scholarly journals Lessons Learned from Journey Mapping in Health Care

Author(s):  
Kyle Maddox ◽  
Donna Baggetta ◽  
Jennifer Herout ◽  
Kurt Ruark

The Department of Veterans Affairs’ Human Factors Engineering team recognizes the value of journey maps as a means for communication among stakeholder groups and develops maps to showcase the experience of users with health services and technology systems. The uniqueness of health care environments caused difficulties in following available trade guidance for creating journey maps. Anticipating that other Human Factors Engineers working in health care settings will encounter similar challenges, this paper showcases our lessons learned while creating two distinct journey maps and offers a process for constructing journey maps in health care environments. We learned to selectively limit the content of journey maps, ensure design quality by utilizing a template and rubric, and apply alternate approaches for data gathering. Our improved process includes steps to partner with stakeholders, produce a journey map framework and confirm it with user research, and visualize findings in the completed journey map.

Author(s):  
Clive D’Souza

The confluence of demographic trends in aging and disability prevalence, increased expectations among workers and consumers with and without impairments, and greater reliance on complex yet pervasive technologies (e.g., automation, internet of things) has resulted in an increased emphasis on designing for human-system performance and accommodation across the full spectrum of human abilities. Inclusive design or universal design (UD) is one of the few user-centered design paradigms that advocate consideration for the full spectrum of human abilities, including individuals with and without disabilities. A graduate-level course was developed and implemented to introduce ergonomics and human factors students to the UD paradigm and to UD goals and principles using select academic and non-academic readings, and assignments related to multivariate statistics, field observations, and design of experiments. The course placed an emphasis on the fundamentals and research base in ergonomics in relation to UD research and practice, viz., topics related to variability in human functioning and performance associated with anthropometry, biomechanics, perception and cognition. Alongside the motivations for the course, this paper provides an overview of the course objectives, topics covered, and some early lessons learned.


2019 ◽  
Vol 47 (5) ◽  
pp. 595-598 ◽  
Author(s):  
Hamed Salehi ◽  
Priyadarshini R. Pennathur ◽  
Jaqueline Pereira Da Silva ◽  
Loreen A. Herwaldt

Author(s):  
Jennifer Herout ◽  
Jolie Dobre ◽  
William Plew ◽  
Jason J. Saleem

The coordination of site visits to execute human factors methods, such as onsite usability tests, interviews, or observations, in clinical settings requires a high level of management to attain successful data collection outcomes. Members of the Department of Veterans Affairs (VA) Veterans Health Administration (VHA) Human Factors Engineering (HFE) team occasionally visit VHA medical centers or outpatient clinics to complete our work. We have developed a site visit checklist as a practice innovation to facilitate logistical coordination when gathering data onsite. This Practice-Oriented paper includes the full checklist, as well as discussion of its use to enable other groups to benefit from lessons we have learned in conducting onsite work in health care settings.


Author(s):  
Swaminathan Kandaswamy ◽  
James Won ◽  
Dean Karavite ◽  
Aaron Z Hettinger

Despite the need for addressing usability issues within Electronic Health Records (EHR), health care organizationshave struggled to systemically involvehuman factors practitioners (HFP). Thereare several challenges to supporting EHR-related work as HFP. Simple design changes mayhavedependencies or create downstream consequences that are not typical of other software systems, or not be feasible to change without overhaul of functionality from theEHR vendor. This panel will present successes and lessons learned bya group of HFP embeddedin healthcare systemswho have extendedexperience working on EHR configurationand design changes. They will discuss challengesand strategies in adopting human factorstechniquesto improve EHR design and related outcomes. By the end of the panel, audience members will learn not only howhuman factors is having animpact in this aspect ofhealthcare delivery, but also learn approaches that may be applicable to other complextechnical systems.


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