Projects/Honours thesis · QUT

Fluid

An infusion pump designed to cut human input error, and with it, the alarm fatigue that follows.

Fluid infusion pump in use at the bedside
Project
Individual honours thesis
My role
Design research, concept development, CAD, prototyping and rendering
Field
Medical devices, human-centred design
Deliverables
Thesis, technical drawings, 3D model, presentation model

At a glance

  1. 01

    Problem

    Up to 95% of medical device alarms are clinically irrelevant, and most trace back to avoidable input errors.

  2. 02

    Research

    Nurse workflows, the hospital soundscape, site visits and other high-risk industries.

  3. 03

    Solution

    A pump that links patient, drug and caregiver by RFID, runs on one dial and mounts in one motion.

  4. 04

    Outcome

    Presentation model, technical drawings and thesis, shown at QUT Design Festival.

01

The problem

Alarms nobody can trust

Alarm fatigue happens when caregivers are overwhelmed or desensitised by the sheer number of alarm signals. In hospitals it leads to delayed care, missed alarms, and alarms turned down, silenced or disabled altogether (Graham & Cvach, 2010).

The result compromises patient safety and breaks up the workflow of the people providing care. So what is causing all these alarms?

Up to 95%

of alarm signals are nuisance alarms: clinically irrelevant, and they undermine the safety features they belong to.

Infusion therapy at the bedside
Infusion therapy at the bedside
02

Research

Following the alarms back to their source

I set out to understand alarm fatigue first-hand by looking at the current state of alarming medical devices, frustrations with the hospital soundscape, and how other high-risk industries manage alarms, design and workflows.

Research questions

  1. Q1What is the workflow of nurses, and how do alarming medical devices impinge on their duty of care?
  2. Q2What are the main contributors to the hospital noise load, and how can they be reduced?
  3. Q3What can we learn from other high-risk industries that involve alarming systems and devices?

Main contributors to hospital noise

  • Infusion pumps
  • Spatial arrangement, capacity and built environment
  • Metal tools and equipment (stainless steel)

Most device alarms traced back to design

  1. Discoverability, menu navigation, workflows, ergonomics
  2. Human input errors
  3. Nuisance alarms
  4. Alarm fatigue
Honours thesis
Honours thesis
03

Approach

Design out the error, not the alarm

The brief

Design a product, system or service for hospital health providers that minimises human input error, reducing alarm fatigue, improving the hospital soundscape and potentially supporting patient recovery.

Objectives

  1. 01Improve the hospital soundscape by minimising the risk of human input error and alarm fatigue
  2. 02Aid patient recovery where applicable
  3. 03Let the operator configure every parameter for individual patient and caregiver needs

Borrowing interactions people already trust

  • Hospital ID cards

    RFID is already in many hospital identification cards, so orders can travel without handwriting.

  • Car infotainment

    Rotary controllers like BMW iDrive and Mazda Connect are intuitive to learn and operate.

  • Camera tripods

    Arca-Swiss style plates mount and release equipment in a single motion.

04

Solution

Fluid

A large-volume infusion pump that rethinks the workflow of infusion therapy, minimising set-up and operating time so caregivers can spend more of it at the bedside.

RFID links patient, drug and caregiver

01Streamlining the workflow

RFID links patient, drug and caregiver

The doctor sends patient and drug information wirelessly to the caregiver’s ID card and the pump. This replaces handwritten orders and sharply reduces the chance of entering the wrong parameters or infusing the wrong drug.

One dial instead of soft keys

02Simplifying operation

One dial instead of soft keys

Confusing labelled soft keys are replaced by a four-way rotating dial and a single, ergonomically placed back button, so every parameter can be set without hesitation.

Drop on, lift off

03Mounting

Drop on, lift off

Site visits showed nurses balancing the pump in one hand while twisting a C-clamp with the other. An Arca-Swiss style plate means the pump now drops into the rail at the chosen height, and lifts off with both hands.

All-day, untethered infusions

04Power

All-day, untethered infusions

A single USB-C port handles data and charging, replacing a proprietary data port and AC socket. With a 20,000 mAh LiPo battery, rated battery life is over four times that of existing devices, and the pump is lighter and recharges faster.

Readable from every working height

05Ergonomics

Readable from every working height

The large display is angled towards the caregiver rather than set flat on the front face, so time-critical information can be read at the bedside. Every button, groove and dial is designed for universal access.

Critical information first

06Interface

Critical information first

Large, bold, high-contrast text and clearly defined units of measurement put the most important values in front of the operator during therapy.

05

Making

Iterating through making

Hand models explored the form and how the dial sits under the hand. CAD development then resolved the housing, the mounting rail and the internal components.

Hand models9 photos

Model 1.5Model 1Model 2Model 3Model 3, dial reachModel 4Shaping the housingMarking out detailsRefining the form

CAD development15 photos

CAD development photoCAD development photoCAD development photoCAD development photoCAD development photoCAD development photoCAD development photoCAD development photoCAD development photoCAD development photoCAD development photoCAD development photoCAD development photoCAD development photoCAD development photo
06

Outcome

The final model

The presentation model was powder printed and finished in high-gloss acrylic with a UI overlay.

Presentation model. Photography by Sebastian Tan
Presentation model. Photography by Sebastian Tan

Explore the 3D model

In collaboration with
  • Queensland University of Technology

Contact

Let’s talk.

Open to freelance, industrial design, product development and design engineering opportunities.

Do you have something in mind?
Any ideas, big or small.
Let’s create together and bring your vision to life.

asamengdesign@gmail.com