Usability of implementing a tablet-based decision support and integrated record- keeping (DESIRE) tool in the nurse management of hypertension in rural Kenya
| Autor: | Evan, Blank, Nelly, Tuikong, Lawrence, Misoi, Jemima, Kamano, Claire, Hutchinson, Sylvester, Kimaiyo, Valentin, Fustera, Martin, Were, Rajesh, Vedanthan |
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| Rok vydání: | 2013 |
| Předmět: |
Rural Population
Meaningful Use Medical Errors Decision Support Systems Information Storage and Retrieval Decision Support Systems Clinical Kenya Article Systems Integration User-Computer Interface Health Records Personal Computers Handheld Hypertension Utilization Review Nursing Informatics Electronic Health Records Humans Root Cause Analysis Medical Record Linkage Software Clinical |
| Zdroj: | Studies in health technology and informatics |
| ISSN: | 1879-8365 |
| Popis: | In sub-Saharan Africa (SSA), cardiovascular disease (CVD) is the leading cause of death among individuals over the age of 30. Hypertension, a major risk factor for CVD, contributes significantly to the CVD burden in SSA. In order to address the human resource challenge of managing hypertension in low- and middle-income countries (LMICs), task-shifting hypertension care from physicians to nurses has been proposed. To support this task-shifting strategy, the Academic Partnership Providing Access to Healthcare (AMPATH) has developed an Android tablet-based electronic Decision Support and Integrated Record-Keeping (DESIRE) tool to record patient data and assist with clinical decision-making. We investigated the usability of the DESIRE tool in the setting of nurse management of hypertension in rural western Kenya through the use of “mock patient” encounters and “think aloud” exercises. Fiftyseven critical incidents were identified and twenty-three design changes were suggested. Optimization of the tool has the potential to broadly impact treatment of non-communicable diseases in LMICs by providing a model of electronic decision-support in task shifting. |
| Databáze: | OpenAIRE |
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