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DESIGN THINKING IN DATA-INTENSIVE HEALTHCARE IMPROVEMENT: LESSONS FROM A PERIOPERATIVE CASE STUDY

Published online by Cambridge University Press:  19 June 2023

Daniel James Stubbs*
Affiliation:
University of Cambridge Department of Engineering, Health Systems Design Group
Thomas Henry Bashford
Affiliation:
University of Cambridge Department of Perioperative, Acute, Critical, and Emergency Care (PACE)
Peter John Clarksons
Affiliation:
Department of Anaesthesia, Cambridge University Hospitals NHS Foundation Trust
*
Stubbs, Daniel James, University of Cambridge Department of Engineering, United Kingdom, djs225@cam.ac.uk

Abstract

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Healthcare generates vast quantities of ‘routinely collected’ data that is recognised as a valuable substrate to drive improvement. Realising this benefit however, requires the sequential distillation of new knowledge before analytical findings are used to inform real-world change. This dichotomy requires the combination of techniques from data science (to derive meaningful knowledge) and improvement (to deliver change). Recognising this transdisciplinary need and the complexity of modern healthcare, we developed an improvement project to incorporate a ‘systems approach’ into the analysis of pseudonymised perioperative data for the purpose of redesigning the systems that deliver surgical care to older patients. This required the development of novel mixed-methods workflows combining tools used to realise a systems approach in practice and to support meaningful analysis, and to translate these findings towards ‘better’ care systems. This paper recounts the incorporation of these tools into ‘dataintensive improvement’ and reflects on the relevance of design thinking to improve the conduct of the necessary data science to achieve our ultimate aim, using data to improve services for older surgical patients.

Type
Article
Creative Commons
Creative Common License - CCCreative Common License - BYCreative Common License - NCCreative Common License - ND
This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is unaltered and is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use or in order to create a derivative work.
Copyright
The Author(s), 2023. Published by Cambridge University Press

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