| 1. |
- Fredriksson, Johan, et al.
(författare)
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Effects of mobile video-mediated communication for health care professionals in advanced home care of children
- 2014
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Ingår i: 27th IEEE International Symposium on Computer-Based Medical Systems. - Los Alamitos, California : IEEE Computer Society. - 9781479944354 ; , s. 363-368, s. 363-368
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Konferensbidrag (refereegranskat)abstract
- In this paper we explore the use of a mobile video-conferencing tool (MVCT) in advanced home care of children. We present the results from a qualitative study where we have evaluated mobile video communication between the patient's home and the hospital unit. Our results show that mobile video enhances communication between home care teams and medical staff at the unit, makes more effective use of practitioners' time and that the equipment have additional values for staff that extend beyond video communication. Challenges identified are related to technical problems, limitations in the MVCT's design and the concern that the inability to handle problems may affect health care professionals' role as an authority. The benefits of the MVCT rely to a great extent on individual users' creativity and the willingness of key actors in the organization's management to find ways of improving the present home care format.
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| 2. |
- Frykholm, Oscar, 1975-
(författare)
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Case-based presentation in medical multidisciplinary team meetings : Applied research in CSCW and IxD
- 2013
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Advanced medical technology is widely used in modern healthcare, as more and more specialised examinations and treatments are performed on patients. In the case of particularly complex diseases, a number of medical specialists, each an expert in their own field, must collaboratively make diagnoses and plan for treatment. In multidisciplinary team meetings (MDTM), the medical specialists present their pieces of the puzzle, stitch them together and in consensus make a decision. A large amount of information from several sources must be taken into account, but the digital tools to support this decision-making are lacking.This thesis describes research in which engineers and medical specialists have cooperatively developed such a tool. The main research question concerns improving patient information visualisation to support the collaborative work in MDTMs; a secondary question concerns the role of interaction design in medical work. Several design activities have been conducted together with the medical specialists by utilising research methods derived from computer- supported cooperative work (CSCW) and interaction design (IxD). The new tool has been evaluated in two simulated MDTMs and even though it was developed with the users, the results cut both ways.Case-based presentation of patients in MDTMs has a positive effect, as more information can be displayed during discussions. It helps the participants keep a shared focus on the patient, her medical history, results from examinations, and decisions made in the meeting. It is a new and aggregated view of the patient and an example of how patient information visualisation can be improved. On the other hand introducing new technology and new ways of interacting with information, in the meetings was not considered entirely positive. The participants have different roles and tasks in the meeting, and the tools should support these without distracting the shared focus.This practical way of working (conducting field studies, design activities and evaluations) together with ingenious medical specialists can make a difference. By exploring and concretising stakeholders’ needs and making long-term commitments, the interaction designer can take a central position in the deve- lopment of digital, collaborative tools for medical work.
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| 3. |
- Frykholm, Oscar, et al.
(författare)
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Interaction design in a complex context : medical multi-disciplinary team meetings
- 2012
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Ingår i: The 7th Nordic Conference on Human-Computer Interaction: Making Sense Through Design. - New York, NY, USA : ACM. - 9781450314824 ; , s. 341-350
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Konferensbidrag (refereegranskat)abstract
- In order to improve collaboration on, and visualisation of, patient information in medical multi-disciplinary team meetings, we have developed a system that presents information from different medical systems to be used as a support for the decision process. Based on field studies, we have implemented a high-fidelity prototype on tablet-sized displays, and tested it in a realistic setting. Our evaluation proved that more patient information can efficiently be displayed to all meeting participants, compared to the current situation. Interaction with the information, on the other hand, proved to be a complicated activity that needs careful design considerations; it should ultimately be based on what roles the meeting participants have, and what tasks they should complete. Medical decision-making is a complex area, and conducting interaction design in this area proved complex too. We foresee a great opportunity to improve medical work, by introducing collaborative tools and visualisation of medical data, but it requires that interaction design becomes a natural part of medical work.
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| 4. |
- Frykholm, Oscar, et al.
(författare)
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Medicine meets engineering in cooperative design of collaborative decision-supportive system
- 2010
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Ingår i: IEEE 23rd International Symposium on Computer-Based Medical Systems (CBMS). - Perth, WA : IEEE conference proceedings. ; , s. 116-121
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Konferensbidrag (refereegranskat)abstract
- Researchers in Human-Computer Interaction have worked together with physicians to specify and create prototypes of a system to be used primarily during multi-disciplinary team meetings. Physicians will use the system to aggregate and present relevant patient information during discussions on diagnosis and treatment, and also to coordinate the cases during the patient care pathway. In this paper we present the cooperative design process and activities conducted within the project. The results are two-fold; we report on the progress of creating the decision-supportive system, and describe how the physicians experience the design process. The design activities have made the physicians reflect on: the lack or loss of patient information, how patient information can be improved, break-downs in their work process, how they learn from each other, and the design methodology itself.
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| 5. |
- Frykholm, Oscar, et al.
(författare)
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References to personal experiences and scientific evidence during medical multi-disciplinary team meetings
- 2011
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Ingår i: Behavior and Information Technology. - 0144-929X .- 1362-3001. ; 30:4, s. 455-466
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Tidskriftsartikel (refereegranskat)abstract
- We present a field study of medical multi-disciplinary team meetings (MDTMs) where decisions are made concerning the diagnosis and treatment of patients suffering from diseases in the upper abdomen. The study shows how evidence is referred to during weekly team meetings; this evidence is related both to scientific studies and to personal experiences of similar cases. We focus on the conversations during the meetings, on the complicated nature of the cases and on the details in the discussions that led the meeting participants to refer to scientific evidence or previous cases. We identify possibilities for improving the use of already documented information from medical records, in order to identify clinically relevant similarities and to bring additional information into the treatment discussion.
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| 6. |
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| 7. |
- Groth, Kristina, et al.
(författare)
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Clinical journal: a collaborative shared medical workspace
- 2011
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Ingår i: CSCW '11 Proceedings of the ACM 2011 conference on Computer supported cooperative work. - NewYork, USA : ACM. ; , s. 633-636
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Konferensbidrag (refereegranskat)abstract
- We describe our findings from a cooperative design effort of a shared medical workspace used in multi-disciplinary team meetings, as well as during other activities in a patient care pathway for highly specialised care. In collaboration with surgeons, sketches of such a system have been developed and evaluated. Our findings point out the importance of overview and visualisation of the information
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| 8. |
- Groth, Kristina, et al.
(författare)
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Coordination in highly-specialized care networks
- 2013
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Ingår i: Proc. ACM Conf. Comput. Support. Coop. Work CSCW. - New York, NY, USA : ACM. - 9781450313322 ; , s. 143-148
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Konferensbidrag (refereegranskat)abstract
- We present a field study of coordination of work in centralized highly-specialized gastro surgical care, with a large number of patients being routinely referred from participating referral hospitals. We provide a description of the organization and coordination of work at the clinic where surgery is performed in this process. A key part of the study is the description of a "Coordinator" role and a fairly rigid workflow system referred to as the Care Chain that is used to help manage interdependencies within the care process.
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