a belief that architecture should be wholly digital – from the scale of the micron and particle to the brick, beam and building, from design to fabrication or construction. This embodies a fundamental and disruptive shift in architecture and design thinking that is unique to the project images included, enabling design to become more inclusive, participatory and open-source. Architecture that is wholly digital requires a radical rethinking of existing design and building practices. Thes projects described in this paper each develops a set of parts in relationship to a specific digital fabrication technology. These parts are defined as open-ended, universal and versatile building blocks, with a digital logic of connectivity. Each physical part has a malefemale connection which is the equivalent of the 0 and 1 in digital data. The design possibilities – or the way that parts can combine and aggregate – can be defined by the geometry and therefore, design agency, of the piece itself. This discrete method advances a theoretical argument about the nature of digital design as needing to be fundamentally discrete, and at the same time responding to ideas coming from open-source, distributed modes methods of production. Furthermore it responds to today’s housing crisis, providing for a more democratic and equitable framework for the production of housing. To think of architecture as wholly digital is to substantially disrupt the way that we think about design, authorship, ownership and process, as well as the building technologies and practices we use in contemporary architectural production.


Sign in / Sign up

Export Citation Format

Share Document