Department of Surgery and Cancer

DOME (Designing Out Medical Error)

Project summary

DOME 5 processes 

DomeThe DOME project is a multidisciplinary collaboration of designers, psychologists, clinicians and business experts who are looking at medical errors on elective general surgery wards. The goal of the project is to map the processes of healthcare and discover the systemic causes of error in those processes that leads to preventable patient harm.

Care StationThe processes will then be re-designed to try and eliminate preventable patient harm. This will be informed by lessons learnt in analogous industries. New products that support the re-designed processes will be produced and trialled. External manufacturers will be engaged to make successful designs commercially viable and take them to the market place. We hope that this will lead to wide dissemination and implementation in healthcare organisations for the benefit of patient safety.

Oliver Anderson and Andrea Brodie are both completing PhDs within the DOME project - Oliver is currently leading on the design and evaluation of the Care Station (above right) whilst Andrea is exploring a number of products and evaluation methods.

Project team

Key project outputs

Peer-reviewed papers

  • Anderson O; Boshier P; Hanna G. (19 Jan 2011). Interventions to prevent healthcare bed-related injuries in patients (Protocol). Cochrane Database of Systematic Reviews. 2011. Link

Conference presentations: Healthcare

  • Anderson O. Designing out preventable patient harm on general surgery wards (oral presentation - winner of prize for most innovative patient safety research project). 3rd North British Patient Safety Research Symposium, Bradford, UK, 19 Nov 2010.
  • Anderson O; Vincent CA; Hanna GB. Identifying and prioritizing high-risk processes in elective general surgery wards (poster - winner of prize for best research poster). 3rd North British Patient Safety Research Symposium, Bradford, UK, 19 Nov 2010.
  • Anderson O; Hanna GB. Evaluating innovation (oral presentation). Showcase Hospitals: Innovation and technology for combating healthcare associated infection, London, UK, 16 Nov 2010.
  • Anderson O; Aggarwal R; Myerson J. Design for patient safety (oral presentation). International Society of Quality and Safety in Healthcare (ISQua), Paris, France, 10 Oct 2010.
  • Anderson O; Brodie A; Vincent CA; Hanna GB. An analysis of risk on general surgery wards: failure mode and effects analysis of six high-risk processes (poster). International Society of Quality and Safety in Healthcare (ISQua), Paris, France, 10 Oct 2010.
  • Anderson O; Brodie A; Vincent CA; Hanna GB. An analysis of risk on general surgery wards: failure mode and effects analysis of six high-risk processes (poster). Centre for Patient Safety and Service Quality (CPSSQ) summer symposium, London, UK, 22 Jul 2010.
  • Anderson O; Vincent CA; Hanna GB. Identifying and prioritizing high-risk processes in elective general surgery wards (poster). Centre for Patient Safety and Service Quality (CPSSQ) summer symposium, London, UK, 22 Jul 2010.
  • Anderson O; Brodie A; Vincent CA; Hanna GB. An analysis of risk on general surgery wards: failure mode and effects analysis of six high-risk processes (poster). American College of Surgeons: 96th Annual Clinical Congress, Washington, USA, 10 May 2010.
  • Anderson O; Brodie A; Vincent CA; Hanna GB. An analysis of risk on general surgery wards: failure mode and effects analysis of six high-risk processes (poster). Centre for Patient Safety and Service Quality (CPSSQ) winter symposium, London, UK, 21 Jan 2010.
  • Anderson O; Brodie A; Vincent CA; Hanna GB. Identifying and prioritizing high-risk processes in elective general surgery wards (poster). Centre for Patient Safety and Service Quality (CPSSQ) winter symposium, London, UK, 21 Jan 2010.

Presentations: Design

  • Westminster Seminar, London. Jeremy Myerson (PI) presented the DOME project to an audience of senior managers in the UK public sector at a Westminster seminar on 29 March 2010. The seminar was attended by 70 civil servants and focused on 'Creating a More Healthy and Efficient 21st Century Public Sector Workplace'. Myerson's paper was entitled 'Healthier By Design: Rethinking workplace design as a catalyst for public sector wellbeing'.
  • DesignEd Asia Conference, Hong Kong. Jeremy Myerson (PI) presented the interdisciplinary nature of the DOME project to an audience of global design educators at the DesignEd Asia Conference, Hong Kong, on 1 December 2009. His paper was entitled: 'Desirable, Feasible, Viable: A review of research initiatives from the Royal College of Art in combining design with technology and business at the front end of innovation'.
  • Design for Patient Safety; Design Bugs Out. Grace Davey (Research Associate) and Jonathan West (Senior Associate) presentated at NHS Innovation Expo, ExCeL, London, 18th June 2009, and facilitated a workshop session on HCAIs and equipment design.
  • Design for Patient Safety at the Helen Hamlyn Centre. Ed Matthews (Project Manager), Jonathan West (Senior Associate) and Grace Davey (Research Associate) Presentation at Interactive Medical Devices Workshop, UCL, London, 10th June 2009.
  • Include Conference. Jonathan West (Senior Associate) Include 2009 conference, 6th April 2009 – DOME workshop.
  • Presentation of DOME work to date, plus interactive session on identification of errors in patient journey. 30 international delegates attended (Include conference attracted 175 delegates from 29 countries)
  • Paper at Breakthrough Innovation Conference. Jeremy Myerson (PI) Paper given at Breakthrough Innovation Conference, Barcelona, 26th March 2009. Title: 'Using the people-centred methods of evidence-based design to innovate'.
  • Paper at Build Boston Exhibition and Symposium. Jeremy Myerson (PI) presented a paper entitled 'Healthcare Design for Patient and Staff Safety' at Build Boston exhibition and symposium, Boston, USA, at invitation of Institute for Human-Centred Design, on 20th November 2008.

Presentations: Business

  • Emma Stanton.  What can we learn about patient safety form the oil industry? Patient Safety Congress 2010, Birmingham.
  • Emma Stanton.  What can we learn about patient safety form the oil industry? Imperial Surgical Symposium, London, September 2009.

New evidence-based designed, manufactured tested products

  • Care Station (second iteration)
  • iPhone application (undergoing clinical trials)
  • Vital Signs Trolley (concept phase)

Collaboration with Industry Manufacturers

  • Bristol Maid
  • Humanscale

NHS collaboration & dissemination

  • St. Mary's Hospital
  • Charing Cross Hospital
  • Hammersmith Hospital

Grants and funding won

  • Imperial Charity
  • Ingenza Limited

Project funder

Engineering and Physical Sciences Research Council

Project collaborator

Helen Hamlyn

Project start and end dates

June 2009 - October 2012

Follow the DOME project on Twitter

Twitter

 

The DOME Exhibition

 

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