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Healthcare workers’ perspectives on participatory system dynamics modelling and simulation: Designing safe and efficient hospital pharmacy dispensing systems together

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journal contribution
posted on 24.06.2020, 13:23 by Mohammed Ibrahim-Shire, Gyuchan Thomas JunGyuchan Thomas Jun, Stewart RobinsonStewart Robinson
With increasingly complex safety-critical systems like healthcare being developed and managed, there is a need for a tool that permits decision-makers to better understand the complexity, test various strategies and guide effective changes. System Dynamics (SD) modelling is an effective approach that can aid strategic decision-making in healthcare systems but has been underutilised partly due to the challenge of engaging healthcare stakeholders in the modelling process. This paper, therefore, investigates the applicability of a participatory SD approach based on healthcare workers' perspectives on ease of use (usability) and usefulness (utility). The study developed an interactive simulation dashboard platform which facilitated participatory simulation for exploring various hospital pharmacy staffing level arrangements and their impacts on interruptions, fatigue, workload, rework, productivity and safety. The findings reveal that participatory SD approach can enhance team learning by converging on a shared mental model, aid decision-making and identifying trade-offs. The implications of these findings are discussed as well as experience and lessons learned on modelling facilitation.Practitioner Summary: This paper reports the perspectives of healthcare workers, who were engaged with a participatory system dynamics modelling and simulation process for hospital pharmacy staffing level management. Evaluative feedback revealed that the participatory SD approach can be a valuable tool for participatory ergonomics by helping the participants gain a deeper understanding of the complex dynamic interactions between workload, rework, safety and efficiency.

History

School

  • Design and Creative Arts

Published in

Ergonomics

Volume

63

Issue

8

Pages

1044 - 1056

Publisher

Taylor and Francis

Version

AM (Accepted Manuscript)

Rights holder

© Taylor and Francis

Publisher statement

This is an Accepted Manuscript of an article published by Taylor & Francis in Ergonomics on 13 July 2020, available online: https://doi.org/10.1080/00140139.2020.1783459

Acceptance date

03/06/2020

Publication date

2020-07-13

ISSN

0014-0139

eISSN

1366-5847

Language

en

Depositor

Dr Thomas Jun Deposit date: 22 June 2020