2/ Why does it matter? Somewhat self evident, but we want to design & test a process that optimizes the number of people who be vaccinated while also ensuring a pleasant & safe experience
Great clip from "the Founder"... example of design #simulation
3/ We began with core objectives/principles for the project.
This informed the blueprints for the design of the space
But we all know, things may look good on paper, but don't necessarily translate to real-life
More importantly, people's behavior can be difficult to predict
4/ We began with a modified "pluralistic walkthrough" bit.ly/38n10aC - users/experts/designers step-by-step work through usability issues with dialog elements
We modified the process to enhance the user-experience, optimize safety while reducing confusion points
5/ The following day with a more finalized set of steps participants moved through the process in real time. Each step was timed to accurately establish time from registration to vaccination to exit
Rapid cycling simulation resulted in immediate changes to improve the process.
6/ These iterative changes have allowed us to rapidly modify the design of our space, add user-centered design features and increase efficiency.
We've tested multiple scenarios and potential challenges that may arise - each now has specifically designed mitigation strategies
7/ When we begin vaccination this week, we're confident our process will be both safe and efficient while taking into account the importance of the human experience.
THREAD: 5yrs ago we began the TRUST study. Excited to see it finally published in @BMJ_Qual_Saf . This kicked off my interest in using simulation to support patient safety and simulation-informed clinical design.
My mentor, @HumanFact0rz taught me the importance of pitching an idea to the right people. When we started simulation for systems eval & patient safety was uncommon
This SR/MA provides a more fulsome look at the data including this brand new evidence.
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The results?
In pooled analysis, TXA likely has no effect on mortality or disability.
A few considerations when I try to contextualize the clinicaly relevance. Not all TBI are equal. GCS 3 =/= GCS 12. A SDH is not the same as SAH or EDH etc. So their are limitations here
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For example, my kids go to school, so they are exposed to ~20-30 people/day. An all or nothing approach says it doesn’t matter how I socialize because I can’t achieve perfection (isolate the way public health advises) since my kids are in school.
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We need more of this type of work. Exceptional, large scale simulation that looks to observe behavior within various models of distancing and precautions.
cc: @HumanFact0rz 1/ npr.org/sections/coron…
While the conditions won't be perfectly replicated, we can't wait or expect perfection. What's more important is understanding people's behavior in these environments and how various interventions may impact (positively or negatively).
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Too often protocols loook good on paper but then implementation results in many unintended consequences...Here's a host of examples. fs.blog/2018/02/uninte…
Simulation helps us observe & understand real world implementation then make data informed changes
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I've read with interest the proposal by @SickKidsNews to conduct simulations about the #covid19 back to school experience. I think this is an excellent concept which wrote about about a while ago.
Many people have noted concerns about the validity of the study given it will be conducted in private schools (appropriate criticism) though probably worth knowing whether they tried to study in public schools and whether any road blocks.
I'm curious to hear more from the study investigators about what looks like the primary outcome of the study... which seems to be related to glow in the dark liquid transmission through out the class. This appears to overemphasize surface transmission rather than person to person