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"We've currently made a 40 per cent reduction on last year's infection figures ... the commode is definitely part of that", said an Infection Prevention and Control Clinical Nurse Specialist for Scarborough and North East Yorkshire NHS Trust. The commode referred is the result of a joint effort between Brunel University, Kirton Healthcare and PearsonLloyd, in responding to the Design Council's `Design Bugs Out' competition. Designed for thorough cleaning, easy maintenance, and patient dignity, the commode has been widely exhibited in the UK and Europe, and was shortlisted for the BRIT Best Design of the Year (2009) award. Now over 2,000 have been sold to more than 60 hospitals in the UK.
Through the introduction of innovative design approaches, processes tools and methods into the research of complex healthcare issues, a range of individuals — including members of professional groups, e.g., in nutrition management and physical rehabilitation, clinical trials managers, healthcare professionals and patients (involved, e.g., in random controlled trials), are now able to consider and use tools and approaches that they did not use previously. These, policy-makers, leads in research councils, charities, and members of lay user representative groups have seen, through demonstrations, national and international presentations and professional publications, advantages of these innovative tools and approaches that enable more patient-centred treatment and enhanced patient-professional relationships.
Design research at the Royal College of Art (RCA) has pioneered projects and studies developing a design-led, systems-based approach to improve patient safety in hospital and mobile healthcare. It has led a multidisciplinary culture in which designers, clinicians, psychologists and business specialists collaborate in development projects. This new approach to Design for Patient Safety has had a profound impact on understanding public service provision, on practice and policy, and has realised commercial benefit.
Research into the Human-Computer Interaction (HCI) issues behind medical error has enabled hospitals to procure safer devices and is strategically changing attitudes. Approximately 10% of deaths due to preventable errors in hospitals are computational errors; in absolute numbers, this is higher than road fatality rates. Corresponding increased hospital stays, etc, are estimated to cost the NHS over £600m per annum. Our formal analyses and laboratory research with clinicians show error rates can be reliably reduced dramatically by software and HCI improvements (for details see reference list). Swansea's research has significant international reach across decision-makers, clinicians, manufacturers, and regulators. The US Food and Drug Administration (the FDA, the leading regulator) say research-based improvements will take decades and have therefore started to co-author papers with us to improve impact (all healthcare manufacturers watch the FDA closely).
Over the last 15 years the Medical Applications Group (MAG) has engaged in applied research into the use of product design techniques and technologies in medical procedures. Their work has directly led to better, safer, faster, more accurate and less intrusive surgical procedures. The group has worked with surgeons at NHS hospitals all over the UK to deliver well over 2,000 medical models for surgical use during the period. A number of hospitals have adopted MAG's techniques, meaning that the Group's research has improved the dignity, comfort and quality of life of around two and a half thousand people since 2008 whilst saving the UK tax payer many thousands of pounds.
[Throughout this template, references to underpinning research are numbered 1-6; sources to corroborate are numbered 7-15]
Research by the University of Huddersfield's School of Art, Design and Architecture has made a significant contribution towards ensuring that patient safety is a central feature of the rapidly expanding transfer of healthcare from hospitals to the home. By demonstrating that traditional nursing bags can be carriers of disease and creating a 21st-century successor that addresses this longstanding failing, Dr David Swann's pioneering work has generated international interest, influenced design practices and drawn much-needed attention to the dangers of exporting healthcare without hygiene in an age when rises in demand and costs are making non-hospital treatment one of the industry's fastest-growing sectors.
Research at Kingston University led by Hilary Dalke has established the beneficial effects of colour design for application in long-term health care environments for people with neural disabilities. This work has led to the development of spatial design principles for improving the experience of service users, patients and staff.
Through her consultancy work with architectural firms, individual NHS hospitals, mental health units, independent charities and healthcare furniture and equipment suppliers such as Hill-Rom, Dalke has influenced their understanding of the issues involved, leading to improved design in hospitals, care homes and day centres, with consequent benefits for patients, staff and visitors in four institutions.
Compressors developed at the Department of Engineering Science have formed a key component of the cryocoolers used to cool the infra-red sensors on satellites. Their low mass has trimmed almost $250k from the cost of individual satellite missions. Sixty seven have been sold to date, with sales totalling £2.8M between January 2008 and July 2013; three units are currently in Earth orbit with another nine planned to follow in 2014. A specialised version has been developed to achieve extremely low temperatures, with prototypes already built for the Mid Infra-Red Instrument (MIRI) that will form part of the James Webb Space Telescope.
Professor Hutton's research considers the biasing effect of selection of data due to consent procedures or selective reporting, and its consequences for the validity of conclusions and reliability of results. This research has had impacts on patients directly; on health and legal professionals by informing and influencing national and international guidelines for the treatment of epilepsy used by healthcare professionals and practitioners; and has provided expert evidence to legal professionals for the conclusion of civil litigations and a General Medical Council professional misconduct trial. Hutton's research also informs ethical debate associated with the validity and robustness of study results. This work has determined guidelines for ethical conduct of research, and requirements for publications, which are significant for all biomedical researchers.
Research work in the University of Cambridge Department of Engineering (DoEng) created a formal methodology for eco-design, based on lifecycle thinking that can be implemented during product design. This methodology and supporting reference data have been commercialised by DoEng spin-off company, Granta Design Limited, within Granta's software solutions: for engineering and product design in industry, integrating with the CAD environment; and for materials education. These products are incorporated in software suites that have over 200,000 users. Industry case studies demonstrate their value to end customers.