1
|
Hignett S, Edmonds J, Herlihey T, Pickup L, Bye R, Crumpton E, Sujan M, Ives F, Jenkins DP, Newbery M, Embrey D, Bowie P, Ramsden C, Rashid N, Williamson A, Bougeard AM, MacNaughton P. Human factors/ergonomics to support the design and testing of rapidly manufactured ventilators in the UK during the COVID-19 pandemic. Int J Qual Health Care 2021; 33:4-10. [PMID: 32780821 PMCID: PMC7454670 DOI: 10.1093/intqhc/mzaa089] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2020] [Revised: 07/16/2020] [Accepted: 07/19/2020] [Indexed: 11/14/2022] Open
Abstract
Background This paper describes a rapid response project from the Chartered Institute of Ergonomics & Human Factors (CIEHF) to support the design, development, usability testing and operation of new ventilators as part of the UK response during the COVID-19 pandemic. Method A five-step approach was taken to (1) assess the COVID-19 situation and decide to formulate a response; (2) mobilise and coordinate Human Factors/Ergonomics (HFE) specialists; (3) ideate, with HFE specialists collaborating to identify, analyse the issues and opportunities, and develop strategies, plans and processes; (4) generate outputs and solutions; and (5) respond to the COVID-19 situation via targeted support and guidance. Results The response for the rapidly manufactured ventilator systems (RMVS) has been used to influence both strategy and practice to address concerns about changing safety standards and the detailed design procedure with RMVS manufacturers. Conclusion The documents are part of a wider collection of HFE advice which is available on the CIEHF COVID-19 website (https://covid19.ergonomics.org.uk/).
Collapse
Affiliation(s)
- Sue Hignett
- School of Design & Creative Arts, Loughborough University, Loughborough, LE11 3TU, UK
| | | | - Tracey Herlihey
- Healthcare Safety Investigation Branch, Farnborough, GU14 0LX, UK
| | - Laura Pickup
- Healthcare Safety Investigation Branch, Farnborough, GU14 0LX, UK
| | | | | | - Mark Sujan
- Human Factors Everywhere Ltd, Woking, GU21 2TJ, UK
| | - Fran Ives
- West Midlands Academic Health Science Network, Birmingham, B15 2TH, UK
| | | | | | - David Embrey
- Human Reliability Associates, Wigan, WN8 7RP, UK
| | - Paul Bowie
- NHS Education for Scotland, Glasgow, G3 8BW, UK
| | - Chris Ramsden
- The Chartered Society of Designers, London, SE1 3GA, UK
| | - Noorzaman Rashid
- Chartered Institute of Ergonomics & Human Factors, Stratford-upon-Avon, B95 6HJ, UK
| | - Alastair Williamson
- University Hospitals Birmingham NHS Foundation Trust, Birmingham, B15 2TH, UK
| | | | | |
Collapse
|
2
|
Liu XC, Embrey D, Tassone C, Klingbeil F, Marquez-Barrientos C, Brandsma B, Lyon R, Schwab J, Tarima S, Thometz J. Foot and ankle joint movements inside orthoses for children with spastic CP. J Orthop Res 2014; 32:531-6. [PMID: 24375587 PMCID: PMC4502580 DOI: 10.1002/jor.22567] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/10/2012] [Accepted: 11/25/2013] [Indexed: 02/04/2023]
Abstract
We compared the ankle joint and foot segment kinematics of pediatric cerebral palsy (CP) participants walking with and without orthoses. A six segment foot model (6SF) was used to track foot motion. Holes were cut in the study orthoses so that electromagnetic markers could be directly placed on the skin. The Hinged Ankle Foot Orthoses (HAFO) allowed a significant increase in ankle dorsiflexion as compared to the barefoot condition during gait, but significantly constrained sagittal forefoot motion and forefoot sagittal range of motion (ROM) (p < 0.01), which may be detrimental. The Solid Ankle Foot Orthoses (SAFO) constrained forefoot ROM as compared to barefoot gait (p < 0.01). The 6SF model did not confirm that the SAFO can control excessive plantarflexion for those with severe plantarflexor spasticity. The supramalleolar orthosis (SMO) significantly (p < 0.01) constrained forefoot ROM as compared to barefoot gait at the beginning and end of the stance phase, which could be detrimental. The SMO had no effects observed in the coronal plane.
Collapse
Affiliation(s)
- Xue-Cheng Liu
- Center for Motion Analysis at Orthopedic Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin 53201
,Department of Orthopaedic Surgery, Children’s Hospital of Wisconsin, Medical College of Wisconsin, Milwaukee, Wisconsin 53201
| | - David Embrey
- Children’s Therapy Unit, MulitCare Good Samaritan Hospital, Puyallup, Washington
| | - Channing Tassone
- Department of Orthopaedic Surgery, Children’s Hospital of Wisconsin, Medical College of Wisconsin, Milwaukee, Wisconsin 53201
| | - Frederick Klingbeil
- Physical Medicine and Rehabilitation, Children’s Hospital of Wisconsin, Milwaukee, Wisconsin
| | - Carlos Marquez-Barrientos
- Center for Motion Analysis at Orthopedic Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin 53201
| | - Brenna Brandsma
- Children’s Therapy Unit, MulitCare Good Samaritan Hospital, Puyallup, Washington
| | - Roger Lyon
- Center for Motion Analysis at Orthopedic Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin 53201
,Department of Orthopaedic Surgery, Children’s Hospital of Wisconsin, Medical College of Wisconsin, Milwaukee, Wisconsin 53201
| | - Jeffrey Schwab
- Department of Orthopaedic Surgery, Children’s Hospital of Wisconsin, Medical College of Wisconsin, Milwaukee, Wisconsin 53201
| | - Sergey Tarima
- Division of Biostatistics, Medical College of Wisconsin, Milwaukee, Wisconsin
| | - John Thometz
- Department of Orthopaedic Surgery, Children’s Hospital of Wisconsin, Medical College of Wisconsin, Milwaukee, Wisconsin 53201
| |
Collapse
|
3
|
Abstract
There has been an increasing tendency to use computer-based process information systems as the main interface through which operators interact with complex industrial systems. Although the new technology has produced greater hardware reliability and maintainability, the corresponding potential benefits for operability have not always been achieved. Automation has introduced new forms of design and operating errors. One of the major reasons for this problem has been the lack of human factors advice and user participation early in the design process. This paper discusses a user-centred design approach to increase operability and user acceptance of new technologies and working practices. Application of this approach in the context of a chemical plant indicates its promise, but also highlights the difficulties involved in gaining user participation and management commitment.
Collapse
|