Aim 1

Identify and define design requirements to address commonly occurring medication related safety hazards and to enable resilient performance through partnership with primary care professionals.

  • Interviews and focus groups at community partners (older adults and family caregivers)
  • Focus groups with pharmacists and physicians
  • Site visit at 5 clinics and telephone interview at 5 clinics
  • Work system analysis at 2 “in-situ lab” clinics (interview, debriefing, obs, time-motion)
  • Data analysis and synthesis (process maps, use cases, persona, information flow diagrams)

Aim 2

Improve the value of primary care services using work system design strategies, such as informational tools, task redesign, and space layout, to enable and build capacity for resilient performance.

  • Design workshops at clinics, community partners, studio
  • Expert review (e.g., pharmacists)
  • Simulation-based usability assessment & studies (community partners, studio)

Aim 3

Implement and evaluate redesign work system components at 2 primary care clinics.

  • Implementation outcomes (e.g., deprescribing review discussions)
  • Process observations clinics with time studies
  • Medication related problems (patient reported and professional identified)