Applying human-centered design thinking to enhance safety in the OR.

Theresa Criscitelli; Walter Goodwin

Commentary

Applying human-centered design thinking to enhance safety in the OR.

May 24, 2017

Criscitelli T, Goodwin W. AORN J. 2017;105(4):408-412.

View more articles from the same authors.

Human-centered design is critical when producing innovations to improve patient safety. This commentary reviews how hospitals have applied design thinking to develop new processes to enhance safety in operating rooms.

PubMed citation

Available at

Related Resources From the Same Author(s)

Alarm management: promoting safety and establishing guidelines.

May 25, 2016

Human factors engineering: its place and potential in OR safety.

May 20, 2015

Cultures of caring: healthcare 'scandals', inquiries, and the remaking of accountabilities.

March 14, 2018

Mandatory presuit mediation: 5-year results of a medical malpractice resolution program.

May 7, 2014

Dynamics of dignity and safety: a discussion.

January 24, 2018

Student-observed surgical safety practices across an urban regional health authority.

July 6, 2011

Interprofessional handover and patient safety in anaesthesia: observational study of handovers in the recovery room.

July 2, 2008

Adverse events in anaesthetic practice: qualitative study of definition, discussion and reporting.

May 31, 2006

Association of hospitalist years of experience with mortality in the hospitalized Medicare population.

January 17, 2018

Organisational failure: rethinking whistleblowing for tomorrow's doctors.

September 7, 2022

Preparing challenging medications for barcode scanning.

July 8, 2015

What I wish I’d known: how experienced physician managers diagnose, treat and prevent disruptive behaviour.

September 21, 2022

Seniors managing multiple medications: using mixed methods to view the home care safety lens.

March 2, 2016

Promising practices for improving hospital patient safety culture.

January 10, 2018

Evaluating safety and competency at the bedside.

August 17, 2011

Reducing administrative harm in medicine - clinicians and administrators together.

July 6, 2022

New technology for transfusion safety.

November 29, 2006

Hand-off bundle implementation associated with decreased medical errors and preventable adverse events on an academic family medicine in-patient unit: A pre-post study.

October 30, 2019

The ins and outs of change of shift handoffs between nurses: a communication challenge.

February 22, 2012

Nurses' role in medical error recovery: an integrative review.

April 20, 2016

Learning from defects to enhance morbidity and mortality conferences.

March 25, 2009

Content analysis of patient complaints.

October 29, 2008

Determinants of adverse events in hospitals—the potential role of patient safety culture.

February 27, 2008

"It's not our ass": medical resident sense-making regarding lawsuits.

July 19, 2006

Exploring the relationship between contact frequency, leader-member relationships, and patient safety culture

October 2, 2019

Barriers to speaking up about patient safety concerns.

November 22, 2017

Patient safety superheroes in training: using a comic book to teach patient safety to residents.

July 17, 2019

Team training: implications for emergency and critical care pediatrics.

May 28, 2008

Medication discrepancies at pediatric hospital discharge.

October 28, 2015

Reasons for drug administration problems and perceived needs for assistance of patients, family caregivers, and nurses: a qualitative study.

June 17, 2020

Physician Quality Officer: a new model for engaging physicians in quality improvement.

June 24, 2009

Exploring relationships between patient safety culture and patients' assessments of hospital care.

August 8, 2012

Linking patient safety culture to quality ratings in the nursing home setting.

December 9, 2020

Exploring relationships between hospital patient safety culture and adverse events.

December 15, 2010

Impact of patient safety culture on missed nursing care and adverse patient events.

March 20, 2019

Surgical glove perforation and the risk of surgical site infection.

June 24, 2009

Anatomy of a cyberattack: part 4: quality assurance and error reduction, billing and compliance, transition to uptime.

April 27, 2022

Can residents detect errors in technique while observing central line insertions?

September 27, 2017

The use of "lives saved" measures in nurse staffing and patient safety research: statistical considerations.

March 30, 2011

COVID-19 pandemic preparation: using simulation for systems-based learning to prepare the largest healthcare workforce and system in Canada.

September 30, 2020

Suboptimal compliance with surgical safety checklists in Colorado: a prospective observational study reveals differences between surgical specialties.

March 4, 2015

The timing of surgical antimicrobial prophylaxis.

July 2, 2008

Polypharmacy and potentially inappropriate medication in people with dementia: a nationwide study.

June 13, 2018

Incorporation of quality and safety principles in maintenance of certification: a qualitative analysis of American Board of Medical Specialties member boards.

September 12, 2018

Collaboration between pharmacists, physicians and nurse practitioners: a qualitative investigation of working relationships in the inpatient medical setting.

March 11, 2009

Improving safety recommendations before implementation: a simulation-based event analysis to optimize interventions designed to prevent recurrence of adverse events.

July 7, 2021

The sensitivity of adverse event cost estimates to diagnostic coding error.

December 7, 2011

Factors associated with potentially harmful medication prescribing in nursing homes: a scoping review.

September 28, 2022

Development, pilot study, and psychometric analysis of the AHRQ Surveys on Patient Safety Culture (SOPS) Workplace Safety Supplemental Items for Hospitals.

June 29, 2022

Wrong-site nerve blocks: a systematic literature review to guide principles for prevention.

August 8, 2018

Systems engineering and human factors support of a system of novel EHR-integrated tools to prevent harm in the hospital.

April 17, 2019

Incidence and severity of prescribing errors in parenteral nutrition for pediatric inpatients at a neonatal and pediatric intensive care unit.

October 4, 2017

Systematically improving physician assignment during in-hospital transitions of care by enhancing a preexisting hospital electronic health record.

July 1, 2009

Confirming delivery: understanding the role of the hospitalized patient in medication administration safety.

May 28, 2014

Structuring feedback and debriefing to achieve mastery learning goals.

May 18, 2016

Effects of mental demands during dispensing on perceived medication safety and employee well-being: a study of workload in pediatric hospital pharmacies.

May 5, 2010

Applying principles from aviation safety investigations to root cause analysis of a critical incident during a simulated emergency.

June 10, 2020

Psychological impact and recovery after involvement in a patient safety incident: a repeated measures analysis.

September 21, 2016

Lessons learned in implementing a chronic opioid therapy management system.

December 21, 2022

Use of simulation to test systems and prepare staff for a new hospital transition.

September 19, 2018

Prevention of intravenous drug incompatibilities in an intensive care unit.

October 22, 2008

Prioritising the prevention of medication handling errors.

October 8, 2008

Coaching the debriefer: peer coaching to improve debriefing quality in simulation programs.

October 4, 2017

Simulation-based event analysis improves error discovery and generates improved strategies for error prevention.

July 24, 2019

Nosocomial transmission and outbreaks of coronavirus disease 2019: the need to protect both patients and healthcare workers.

January 27, 2021

PEARLS for systems integration: a modified PEARLS framework for debriefing systems-focused simulations.

July 31, 2019

Infection Prevention.

May 27, 2015

Validation of hospital administrative dataset for adverse event screening.

June 30, 2010

Discrepancies between clinical diagnoses and autopsy findings in critically ill children: a prospective study.

March 15, 2017

The relationship between inpatient cardiac surgery mortality and nurse numbers and educational level: analysis of administrative data.

April 8, 2009

Impact of crisis resource management simulation-based training for interprofessional and interdisciplinary teams: a systematic review.

June 3, 2015

Variation in 17 obstetric care pathways: potential danger for health professionals and patient safety?

April 25, 2012

How would final-year medical students perform if their skill-based prescription assessment was real life?

February 22, 2023

Systematic review: impact of health information technology on quality, efficiency, and costs of medical care.

May 31, 2006

EHR safety: the way forward to safe and effective systems.

April 2, 2008

A mixed-method study of practitioners' perspectives on issues related to EHR medication reconciliation at a health system.

May 8, 2019

Does an insulin double-checking procedure improve patient safety?

April 20, 2016

Increased risk of burnout for physicians and nurses involved in a patient safety incident.

June 15, 2016

Effect on diagnostic accuracy of cognitive reasoning tools for the workplace setting: systematic review and meta-analysis.

September 14, 2022

Communication between primary and secondary care: deficits and danger.

August 21, 2019

Lessons learned implementing a complex and innovative patient safety learning laboratory project in a large academic medical center

January 15, 2020

Code debriefing from the Department of Veterans Affairs (VA) Medical Team Training Program improves the cardiopulmonary resuscitation code process.

September 1, 2010

Advanced auditory displays and head-mounted displays: advantages and disadvantages for monitoring by the distracted anesthesiologist.

June 25, 2008

Post-operative mortality, missed care and nurse staffing in nine countries: a cross-sectional study.

September 13, 2017

Supporting involved health care professionals (second victims) following an adverse health event: a literature review.

August 15, 2012

The Charter on Professionalism for Health Care Organizations.

September 6, 2017

Health care professionals as second victims after adverse events: a systematic review.

October 24, 2012

Screening for adverse drug events: a randomized trial of automated calls coupled with phone-based pharmacist counseling.

March 6, 2019

An international perspective on definitions and terminology used to describe serious reportable patient safety incidents: a systematic review.

December 8, 2021

Implementation of peer messengers to deliver feedback: an observational study to promote professionalism in nursing.

January 18, 2023

A new safety event reporting system improves physician reporting in the surgical intensive care unit.

June 14, 2006

Do patients' disruptive behaviours influence the accuracy of a doctor's diagnosis? A randomised experiment.

March 23, 2016

The Sepsis Early Recognition and Response Initiative (SERRI).

March 9, 2016

Improving transfusion safety in the operating room with a barcode scanning system designed specifically for the surgical environment and existing electronic medical record systems: an interrupted time series analysis.

September 9, 2020

PSYCH: a mnemonic to help psychiatric residents decrease patient handoff communication errors.

June 29, 2016

Nursing skill mix in European hospitals: cross-sectional study of the association with mortality, patient ratings, and quality of care.

June 28, 2017

Hospital organisation, management, and structure for prevention of health-care-associated infection: a systematic review and expert consensus.

March 11, 2015

Development of a pediatric adverse events terminology.

March 15, 2017

Improving the discharge process by embedding a discharge facilitator in a resident team.

November 16, 2011

Adverse events in the paediatric emergency department: a prospective cohort study.

May 20, 2020

Related Resources

Interview

In Conversation with Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring

April 26, 2023

Perspective

Surveillance Monitoring to Improve Patient Safety in Acute Hospital Care Units

April 26, 2023

WebM&M Cases

Endotracheal Tube Fallout in a Patient with Severe Obesity During Eye Surgery.

March 29, 2023

WebM&M Cases

Medication Handling and Compounding Errors in the Operating Room.

March 15, 2023

Technology, Education and Safety.

December 15, 2021

Influence of perioperative handoffs on complications and outcomes.

November 17, 2021

Patient Safety Innovations

Awareness of human factors in the operating theatres during the COVID-19 pandemic

October 27, 2021

Letter to Health Care Providers: Safe Use of Surgical Staplers and Staples.

October 7, 2021

Dual surgeon operating to improve patient safety.

September 29, 2021

ACGME 2011 duty hours restrictions and their effects on surgical residency training and patients outcomes: a systematic review.

July 14, 2021

Crowd-sourced hospital ratings are correlated with patient satisfaction but not surgical safety.

June 9, 2021

Time out! Rethinking surgical safety: more than just a checklist.

April 28, 2021

A human factors intervention in a hospital--evaluating the outcome of a TeamSTEPPS program in a surgical ward.

April 14, 2021

From fable to reality at Parkland Hospital: the impact of evidence-based design strategies on patient safety, healing, and satisfaction in an adult inpatient environment.

February 10, 2021

The Anesthesia Patient Safety Foundation Stoelting Conference 2019: perioperative deterioration--early recognition, rapid intervention, and the end of failure-to-rescue.

November 11, 2020

Developing perioperative Covid-19 testing protocols to restore surgical services.

July 22, 2020

Are you surgically current? Lessons from aviation for returning to non-urgent surgery following COVID-19.

July 22, 2020

Perioperative COVID-19 defense: an evidence-based approach for optimization of infection control and operating room management.

April 22, 2020

With a little help from my friends: the positive contribution of teamwork to safety behaviour in public hospitals.

April 8, 2020

Incidence of wrong-site surgery list errors for a 2-year period in a single national health service board.

April 1, 2020

Patient Safety Primers

Patient Safety 101

September 7, 2019

Special Section on Human Factors and Ergonomics in the Operating Room: Contributions That Advance Surgical Practice.

June 19, 2019

What has an Airbus A380 captain got to do with OMFS? Lessons from aviation to improve patient safety.

June 12, 2019

Transition planning for the senior surgeon: guidance and recommendations from the Society of Surgical Chairs.

May 29, 2019

Is it time for safeguards in the adoption of robotic surgery?

May 15, 2019

Facilitation of surgical innovation: is it possible to speed the introduction of new technology while simultaneously improving patient safety?

April 24, 2019

Minor flow disruptions, traffic-related factors and their effect on major flow disruptions in the operating room.

April 3, 2019

Bringing perioperative emergency manuals to your institution: a "How To" from concept to implementation in 10 steps.

April 3, 2019

Does overlapping surgery result in worse surgical outcomes? A systematic review and meta-analysis.

February 20, 2019

Operating room fires.

February 6, 2019

See More About The Topic

Operating Room

Facility and Group Administrators

Engineers

Surgery

Surgical Complications

Applying human-centered design thinking to enhance safety in the OR.

Awareness of human factors in the operating theatres during the COVID-19 pandemic

Patient Safety 101

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Applying human-centered design thinking to enhance safety in the OR.

Awareness of human factors in the operating theatres during the COVID-19 pandemic

Patient Safety 101

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

PSNet Log in

Submit Your Case

Continue as a Guest

Continue Logged In

Submit Your Case

Continue as a Guest

Already have a PSNet

Account?

New Users

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site