The UCSD Design Lab philsophy on Health Care
What do we mean by "Dropping the patient"? Basically, it means losing track of prior thoughts, analyses, and even testing results was the patient gets passed from clinician to clinician, clinic to clinic, and ward to ward. Multiple transitions and poor communication and limited oversight create a perfect setup for error, for dropping the patient. Miscommunication is at the heart of many poor handoffs in part due to the numerous transitions and distractions: e.g., shift changes and patient transfer between wards, clinics, specialists, laboratories, home, and hospital.
The risks self-multiply leading to more tests, specialists, and transitions. In all cases, the chance for incomplete or erroneous communication between the various providers and the patient and family is high. Pess, a primary care physician, documented the transitions during an 80 day period for one of his patients: 12 clinicians, 5 procedures, and 11 office visits. The primary care physician communicated with clinicians 40 times and with the patient and his wife 12 times. As patients and their records continually traverse the complex treatment chain, quality of treatment, the likelihood of a positive outcome can drop while costs rise. This system needs radical overhaul 1.
Press MJ. Instant Replay -- A Quarterback's View of Care Coordination. New England Journal of Medicine 2014;371:489-91.
- All Books
- The Design of Everyday Things, Revised and Expanded Edition
- Living with complexity
- The Design of Future Things
- Emotional Design: Why we love (or hate) everyday things
- The invisible computer
- Things That Make us Smart: Defending Human Attributes in the Age of the Machine
- Turn Signals Are the Facial Expressions of Automobiles
- The Design of Everyday Things