VR SIMULATIONS

9

TEAM HOURS

SHADOWED

200+

Partnership between Livewell Collaborative (LWC) and Cincinnati Children's Hospital Medical Center (CCHMC)

Understand Pediatric Intensive Care Unit (PICU) workflow

Implement new Clinical Decision Support (CDS) tools

Analyzed complex PICU workflow focusing on communication, tools, pain points, and opportunities

MAPS

Visualized the workflow in a digestible manner, providing an comprehensive understanding of processes

2024

Motion + Research

PICU DISCOVER LWC + CCHMC

Presented areas to apply Clinical Decision Support tools into the PICU workflow

CDS TOOL ANALYSIS

ANIMATIONS

Communication Methods

MD Attending, MD Fellow, Advanced Practice Nurse, Primary Care Facilitator, Registered Nurse, Respiratory Therapist

DISCIPLINES

Roles + Responsibilities

  • Shows interaction between teams during different events through tools used and data shared

    DATA EXCHANGE

  • Data exchange and communication methods amongst patient care roles

    COMMUNICATION METHODS BY ROLE

  • Complex workflow of each member of the PICU team. Comprehensive overview, encapsulating scheduled admissions, role interactions, and the tools used for communication and diagnosis

    MOTHER MAP

  • Role communication during eCpR code blue events

    ECPR CODE BLUE

  • Role communication during eCpR code blue events

    ECPR CODE BLUE

  • Communication during the admission process

    ADMISSIONS

Relation of each member of the PICU care team to different patient statuses

PATIENT ORBIT

Necessary tools and communication methods for each role involved in an emergent event

eCPR CODE BLUE

Movement of each team member within the PICU, showing how different roles function throughout the day

PICU FLOOR PLAN

Visualizations turned into an actionable report: FMEA identified and categorized pain points, affected individuals, and opportunity areas

FAILURE MODE EFFECTS ANALYSIS

Through the process of researching, ideating, and refining, the team developed 4 final CDS tools to implement in the PICU

CLINICAL DECISION SUPPORT TOOLS

Creating user personas for scenarios that occur in the PICU introduced the spaces for improvement within the PICU patient journey

USER PERSONAS + JOURNEY MAPS

ECP

Identifying facilitators and barriers within the complex PICU workflow

Using an understanding of the PICU to visualize the workflow using various maps and animations

Defining and ideating design-informed CDS tools for diagnostic-intensive events

Hand-offs, rounds, huddles, patient care routines

13

INTERVIEWS

SCHEDULED EVENTS

LWC TEAM

MATTHEW D. ZACKOFF

MS, MEd

BAIN BUTCHER

MD, Faculty Advisor

MAYA DEWAN

MD, MPH

KELLY COLLINS

Nurse Specialist

ANABEL GRACIELA

Sr. UX Research Fellow

DELANEY BURKE

UX Research Fellow

DANIEL LOEB

MD, MEd

KYESHA JAMES

Clinical Coordinator

EVAN PUGH

Design Co-op

DAVIS HER

Design Co-op

KARINA ORTEGA

Project Manager

CHRISTINA LUZ CIFRA

MD, MS

NOAH PITZER

Design Co-op

HARRISON SMITH

Architecture Graduate

COLLEEN M. BADKE

MD

CCHMC TEAM

LINDA DUNSEATH

Executive Director

EVAN C PUGH

pughevanc@gmail.com

Tools

Epic, patient assessment, vital sign monitors, corner computer screen, verbal communication

SPECIFIC INTERACTIONS

eCPR code blue, MRTs, admissions, fellow procedures

UNSCHEDULED EVENTS

SIMULATIONS

3

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