Thread by @petrosoniak

Last week, we posted about the opening of our new trauma bay @UnityHealthTO, a space that we “purposely designed, extensively tested, revised with end-user feedback.” – @HumanFact0rz #design #trauma #emergencymedicine

Here's a thread with more details 1/

We received considerable positive feedback and questions about the details of the process. This was a team effort from architects, operational readiness, clinicians, sim team to name a few. Here goes... 2/

Once upon a time…(all good stories start like this) 4 yrs ago we ran a study, called TRUST (Trauma Resus Using in situ Simulation for Team training). Using debriefing feedback & human factors expert video review we identified latent safety threats within our old trauma bay. 3/

This step is CRITICAL to the process. #designthinking emphasizes the importance of understanding the “end-user” before trying to change anything. So we did. We watched, we listened, we studied and we analyzed. 4/

We took this data to inform the design of the new space. We used our tracing tool to show our architects @NORR_AEP data-informed recommendations for spacing between patients, ideal # of beds and how ppl move in the space. They listened and updated designs. 5/

We built a small scale version of the trauma bay to help people visualize it. Blue prints are difficult to interpret for most clinicians. Prototypes are critical, come in many forms & evolve over time. 6/

@unityhealthTO then built us a full scale mock-up for simulations --> feedback. I cant recommend this enough. You cant understand a space without using it. This further informed the #design process. We fed back findings to our architects/designers/operational readiness team. 7/

We formulated a few #design principles
1. 360o access to patient
2. Enhanced monitor visibility located at foot, head & side of each stretcher
3. Enhanced equipment accessibility: essential equip close to patient
4. Easy equipment identification with easy to read labels

8/

5.Beside procedure carts with flat workspace
6.Floor markings to nudge people thru high traffic areas

These are just a few of the things we integrated from our original observations of how ppl work.

9/

Before we went live, we ran 6hrs of simulation over 2 days ~100 feedback items identified from multi-disciplinary teams. Each one was addressed and fixed in an iterative process. Huge effort by our @Sim_StMikes team making this possible! Note, prototypes of airway carts!

10/

From the beginning, we sought to understand our end-users. The design emerged from watching & listening. We’re very happy with the result. For patients & for our staff.

Thank you to all who made this project possible.

/End.