This was the first time a multidisciplinary team employed an iterative co-design method to determine the ergonomic layout of an emergency ambulance treatment space. Fusari’s original contribution to the project was to develop a process which allowed the research team to understand how treatment protocols are performed and analytical tools to reach an optimum configuration for ambulance design standardisation.
In leading on the ergonomic layout of the ambulance interior, Fusari, researcher with Harrow (RCA, PI) and Ed Matthews (RCA, CI), conducted participatory observations during 12-hour shifts with front-line ambulance clinicians, hospital staff and patients to understand the details of their working environments in relation to urgent emergency calls. A simple yet accurate 1:1 mock-up of the existing ambulance was built for detailed analysis of these procedures through simulations. Paramedics participated in interviews, role-playing and co-design methods using visual cards to demonstrate how tasks are performed, equipment is used and current limitations overcome. In parallel, Fusari exhaustively audited (logging and photographing) all equipment and consumables used in ambulances, to define space use; 12 layout options were refined using CAD modelling, which were presented to paramedics. The preferred options and features were developed into a full-size test rig and appearance model.
A full-size mobile demonstrator unit featuring the evidence-based ergonomic layout was built for clinical testing through simulated emergency scenarios. Results from clinical trials clearly showed that the new layout improves infection control, speeds up treatment, and makes it easier for ambulance crews to follow correct clinical protocols.
The research was finalist in the 2011 Design for the Real World Redux International Design Competition; Winner, Design Museum Designs of the Year 2012 Award – Transport Category; Winner, Silver in the category of Research for the 2012 International Design Excellence Awards; and Notable Award Core77 2012 Design Awards in the Strategy & Research category.