A User-Centered design and usability testing of a web-based medication reconciliation application integrated in an eHealth network
| Autor: | Anne Spinewine, Delphine Legrand, Gustavo Ospina, Jimmy Nsenga, V. Ramon, Ravi Ramdoyal, Sophie Marien |
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| Přispěvatelé: | UCL - SSS/LDRI - Louvain Drug Research Institute, UCL - (MGD) Département de pharmacie, UCL - (SLuc) Service de gériatrie |
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Male
Process management 020205 medical informatics Health information technology Computer science Interoperability Web-application Health Informatics 02 engineering and technology Workflow User-Computer Interface 03 medical and health sciences Patient safety Inpatient and outpatient care Medication Reconciliation 0302 clinical medicine Usability testing Surveys and Questionnaires 0202 electrical engineering electronic engineering information engineering eHealth Humans Web application 030212 general & internal medicine User-centered design Internet business.industry Usability Telemedicine Systems Integration Iterative user-centered design Continuity of care Medication reconciliation Female Patient Participation business |
| Zdroj: | International Journal of Medical Informatics, Vol. 126, p. 138-146 (2019) |
| Popis: | Background Medication discrepancies, which are a threat to patient safety, can be reduced by medication reconciliation (MedRec). MedRec is a complex process that can be supported by the use of information technology and patient engagement. Therefore, the SEAMPAT project aims to develop a MedRec IT platform based on two applications. The application for the professionals is called: the “MedRec app”. Objective In the present study, we aimed to describe the development and usability testing of the MedRec app, reporting results of a three iterations user-centered usability evaluation. Methods We used a three phase iterative user-centered study spread over 16 months. At each phase, the usability evaluation included several methods (observations, questionnaires, and follow-up discussions with participants) to collect quantitative and qualitative data in order to improve the current prototype and evolve to the next prototype. Results In total, 48 healthcare professionals (25 general practitioners and 23 hospital clinicians) participated to the MedRec app evaluation. There were 14, 32 and 5 participants for phases 1, 2 and 3 respectively. At each phase, many design modifications were done to strengthen usability. Concerning usability, participants considered the prototypes as an acceptable interface with a median System Usability Score of 73 at phase 2 and 75 at phase 3. Participants emphasized the need for improvements concerning workflow integration, usefulness and interoperability. Conclusion The MedRec app was perceived as being useful, usable and satisfying. However, further improvements are required in several usability aspects. Our study demonstrates the importance of conducting usability assessments before investing time and resources in a large study evaluating the effect of an eMedRec approach on clinical outcomes. Our findings may also increase the chances of acceptability and sustained use over time by clinicians. |
| Databáze: | OpenAIRE |
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