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BEGIN:VEVENT
DTSTAMP:20250327T203346Z
LOCATION:Queens Quay
DTSTART;TZID=America/New_York:20250401T093700
DTEND;TZID=America/New_York:20250401T100000
UID:HFESHCS_2025 International Symposium on Human Factors and Ergonomics i
 n Health Care_sess104_INDLEC336@linklings.com
SUMMARY:Healthcare Human Factors Engineering In Practice: The Impact of Ch
 anges to the Obstetrical Triage Process in a Perinatal Neonatal Care Setti
 ng
DESCRIPTION:Oral Presentations\n\nKayathiri Subramaniam (Oak Valley Health
 ); Carleene Bañez (Healthcare Insurance Reciprocal of Canada); Silva Nerce
 ssian (Oak Valley Health); Anthony Soung Yee, Stefano Gelmi, and Nataly Fa
 rshait (Healthcare Insurance Reciprocal of Canada); Terri Stuart McEwan (O
 ak Valley Health); and Trevor Hall (Healthcare Insurance Reciprocal of Can
 ada)\n\nThe clinical area of obstetrics continues to be an area of high in
 terest in terms of safety and medico-legal risk in Canada. Human factors i
 nformed safety practices and continuous evaluation present the opportunity
  to improve patient safety through the design of the obstetrical triage pr
 ocess. This presentation, facilitated by human factors and clinical practi
 tioners, will provide practical considerations (successes, challenges, opp
 ortunities) in applying human factors engineering approaches in an applied
  patient safety initiative to improve the design of the obstetrical triage
  process in a Canadian perinatal/neonatal care setting.  \nDetails of a pa
 tient safety initiative to enhance safety in a perinatal and neonatal care
  setting at Markham Stouffville Hospital (MSH), part of Oak Valley Health 
 (OVH), a community healthcare organization in Markham, Ontario will be exp
 lored. In collaboration with Healthcare Insurance Reciprocal of Canada (HI
 ROC), HIROC and OVH partnered on an initiative to identify opportunities t
 o improve safety in the Childbirth and Children’s Service program at OVH.\
 nIn anticipation of significant changes to the triage environment and proc
 esses, as well as the inclusion of a new role (i.e., dedicated triage nurs
 ing role) OVH and HIROC completed a collaborative quality improvement init
 iative to better understand opportunities to enhance workflow and workload
  in obstetrical triage. In-unit observations were used to develop “spaghet
 ti diagrams” to map nurses’ movement throughout the unit and identify oppo
 rtunities to improve workflow and the physical environment. A spaghetti di
 agram is a visual representation of a workflow using a continuous flow lin
 e tracing the path of activity, to observe and to optimize workflow. As we
 ll, data on self-perceived workload assessment was collected using NASA-Ta
 sk Load Index (NASA-TLX), to better understand changes in perceived task l
 oad before and after the change in the triage environment and triage nursi
 ng role. 11 nursing participants across three groups based on experience l
 evel and role were trained to use NASA-TLX tool and provided their paired 
 comparison weightings of the six dimensions of workload. Participants were
  asked to self-report their perceived task load after completing their dai
 ly work shifts including triage, and labour and delivery for the different
  nursing levels on the unit. Approximately six months after the changes to
  the unit were made, data from 11 nursing participants was collected in th
 e post-change data collection phase. The results of the NASA-TLX workload 
 study are currently being analyzed and will be presented. \nIn addition, t
 he presenters will detail several other quality improvement initiatives in
  the Childbirth and Children’s Service program aimed at improving sustaina
 bility and accountability, towards improving safety for staff and patients
 . This includes implementation of a standardized assessment tool through m
 andatory fields in the triage screen to improve compliance and to monitor 
 response times.\n\nTrack: Patient Safety and Research Initiatives (PS)\n\n
 Session Chair: Tasha McFarland (Sinai Health System)
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