ROOT CAUSE ANALYSIS - AED

UX RESEARCH HIGHLIGHTING ROOT CAUSE ANALYSIS ON AED CASE STUDY

SYNOPSIS

Applying a Modified Root Cause Analysis Framework to improve the AED User Experience through user research

COMPANY / CLIENT

PHILIPS

CROSS FUNCTIONAL TEAMS

Usability Engineering

ROLE

User Researcher Lead


BACKGROUND

This research effort focuses on assessing the current AED user experience & identifying opportunities for improvement. A portion of the research is highlighted to exemplify my use of Root Cause Analysis to to discover opportunities.

Below is the step-by-step instruction booklet showing users how to operate the AED unit.


APPROACH - ROOT CAUSE ANALYSIS

A Modified Root Cause Analysis approach is used to identify the UX improvement opportunities. This framework has been modified to include other User Research principles from Design-Thinking, Human-Centered-Design, and IEC 62366-1 standard. The inspired modifications include:

  • Qualitative user research to collect data regarding use scenario. This follows the framework of: Users | Environment | Context

  • Incorporating Users’ Direct input when assessing Possible Root Causes

  • Iterative Prototype testing

  • Formative & Summative testing

By including users’ input early on, we’re able to better understand how the units are utilized under real-world conditions

Below is an outline of the revised Root Cause Analysis


1. PROBLEM STATEMENT

Users are confused about the AED operation instructions. Specifically, some users are not properly removing victim’s clothes, thus allowing the remaining clothing to interfere with the AED Pads’ shock delivery.

Image below highlights the problematic portions of the Instructional User Flow as indicated by the problem statement.

QUALITATIVE RESERACH METHODS APPLIED:


2. DATA COLLECTION

To further collect information regarding the USER | ENVIRONMENT | CONTEXT , the following research method was applied.

1-on-1 Interviews & Contextual inquiry with affected Users

  • 10-12 participants spread across

    • Gender

    • Age groups

    • Environment

      • Public vs. Private Spaces

      • Spacious vs. Tight

      • Ambient Noise Level


3. ANALYZE FOR ROOT CAUSE

A combination of the following methods were used to identify possible Root Causes.

FAULT TREE ANALYSIS / 5 WHY’S

FISH BONE DIAGRAM

POSSIBLE ROOT CAUSES

The following possible Root Causes are identified:

**Note: In additional to internal stakeholder review, we will be verifying our hypothetical root causes directly with users in order to gain a more complete perspective. Verification will occur in the later stages through User Research.

UNCLEAR INSTRUCTION ILLUSTRATIONS

The following factors contributed to visual miscomprehension:

  • monochromatic illustrations makes it harder to tell whether base skin is exposed & ready for AED pad application.

  • missing visual showing scissors utilization

  • missing visual of both genders; specifically, depicting the female scenario & the necessary removal of undergarment/bra

UNAWARE OF SCISSORS LOCATION WHEN REMOVING INHIBITIVE CLOTHING

  • Some users indicate that it was difficult to remember where the scissor is located during stressful real-world conditions

SPOKEN INSTRUCTION NOT AUDIBLE

  • Some users indicate that it was difficult to hear & decipher the auditory instructions from the unit’s speakers.


4. DEVISE POSSIBLE SOLUTIONS

BOOST AUDITORY INSTRUCTION

  • Increase volume of unit speaker

IMPROVED INSTRUCTION ILLUSTRATION

  • Apply color to illustrations in order to differentiate between clothing vs. exposed skin

  • Added visual showing scissors utilization

  • Added visuals show scenarios with both genders

    • Male - Cut open clothing covering torso

    • Female - Cut open clothing covering torso. This may include undergarment/bra

INDICATE SCISSORS LOCATION (HELP REMOVE INHIBITIVE CLOTHING)

  • Add visual showing scissors location


5. PROTOTYPE + TEST (FORMATIVE USABILITY & ITERATIVE TESTING)

This where I modified the Root Cause Analysis to encompass elements from Formative Usability & Human-centered-design Iterative testing. I applied Iterative rounds of mixed method user-research in order to gain substantive insights.

QUANTITATIVE RESERACH APPROACH - SURVEY

  • Conducive to only verifying insights regarding improved diagrams only. The auditory instruction testing is not conducive to survey testing because we won’t be close to testing under real-world conditions.

QUALITATIVE RESERACH APPROACH

  • 2 rounds of moderated 1-on-1 interviews with affected Users

    • Usability Testing & Contextual inquiry

    • A-B Testing

  • Test all proposed concepts

  • 10-12 participants spread across

    • Gender

    • Age groups

    • Environment

      • Public vs. Private Spaces

      • Spacious vs. Tight

      • Ambient Noise Level

RESEARCH TEST RESULTS

After several rounds of mix-method research testing, here’s the breakdown of the proposed changes effectiveness:

MOST IMPACTFUL:

  • Diagram updates to better instruct clothing removal

  • Diagram updates to remind users of the scissor location

MINIMALLY IMPACTFUL:

  • Increasing speaker volume - There is too much variance in ambient environmental noise to impactfully affect users’ ability to hear the instructions.


6. IMPLEMENT & MONITOR EFFECTIVENESS

Given the revised diagrams are proven to show the most impact, those will be the implemented changes. We will continue to monitor its real-world effectiveness as it encounters various scenarios. Implementation is sometimes preceded by Summative Usability Testing, if we need to pass FDA approval.


For the most part, Root Cause Analysis’ framework is applied without much change. The only changes implemented were the following:

  • By applying formative user-testing and qualitative user interviews, we un-earthed a more complete collection of possible root causes

  • By Iteratively user-testing possible solutions, we were able to quickly optimize the resolution approach to fix the problem’s root cause

Involving the user throughout the process allow the solution to quick evolve to better address the root cause.

RETROSPECTIVE