Archive for the ‘usability’ Category

Neuroscience Saturday: BJ Fogg and Starter Steps

In Behavior change, Patient Safety, Resiliency, Safety climate, usability, user experience on July 19, 2014 at 8:35 am

Anyone who knows me knows I love BJ Fogg’s behavior models. He is a design psychologist who runs a persuation lab out at Stanford. His latest behavior change model is based on his research about lasting change which basically falls down to: making things easy to do and changing the environment.
His latest little flip book sums up his findings to date.
Lots of lessons for us in healthcare and these are my take aways:
*we tend to love dramatic change initiatives: secret: they usually dont work
*Starter steps or baby steps arent glamorous and flashy but they work
*We clearly need to reward change and not the flashing marketing campaigns when it comes to safety (how many hours have you spent on catchy acronyms….did it make a difference??)
*BJ desribes certain things to look for that can warn you that you are designing for epiphany instead of change secret: hoping staff epiphanies will lead to behavior change doesnt usually work

If you care about patient safety AT ALL please read BJ’s latest little flipbook.. I have never read so much great info in one place

Caps don’t belong INSIDE patients

In Force function, High Reliability Orgs, usability on January 1, 2012 at 8:15 am

Let me begin 2012 by recommending that everyone subscribe to ISMPs safety newsletters: let that be your first New Year’s resolution in committing to make your practice safer. There is an acute care edition, ambulatory edition, nursing edition and consumer edition.  Subscribe here.

The december nursing edition (Nurse-ERR) describes a case where an ADULT patient (not a pedi patient!) was found to have swallowed one of the small white caps that covers the end of a syringe. This was discovered after the patient developed a cough after discharge. After a particularly intense coughing episode, the cap came out!   This patient had no recollection of swallowing this cap.  The newsletter recounts historical dangers associated with small parts left at the bedside of patients and their subsequent inhalation.  Of course this has always been a concern for pediatric patients but now we see the SAME RISK in adults.

Nurse ERR wisely recommends all staff scan patients’ rooms for potentially dangerous items left at the bedside and that this be added to rounding procedures by all disciplines: housekeeping, Nursing, MDs and even family and visitors. The more eyes the better.

In the spirit of this blog and its focus on human factors, I would also like to implore manufacturers of hospital products (especially IV related products with small caps and pull caps) to help eliminate these hazards alltogether by making caps that are NOT detachable.   Make all removable small pieces removable but stay attached.

It can be done for usb ports…why not do it for something that can save a life?

I always lost these caps...

This design Prevents loss of the cap!

Even better! This design prevents loss of cap and actually encourages one to recap.

Update: I emailed the ISMP asking for their advocacy in getting manufacturers to develop products that force safety in their IV supply products..then I emailed Baxter requesting they develop a product. I got a call back and they were concerned about infection and recapping but responded that they would pass this onto their engineers to see if something could be done that would attach the cap yet protect the patient from potential infection by preventing recapping. Here’s hoping they can come up something so our only safety barrier isn’t front line staff vigilance. Thanks to both these agencies for being responsive.

Remember: SPEAK UP! your ideas might just save a life!

More Fogg….

In Behavior change, Human Factors, usability on November 7, 2011 at 7:20 am

Caroline Jones over at used BJ Fogg’s B=MAT method to describe a simple change around the office.   It is a great read and shows the Fogg behavior model in action.

“People are creatures of habit and this can introduce challenges should you want them to adopt a new behaviour. We all start forming and evolving our behaviours from the time we are born, and each of us will respond to different stimuli in our own unique way. Some of us can’t start their day without our morning coffee whereas others will reach for a cigarette as a first port of call. Some can’t fall asleep without a book in their hands and others like to leave their T.V. switched on. These behavioural differences are a big part of what makes us human….Read More

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