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Invited Commentary
August 2018

The Importance of User-Centered Design and Evaluation: Systems-Level Solutions to Sharp-End Problems

Author Affiliations
  • 1Division of Healthcare Delivery Science, Department of Population Health, NYU School of Medicine, New York
  • 2Center for Healthcare Innovation and Delivery Science, NYU Langone Health, New York
  • 3Division of General Internal Medicine and Clinical Innovation, Department of Medicine, NYU School of Medicine, New York
JAMA Intern Med. 2018;178(8):1023-1024. doi:10.1001/jamainternmed.2018.1902

The 2002 severe acute respiratory syndrome outbreak in Asia and the 2014 Ebola virus disease outbreak in Africa collectively infected thousands of health care workers and dramatically raised their consciousness about the correct use of personal protective equipment (PPE). A combination of intensive training, ample equipment, rigorous protocols, direct observation, and triage of patients to specialized centers ensured that only 3 of the hundreds of health care workers who cared for 24 patients with Ebola infection in the United States and Europe became infected.1

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