The Findings
The report, jointly commissioned by the Design Council and the
Department of Health, says healthcare products and services have been
designed without enough knowledge either about how they will be used or
the system they will be part of. The result has been that too often the
potential for errors has been overlooked or inadvertently designed in to
healthcare systems.
The answer, says the report, is to move away from a culture of blame to
an approach that recognises errors as the 'culmination of failures in the
healthcare system' and uses design across that system to improve
safety.
The report is a response to the Government’s drive to learn from
medical accidents, which led to a strategy for reporting, analysing and
drawing lessons from accidents. The National Patient Safety Agency was
formed in 2001 to put the strategy into action.
The report's authors discovered that:
- The NHS is ‘seriously out of step with modern thinking and practice’
on design, leading to avoidable risk and error.
- Design practice and understanding is less advanced in the NHS than
in other safety-critical industries.
- Not only does the design of individual devices and products need to
be improved, but also the way the NHS views the potential of design
thinking and methods to help organisations as a whole.
- Single design initiatives have to be seen in the light of the ‘big
picture’ of the healthcare system and how it relates to patients.
The report makes numerous recommendations to allow for better design
decision making through increased knowledge of NHS systems, lay down
design standards for quipment and packaging, and evaluate and monitor
designs based on how they contribute to patient safety. It also recommends
setting up a strategic advisory panel to work with the National Patient
Safety Agency in bringing in a design-led approach to safety across the
system.
For further information
General enquiries:
Matthew Kennedy-Martin, Design
Council
Tel: 020 7420 5214
E-mail: mattkm@designcouncil.org.uk