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Ergonomics /
 Human Factors (HFE)
 Disability and Inclusive Design


Dr. Sue Hignett
Reader in Healthcare Ergonomics & Patient Safety




Loughborough Design School
International Ergonomics Association (IEA)

  Scientific discipline concerned with the
  understanding of interactions among humans
  and other elements of a system, and the
  profession that applies theoretical principles,

  data and methods to        design in order to
  optimise human well-being and overall
  system performance          (IEA, 2000)

Loughborough Design School
Ergonomics v Human Factors

    ‘ergonomics’ sometimes used to refer to interactions
    with the physical environment
    ‘human factors’ sometimes used in connection with
    psychological / organisational issues
    can not sensibly consider one without the other so
    terms now mostly used interchangeably


Key words: safety, performance, comfort and satisfaction


Loughborough Design School
2012 Paralympics


 Change in public perception of disability

    How much has it changed practice?

    What is the latest thinking about rehabilitation?

    What does it mean for design?




Loughborough Design School
Models of Disability

 Medical Model: Individual physical or mental limitations
 • Solutions are found by focussing on the individual
 • Service provider prescribes and acts for a passive client


 Economic model: Policy making
 • Perception of a person’s inability to participate in work
 • Assess the degree to which impairment affects individual productivity


 Social Model: Effects of environmental, social and attitudinal barriers
 • Prevention of participation in society
 • Failure of society to adjust to meet needs and aspirations
 • If a wheelchair user cannot use a bus….. the bus must be redesigned
http://www.guardian.co.uk/news/datablog/gallery/2012/aug/31/paralympics-press-association-sport-graphics#/?picture=395465841&index=5



Loughborough Design School
Design Approaches
 Accessible Design
    Meets mandatory requirements for accessibility
    Service specific user groups


 Adaptable Design
    Readily adjustable when need arises
    Considers possible change of use during life span


 Inclusive (Universal) Design
    Serves every user in the safest possible and most convenient way
    by providing for an independent and equal way of living
    Goes beyond the minimum requirements of accessible design



Loughborough Design School
Loughborough Design School
Loughborough Design School
What does this mean for design?




Loughborough Design School
1. Equitable Use
The design is useful and marketable to any group of users
    Provide the same means of use for all users; identical whenever
    possible, equivalent when not
    Avoid segregating or stigmatising any users
    Provisions for privacy, security and safety should be equally
    available to all users

2. Flexibility in Use
The design accommodates a wide range
of individual preferences and abilities
    Provide choice in methods of use
    Accommodate right and left handed access and use
    Facilitate the user’s accuracy and precision
    Provide adaptability to the user’s pace

Loughborough Design School
3. Simple and Intuitive Use
Use of the design is easy to understand, regardless of the
user’s experience, knowledge, language skills or
current concentration level
    Eliminate unnecessary complexity
    Be consistent with user expectations and intuition
    Accommodate a wide range of literacy and language skills
    Provide effective prompting for sequential actions
    Provide timely feedback during and after task completion




Loughborough Design School
4. Perceptible Information
The design communicates the necessary information
effectively to the user regardless of ambient conditions
of the user’s sensory abilities
    Use different modes (pictorial, verbal, tactile)
    for presentation of essential information
    Provide adequate contrast between
    essential information and its surroundings

    Maximise ‘legibility’ of essential information in all sensory modalities
    Differentiate elements in ways that can be described (easy to give
    instructions or directions)
    Provide compatibility with a variety of
    techniques or devices used by people
    with sensory limitations


Loughborough Design School
5. Tolerance for Error
The design minimises hazards and the adverse
consequences of accidents or unintended actions

    Arrange elements to minimise hazards and errors
        most used elements, most accessible
        hazardous elements eliminated, isolated or shielded
    Provide warnings of hazards and errors
    Provide fail-safe features
    Discourage unconscious actions in tasks that require vigilance




Loughborough Design School
6. Low Physical Effort
The design can be used efficiently and comfortably and
with a minimum of fatigue
    Allow user to maintain a neutral body position
    Use reasonable operating forces
    Minimise repetitive actions
    Minimise sustained physical effort




Loughborough Design School
7. Size and Space for Approach and Use
Appropriate size and space are provided for approach, reach
manipulation and use regardless of user’s body size,
posture or mobility

    Provide a clear line of sight to important elements for any seated
    or standing user
    Make reach to all components comfortable for any seated or
    standing user
    Accommodate variations in hand and grip size
    Provide adequate space for the use of assistive devices or
    personal assistance




Loughborough Design School
Systems Engineering Initiative for Patient Safety




Loughborough Design School
DIAL-F model with service users as active
members in a falls management system




 Loughborough Design School
 17
Falls Risks through the Eyes of an Older
Hospital In-Patient: Hierarchical Task Analysis
 HTA developed iteratively with visits to:
   Coronary Care Unit
   Medical Ward (Older People)
   Orthopaedic (Trauma)


 Top level activities:




Loughborough Design School
Step 1: Decide to go to the toilet




Loughborough Design School
Step 4: Locate the Toilet




Loughborough Design School
2012 Paralympics

    How much has it changed practice?

        Individual – yes (especially younger & sports players)

        Society – legacy design and plans to improve access

    What does it mean for design?

        Opportunity to make a step change from medical/economic models

        of disability using accessible/adaptable design to….

        Inclusive Design (social model of disability) as the

        minimum standard

Loughborough Design School
Thank you




Loughborough Design School

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Dr Sue Hignett Architects for Health Designing for Impairment

  • 1. Ergonomics / Human Factors (HFE) Disability and Inclusive Design Dr. Sue Hignett Reader in Healthcare Ergonomics & Patient Safety Loughborough Design School
  • 2. International Ergonomics Association (IEA) Scientific discipline concerned with the understanding of interactions among humans and other elements of a system, and the profession that applies theoretical principles, data and methods to design in order to optimise human well-being and overall system performance (IEA, 2000) Loughborough Design School
  • 3. Ergonomics v Human Factors ‘ergonomics’ sometimes used to refer to interactions with the physical environment ‘human factors’ sometimes used in connection with psychological / organisational issues can not sensibly consider one without the other so terms now mostly used interchangeably Key words: safety, performance, comfort and satisfaction Loughborough Design School
  • 4. 2012 Paralympics Change in public perception of disability How much has it changed practice? What is the latest thinking about rehabilitation? What does it mean for design? Loughborough Design School
  • 5. Models of Disability Medical Model: Individual physical or mental limitations • Solutions are found by focussing on the individual • Service provider prescribes and acts for a passive client Economic model: Policy making • Perception of a person’s inability to participate in work • Assess the degree to which impairment affects individual productivity Social Model: Effects of environmental, social and attitudinal barriers • Prevention of participation in society • Failure of society to adjust to meet needs and aspirations • If a wheelchair user cannot use a bus….. the bus must be redesigned http://www.guardian.co.uk/news/datablog/gallery/2012/aug/31/paralympics-press-association-sport-graphics#/?picture=395465841&index=5 Loughborough Design School
  • 6. Design Approaches Accessible Design Meets mandatory requirements for accessibility Service specific user groups Adaptable Design Readily adjustable when need arises Considers possible change of use during life span Inclusive (Universal) Design Serves every user in the safest possible and most convenient way by providing for an independent and equal way of living Goes beyond the minimum requirements of accessible design Loughborough Design School
  • 9. What does this mean for design? Loughborough Design School
  • 10. 1. Equitable Use The design is useful and marketable to any group of users Provide the same means of use for all users; identical whenever possible, equivalent when not Avoid segregating or stigmatising any users Provisions for privacy, security and safety should be equally available to all users 2. Flexibility in Use The design accommodates a wide range of individual preferences and abilities Provide choice in methods of use Accommodate right and left handed access and use Facilitate the user’s accuracy and precision Provide adaptability to the user’s pace Loughborough Design School
  • 11. 3. Simple and Intuitive Use Use of the design is easy to understand, regardless of the user’s experience, knowledge, language skills or current concentration level Eliminate unnecessary complexity Be consistent with user expectations and intuition Accommodate a wide range of literacy and language skills Provide effective prompting for sequential actions Provide timely feedback during and after task completion Loughborough Design School
  • 12. 4. Perceptible Information The design communicates the necessary information effectively to the user regardless of ambient conditions of the user’s sensory abilities Use different modes (pictorial, verbal, tactile) for presentation of essential information Provide adequate contrast between essential information and its surroundings Maximise ‘legibility’ of essential information in all sensory modalities Differentiate elements in ways that can be described (easy to give instructions or directions) Provide compatibility with a variety of techniques or devices used by people with sensory limitations Loughborough Design School
  • 13. 5. Tolerance for Error The design minimises hazards and the adverse consequences of accidents or unintended actions Arrange elements to minimise hazards and errors most used elements, most accessible hazardous elements eliminated, isolated or shielded Provide warnings of hazards and errors Provide fail-safe features Discourage unconscious actions in tasks that require vigilance Loughborough Design School
  • 14. 6. Low Physical Effort The design can be used efficiently and comfortably and with a minimum of fatigue Allow user to maintain a neutral body position Use reasonable operating forces Minimise repetitive actions Minimise sustained physical effort Loughborough Design School
  • 15. 7. Size and Space for Approach and Use Appropriate size and space are provided for approach, reach manipulation and use regardless of user’s body size, posture or mobility Provide a clear line of sight to important elements for any seated or standing user Make reach to all components comfortable for any seated or standing user Accommodate variations in hand and grip size Provide adequate space for the use of assistive devices or personal assistance Loughborough Design School
  • 16. Systems Engineering Initiative for Patient Safety Loughborough Design School
  • 17. DIAL-F model with service users as active members in a falls management system Loughborough Design School 17
  • 18. Falls Risks through the Eyes of an Older Hospital In-Patient: Hierarchical Task Analysis HTA developed iteratively with visits to: Coronary Care Unit Medical Ward (Older People) Orthopaedic (Trauma) Top level activities: Loughborough Design School
  • 19. Step 1: Decide to go to the toilet Loughborough Design School
  • 20. Step 4: Locate the Toilet Loughborough Design School
  • 21. 2012 Paralympics How much has it changed practice? Individual – yes (especially younger & sports players) Society – legacy design and plans to improve access What does it mean for design? Opportunity to make a step change from medical/economic models of disability using accessible/adaptable design to…. Inclusive Design (social model of disability) as the minimum standard Loughborough Design School