University of Twente Student Theses


Participatory design approach to improve the communication between care providers through the electronic health record

Wolbers, S. (2015) Participatory design approach to improve the communication between care providers through the electronic health record.

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Abstract:Preliminary Research: This chapter has discussed the EHR, the Quality of Care, and the users of the EHR and their needs. The EHR is a complex system with many benefits and drawbacks. Table 2.1 showed that the EHR could improve the Quality of Care by supporting qualitative documentation, decision support, cli-ent portals, evidence-based and validated standards, and cooperation among professionals. The professionals have different needs according to the EHR. They all need the right information at the right moment. ECPs are allowed to see a lot of information about the clients they care for, which makes that they have a specific need to see the most important information for them. They also communicate with many different disciplines. The nurse aides on the other hand, mainly need the EHR to know what they need to do today. Especially changes in the plan and the current situation of a client are important information aspects for them. Nurses have to communicate a lot, just like the ECPs. Furthermore they need to easily understand the progress of the situation of a client to indicate whether action or change is needed. Communication: Communication is more than talking or transferring information. In this chapter the term was unravelled based on six questions (who, what, where, when, why and how). Many aspects that were found are dependent on other aspects. How a person communicates depends on the goal of his message and the current situation (environment, timing, person). Many communications takes or could take place through the EHR. It is therefore important to keep in mind which aspects of communication change when a certain design decision is made. Establishment of requirements: The goal of phase 1 was to establish the requirements of this research. Users of different EHRs and different disciplines were asked to participate in generative sessions to envision their ideal EHR. The results have been analysed and ordered into twelve categories. Not all issues can be handled in one research, so choices had to be made. It has been chosen to focus on the communi-cation that takes place while writing and reading the reports about a client. The concept that has been designed has some added functionalities beside the standards (input field and list of reports), like the option to send a message to a colleague, to tag reports and to add a task. In the next phase this design has been presented to the participants of this research. The goal of this next phase is to verify and improve the concept of this chapter. Verification and improvement of the functionalities: In this second phase of the research the assumptions made in the first phase were verified. A paper prototype was created, on which the participants could comment and could provide input to im-prove the concept. The comments have been analysed using the list of requirements and an im-proved concept has been created. Other applications of Nedap (Ons Messages and Ons Tasks) are coupled to the interface. By using a mobile-first approach, more structure is brought into the de-sign. Some features (like selecting parts of a report to couple to a goal) are left out, other features (like the prevention of sending messages to absent colleagues) have been added. This concept is tested on usability in the last user meeting (chapter 10).
Item Type:Essay (Master)
Faculty:EEMCS: Electrical Engineering, Mathematics and Computer Science
Subject:54 computer science
Programme:Interaction Technology MSc (60030)
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