Participatory simulation in healthcare*
www.partisim.org.uk
ti i
k
Dr. Kathy Kotiadis, Dr. Antuela Tako
Warwick Business School, UK
Dr. Christos Vasilakis
University College London, UK
www.partisim.org.uk
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k
Study Motivation
A large number of healthcare simulation models have been created in the literature over the last 40 years, but only a few of these
have been reported as successful or have had an impact on policy making. This could be attributed to the lack of user
participation in conceptual modelling and in other key stages of a simulation study.
Introduction
In this study
y we aim to create a framework with
tools and guidance that will enable health care
professionals to participate through workshops in a
simulation study. Usual practice in health care
simulation studies is to limit the participation of the
health care professional during the study because of
g from
their time constraints. However the findings
simulation health care studies are generally not
implemented and this could be attributed to the lack
of stakeholder participation. This study aims to
develop a framework and a set of tools adapted from
related methodologies, that of problem structuring
and group model building, to aid the development of
simulation models. A client-oriented approach is
taken which embeds stakeholder participation in
specific stages of a simulation study. We present
some of our initial thoughts on creating a generic
framework, which can be used not only in
healthcare modelling, but also in other domains of
li i
application.
What will this participative approach to model building achieve?
Support the involvement of health care professionals in simulation studies.
E bl health
Enable
h l h care professionals
f i l to contribute
ib to the
h design
d i off the
h simulation
i l i
study without specialist simulation knowledge.
Build models targeting issues identified by health care professionals.
Stakeholder involvement to be in a maximum of four dedicated workshops
Health Research at Warwick – 11 March 2009
We intend to create a participatory modelling
framework This framework will be tested in two
framework.
simulation studies, which we will run with two
separate surgical teams. Throughout this project we
will aim to improve our suggested framework. The
final PartiSim framework will be available on our
website (www.partisim.org.uk).
PartiSim suggested study framework
PartiSim modelling steps
Initiate study
(meetings, interviews, observations)
Workshop 1: Discuss high level structure of the system
Workshop 2: Discuss simulation study objectives
Outcomes
Preliminary definition of problem/situation
System definition
Visual representations of the system
Reflect back to client/healthca
re team
Problem definition & study objectives
Develop simulation model
Computer model
Client feedback
Client Feedback
Benefits of simulation modelling in healthcare
Assist with problem understanding (animation)
Explore computer models instead of real life system
Assess likely impact of suggested changes
Support tool for decision making (“what if”
scenarios).
Project outcomes
Figure 1
Workshop 3: Discuss the model and experiment with it
Develop scenarios and report results
Workshop 4: Discuss implementation of findings
Learning & agree action plan
Reflect back to client/healthca
re team
Feedback
Contact us:
Legend
Participative client‐oriented workshop
kathy.kotiadis@wbs.ac.uk
antuela.tako@wbs.ac.uk
c.vasilakis@ucl.ac.uk
www.partisim.org.uk
* This research is partially supported by the EPRSC grant EP/E045871/1