Application of participatory ergonomics to the redesign of the family-centred rounds process

Anping Xie, Pascale Carayon, Elizabeth D. Cox, Randi Cartmill, Yaqiong Li, Tosha B. Wetterneck, Michelle M. Kelly

Research output: Contribution to journalArticlepeer-review

21 Scopus citations


Participatory ergonomics (PE) can promote the application of human factors and ergonomics (HFE) principles to healthcare system redesign. This study applied a PE approach to redesigning the family-centred rounds (FCR) process to improve family engagement. Various FCR stakeholders (e.g. patients and families, physicians, nurses, hospital management) were involved in different stages of the PE process. HFE principles were integrated in both the content (e.g. shared mental model, usability, workload consideration, systems approach) and process (e.g. top management commitment, stakeholder participation, communication and feedback, learning and training, project management) of FCR redesign. We describe activities of the PE process (e.g. formation and meetings of the redesign team, data collection activities, intervention development, intervention implementation) and present data on PE process evaluation. To demonstrate the value of PE-based FCR redesign, future research should document its impact on FCR process measures (e.g. family engagement, round efficiency) and patient outcome measures (e.g. patient satisfaction).

Original languageEnglish (US)
Pages (from-to)1726-1744
Number of pages19
Issue number10
StatePublished - Oct 3 2015


  • checklist
  • family-centred rounds
  • healthcare system redesign
  • participatory ergonomics
  • pediatric hospital

ASJC Scopus subject areas

  • Human Factors and Ergonomics
  • Physical Therapy, Sports Therapy and Rehabilitation


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