BEGIN:VCALENDAR VERSION:2.0 PRODID:Linklings LLC BEGIN:VTIMEZONE TZID:America/Chicago X-LIC-LOCATION:America/Chicago BEGIN:DAYLIGHT TZOFFSETFROM:-0600 TZOFFSETTO:-0500 TZNAME:CDT DTSTART:19700308T020000 RRULE:FREQ=YEARLY;BYMONTH=3;BYDAY=2SU END:DAYLIGHT BEGIN:STANDARD TZOFFSETFROM:-0500 TZOFFSETTO:-0600 TZNAME:CST DTSTART:19701101T020000 RRULE:FREQ=YEARLY;BYMONTH=11;BYDAY=1SU END:STANDARD END:VTIMEZONE BEGIN:VEVENT DTSTAMP:20240325T185836Z LOCATION:Salon C DTSTART;TZID=America/Chicago:20240326T164500 DTEND;TZID=America/Chicago:20240326T181500 UID:HFESHCS_2024 International Symposium on Human Factors and Ergonomics i n Health Care_sess128_POST275@linklings.com SUMMARY:HE3 - Bidirectional Feedback Loop Between Product/User Research an d Patient Safety DESCRIPTION:Poster Presentation\n\nBrittany Anderson-Montoya (Teladoc Heal th Inc.) and Jennifer Teves, Yin-Juei Chang, and Felix Chang (Teladoc Heal th)\n\nWhile significant advancement has been made by the FDA and medical device manufacturers to develop safer medical products, opportunity remain s to mitigate risk associated with medical devices. Usability testing is a critical step in the design of safe medical devices; however, usability a nalysis is traditionally performed in optimal environments. It is impossib le for manufactures to replicate every scenario and every unique mix of ot her devices and products within which their device may be used. This can c reate unique, unknown areas of risk that can lead to patient harm. The opp ortunity for harm is further compounded by technology that is increasingly complex to use and many complex medical devices are now being used by pat ients themselves in their home settings. \n\nUnfortunately, medical device use errors continue to contribute to adverse patient events, with end-use rs often not reporting device-related concerns. This has led to the chroni c under-reporting of medical device malfunctions (Tase et al., 2022; Vicen te & Kern 2005). In turn, the lack of feedback from end-users creates a de lay in enhancing the design of medical devices and products to ensure high er standards of safety. Easty (2018) recognized there are three unique app lications of human factors in the clinical environment related to medical devices and products. One area he highlighted was investigating use errors associated with medical devices. Easty highlighted how human factors can be used both proactively, through predictive techniques such as Failure Mo de and Effect Analysis, and retroactively is response to an adverse event involving a medical device or product. \n\nThis panel will highlight how a Product Development/User Research team and a Patient Safety team, each co ntaining human factors and usability expertise, have established a bi-dire ctional feedback reporting loop regarding medical devices and products to enhance patient safety. Other areas of potential cross-collaboration will be discussed along with how patient safety teams can work to report end-us e errors back to manufacturers.\n\nAgenda:\n\nPanelist Stories (10 minutes each)\nAudience Q&A (20 minutes)\n\n\nPanelists:\n\nBrittany Anderson-Mon toya: Despite decades of focused investigations into patient safety events , typically though Root Cause Analysis, medical device malfunctions remain under-reported (Vicente & Kern 2005; Tase et al., 2022). Further, even wh en device malfunctions or usability concerns are identified, there is lack of a clear pathway for end-users of medical devices to report these conce rns back to the manufacturers of the products. I will discuss how Patient Safety teams can identify usability concerns and medical device malfunctio ns through adverse event investigation. Further, I will discuss the unique collaborative environment, consisting of bi-directional feedback between Patient Safety and the User Research team, that has been established in ou r company to create faster, more real-time opportunities to improve the me dical devices and products our clinicians and patients interact with. \n\n Jennifer Teves: Patient Safety should always be at the top of consideratio ns when making decisions about products that would impact patients’ lives. Ensuring Patient Safety should not just be the responsibility of those wh o work in Patient Safety organizations or departments but also of teams wh o are involved in designing and developing products, be it physical or dig ital products. My discussion will focus on the value of a human factors pe rspective in the early stages of product design and development. I will al so discuss the importance of collaborative environments and research-drive n culture in ensuring Patient Safety. \n\nYin-Juei Chang: While the term “ Patient Safety” emphasizes “patients”, patients receive care through their interaction with physicians and other members of their care team. Product s used by care providers should always consider the implications of design faults and complexity not only to its intended users but also to the peop le who are at the receiving end of the users’ care. I will discuss the imp ortance of research in all phases of the product development process for p roducts that physicians and care team members use when they deliver care f or their patients. \n\nFelix Chang: In Telemedicine, while there are digit al visits where patients interact with providers (physicians, mental healt h professionals, care team members) in real-time, there are points in thei r care journey when patients are expected to navigate within the digital e nvironment in their pursuit of achieving their desired health outcomes. I will speak about the importance of research from discovery and exploration phases and throughout the entire process of product design and developmen t. I will be touching on the unique role of researchers to ensure that the products being built are not only easy-to-use but also safe to use for pa tients.\n\nTrack: Digital Health, Simulation and Education, Hospital Envir onments, Medical and Drug Delivery Devices, Patient Safety Research and In itiatives END:VEVENT END:VCALENDAR