2024
2024
2024
2024
PICU DISCOVER
LWC + CCHMC
PICU DISCOVER
LWC + CCHMC
PICU DISCOVER
LWC + CCHMC
PICU DISCOVER
LWC + CCHMC
Research + Motion
Research + Motion
Research + Motion
Research + Motion
Partnership between Livewell Collaborative (LWC) and Cincinnati Children's Hospital Medical Center (CCHMC)
Partnership between Livewell Collaborative (LWC) and Cincinnati Children's Hospital Medical Center (CCHMC)
Partnership between Livewell Collaborative (LWC) and Cincinnati Children's Hospital Medical Center (CCHMC)
Partnership between Livewell Collaborative (LWC) and Cincinnati Children's Hospital Medical Center (CCHMC)
LWC TEAM + CCHMC TEAM
LWC TEAM + CCHMC TEAM
LINDA DUNSEATH
Executive Director
LINDA DUNSEATH
Executive Director
BAIN BUTCHER
MD, Faculty Advisor
BAIN BUTCHER
MD, Faculty Advisor
MAYA DEWAN
MD, MPH
MAYA DEWAN
MD, MPH
MATTHEW D. ZACKOFF
MS, MEd
MATTHEW D. ZACKOFF
MS, MEd
ANABEL GRACIELA
Sr. UX Research Fellow
ANABEL GRACIELA
Sr. UX Research Fellow
DELANEY BURKE
UX Research Fellow
DELANEY BURKE
UX Research Fellow
DANIEL LOEB
MD, MEd
DANIEL LOEB
MD, MEd
KELLY COLLINS
Nurse Specialist
KELLY COLLINS
Nurse Specialist
EVAN PUGH
Design Co-op
EVAN PUGH
Design Co-op
DAVIS HER
Design Co-op
DAVIS HER
Design Co-op
KARINA ORTEGA
Project Manager
KARINA ORTEGA
Project Manager
KYESHA JAMES
Clinical Coordinator
KYESHA JAMES
Clinical Coordinator
NOAH PITZER
Design Co-op
NOAH PITZER
Design Co-op
HARRISON SMITH
Architecture Graduate
HARRISON SMITH
Architecture Graduate
COLLEEN M. BADKE
MD
COLLEEN M. BADKE
MD
CHRISTINA LUZ CIFRA
MD, MS
CHRISTINA LUZ CIFRA
MD, MS
Understand Pediatric Intensive Care Unit (PICU) workflow
Understand Pediatric Intensive Care Unit (PICU) workflow
Understand Pediatric Intensive Care Unit (PICU) workflow
Understand Pediatric Intensive Care Unit (PICU) workflow
Implement new Clinical Decision Support (CDS) tools
Implement new Clinical Decision Support (CDS) tools
Implement new Clinical Decision Support (CDS) tools
Implement new Clinical Decision Support (CDS) tools
MAPS
MAPS
Analyzed complex PICU workflow focusing on communication, tools, pain points, and opportunities.
Analyzed complex PICU workflow focusing on communication, tools, pain points, and opportunities.
ANIMATIONS
ANIMATIONS
Visualized the workflow in a digestible manner, providing an comprehensive understanding of processes.
Visualized the workflow in a digestible manner, providing an comprehensive understanding of processes.
TOOLS
TOOLS
Presented areas to apply Clinical Decision Support tools into the PICU workflow.
Presented areas to apply Clinical Decision Support tools into the PICU workflow.
Identifying facilitators and barriers within the complex PICU workflow
Identifying facilitators and barriers within the complex PICU workflow
Identifying facilitators and barriers within the complex PICU workflow
Identifying facilitators and barriers within the complex PICU workflow
200+
200+
200+
200+
TEAM HOURS
SHADOWED
TEAM HOURS
SHADOWED
13
13
13
13
INTERVIEWS
INTERVIEWS
3
3
3
3
SIMULATIONS
SIMULATIONS
9
9
9
9
VR SIMULATIONS
VR SIMULATIONS
Communication Methods
Communication Methods
Communication Methods
Communication Methods
SCHEDULED EVENTS
SCHEDULED EVENTS
Hand-offs, rounds, huddles, patient care routines
Hand-offs, rounds, huddles, patient care routines
DISCIPLINES INTERVIEWED
DISCIPLINES INTERVIEWED
MD Attending, MD Fellow, Advanced Practice Nurse, Primary Care Facilitator, Registered Nurse, Respiratory Therapist
MD Attending, MD Fellow, Advanced Practice Nurse, Primary Care Facilitator, Registered Nurse, Respiratory Therapist
Roles + Responsibilities
Roles + Responsibilities
Roles + Responsibilities
Roles + Responsibilities
UNSCHEDULED EVENTS
UNSCHEDULED EVENTS
eCPR code blue, MRTs, admissions, fellow procedures
eCPR code blue, MRTs, admissions, fellow procedures
SPECIFIC INTERACTIONS
SPECIFIC INTERACTIONS
Epic, patient assessment, vital sign monitors, corner computer screen, verbal communication
Epic, patient assessment, vital sign monitors, corner computer screen, verbal communication
Tools
Tools
Tools
Tools
Using a comprehension of the PICU to visualize the workflow using various maps and animations
Using a comprehension of the PICU to visualize the workflow using various maps and animations
Using a comprehension of the PICU to visualize the workflow using various maps and animations
Using a comprehension of the PICU to visualize the workflow using various maps and animations
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
Data exchange and communication methods amongst patient care roles
COMMUNICATION METHODS BY ROLE
Shows interaction between teams during different events through tools used and data shared
DATA EXCHANGE
Communication during the admission process
ADMISSIONS
Role communication during eCpR code blue events
ECPR CODE BLUE
Role communication during eCpR code blue events
ECPR CODE BLUE
PATIENT ORBIT
PATIENT ORBIT
Relation of each member of the PICU care team to different patient statuses
Relation of each member of the PICU care team to different patient statuses
eCPR CODE BLUE
eCPR CODE BLUE
Necessary tools and communication methods for each role involved in an emergent event
Necessary tools and communication methods for each role involved in an emergent event
PICU FLOOR PLAN
PICU FLOOR PLAN
Movement of each team member within the PICU, showing how different roles function throughout the day
Movement of each team member within the PICU, showing how different roles function throughout the day
Defining and ideating design-informed CDS tools for diagnostic-intensive events
Defining and ideating design-informed CDS tools for diagnostic-intensive events
Defining and ideating design-informed CDS tools for diagnostic-intensive events
Defining and ideating design-informed CDS tools for diagnostic-intensive events
USER PERSONAS + JOURNEY MAPS
USER PERSONAS + JOURNEY MAPS
Creating user personas for scenarios that occur in the PICU introduced the spaces for improvement within the PICU patient journey
Creating user personas for scenarios that occur in the PICU introduced the spaces for improvement within the PICU patient journey
FAILURE MODE EFFECTS ANALYSIS
FAILURE MODE EFFECTS ANALYSIS
Visualizations turned into an actionable report: FMEA identified and categorized pain points, affected individuals, and opportunity areas
Visualizations turned into an actionable report: FMEA identified and categorized pain points, affected individuals, and opportunity areas
CLINICAL DECISION SUPPORT TOOLS
CLINICAL DECISION SUPPORT TOOLS
Through the process of researching, ideating, and refining, the team developed 4 final CDS tools to implement in the PICU
Through the process of researching, ideating, and refining, the team developed 4 final CDS tools to implement in the PICU
pughevanc@gmail.com
pughevanc@gmail.com
pughevanc@gmail.com
pughevanc@gmail.com
pughevanc@gmail.com