Archive for the ‘user experience’ 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

Luck of the Irish or workflow?

In Behavior change, culture, user experience on March 17, 2013 at 9:27 am

According to the Office of the National Coordinator (ONC), 30% of all Health IT implementations fail. What causes failure? A workforce that doesnt want to change? Poor technology? Luck?
It’s unlikely to be any of these things. It is usually the inattention to workflow and culture that leads to failure of Health IT initiatives designed to improve patient safety.
What do hosptial IT execs know about the culture of their institutions? Probably not much. Aminstrators in general have different opinions of safety culture than front line staff (the latter see less safety). How often do we do post IT implementation and periodic surveys to see if workflow is indeed more “flowing” than bottlenecked? My guess is not very often or we would see these survey results at the top of every Health IT companies webpage. Most products now are only rated by IT execs through a propriatary report. We need a marketplace website for all thse like Amazon where end users can rate and evaluate the products!!

Read the chapter from Patient Safety and Quality for Nurses from the NIH
about workflow.
Cain C, Haque S. Organizational Workflow and Its Impact on Work Quality. In: Hughes RG, editor. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville (MD): Agency for Healthcare Research and Quality (US); 2008 Apr. Chapter 31. Available from:

Human centered Design

In user experience on December 2, 2011 at 8:12 pm

Human centered design from TED. This video isn’t about healthcare but it is a great introduction to these design concepts which have much to offer patient safety.

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