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- Hägglund, Maria, et al.
(author)
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Integrated Care Plan for Shared Home Care : the technical architecture
- 2005
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In: Journal on Information Technology in Healthcare. - Wallington : Optimum. - 1479-649X. ; 3:5, s. 287-294
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Journal article (peer-reviewed)abstract
- The move towards decentralising healthcare services from traditional care settings towards home care has produced new requirements for care planning and documentation of procedures performed in the home environment. To meet these requirements, a virtual care plan (VCP) has been developed that gives both district nurses and home help service personnel (HHS) access to their respective care plans in a mobile work situation. In this paper we present the technical architecture of this VCP, and describe how it integrates information from different feeder systems and allows for documentation at the point of care (POC) using mobile devices.
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- Hägglund, Maria, et al.
(author)
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Studying intersection points – an analysis of information needs in shared homecare of elderly
- 2009
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In: Journal on Information Technology in Healthcare. - Taipei : Health level seven Taiwan. - 1479-649X. ; 7:1, s. 23-42
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Journal article (peer-reviewed)abstract
- Objectives: Elderly patients are increasingly receiving care in their own homes but this process is not well supported by existing systems which suffer from limited integration of health and social care services. The result is fragmentation of care, lack of coordination between services, duplication of services, and limited participation of patients and informal carers in the care process. In this study we attempt to identify the key intersection points, i.e. where different actors involved in the homecare of elderly patients interact, and to analyse their individual information requirements. How these requirements can be met using information and communication technology (ICT) is discussed.Methods: The study involved 13 participants representing professional health and social careworkers, patients and relatives. Their interactions and information needs were obtained using a variety of methods including multi-disciplinary thematic seminars, participatory observations, interviews, inventory of current information systems, scenarios, sketching and prototyping. Results: The key intersection points where information exchange between different actors isneeded are (i) Initiation of patient specific changes in homecare provision, (ii) Consultations, (iii) Delegation of duties, (iv) Referrals, (v) Important health events and general care (vi) Coordination of planned activities. Shared information objects which would be beneficial include(i) Contact information of all parties, (ii) Patient care plan, (iii) Patient's medication list, (iv) Risk factors, (v) Updates to medical records, (vi) Patient medical summaries, (vii) Patient centred calendar (viii) Assessment of their homecare needs. An ICT solution implemented to meet these requirements must be integrated with existing systems to minimise any additional work that staff will have to do and also address major issues such as security, design of mobile applications (including both interface design and synchronisation issues), interoperability and ethical and legal aspects. Conclusion: This study has identified the information that needs to be shared at key intersection points between different actors involved in providing homecare for the elderly. It has also indicated how this information can be made available through ICT and highlighted the challenges that will have to be overcome in order to support patient centred care.
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- Johnson, Ericka, 1973-, et al.
(author)
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Evaluating instruction of medical students with a haptic surgical simulator : The importance of coordinating students' perspectives
- 2004
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In: Journal on Information Technology in Healthcare. - 1479-649X. ; 2:3, s. 155-163
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Journal article (peer-reviewed)abstract
- Objective: To examine the practices surrounding the use of a surgical simulator in training medical students. Design: Non-randomised observational study. Setting: Teaching hospital in Sweden. Methods: Two separate studies were performed using a haptically enabled (i.e. providing tactile feedback) surgical simulator. In the first study a total of 46 students and two instructors were observed as the students trained their speed and accuracy in locating spheres in a simulated abdomen, shoulder and knee. Through qualitative analysis of video of the instructors' teaching, methods for reconstituting medical practice in the simulations were observed. In the second, quantitative, study, a subgroup of 30 students performed two tests on the simulator, the first relying solely on the on-screen instructions available with the simulator and the second after receiving individual instruction from a practising surgeon. The difference between these two scores was analysed and students were asked to evaluate their experience of the simulator and training session. Results: The first study demonstrated what methods the instructors used to help students relate the computer screen image to human anatomy, and to make the training with the simulator clinically relevant and authentic. The instructors did this by actively aligning and coordinating the students' perspectives, and by reconstituting patient bodies into the simulation. In the second study the students' test results were significantly improved after receiving instruction from the surgeon. Conclusion: The results from these two studies demonstrate the important role that instructors play in simulator training. They also suggest practices to consider when designing a programme for simulator training.
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- Meiland, Franka J., et al.
(author)
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COGKNOW: Development of an ICT device to support people with dementia
- 2007
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In: Journal on Information Technology in Healthcare. - 1479-649X. ; 5:5, s. 324-334
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Journal article (peer-reviewed)abstract
- Objective: To develop a successful user-validated cognitive prosthetic device with associated services to help persons with mild dementia.Setting: The ICT solution will be developed by a consortium of eleven institutes in eight countries in Europe. It will be tested and evaluated by users (persons with dementia and their carers) in 3 European cities - Amsterdam, Belfast and Luleå.Methods: To identify and analyse the needs of persons with dementia, workshops and interviews were conducted with Alzheimer patients suffering from mild dementia, and their carers in three European cities. A literature search was also performed to identify existing proven effective ICT solutions for persons with dementia.Results: The most important needs and the most preferred ICT solutions identified by participants were (i) Activity reminders e.g. for eating meals; (ii) Item locators; (iii) Picture dialling to keep in contact with family and friends; (iv) Support for pleasure activities; (v) Enhancement of feelings of safety. Conclusion: Based on the needs identified, a prototype solution will be built, tested and modified as an iterative process. The device will ultimately be evaluated to see if it can enhance feelings of autonomy and quality of life of persons with dementia.
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| 7. |
- Scandurra, Isabella, 1973-, et al.
(author)
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Heuristic Evaluation Extended by User Analysis : A fast and efficient method to identify Potential Usability Problems in Health Information Systems
- 2006
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In: Journal on Information Technology in Healthcare. - Wallington : Optimum. - 1479-649X. ; 4:5, s. 317-325
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Journal article (peer-reviewed)abstract
- Heuristic evaluation is a usability testing method for computer software that helps to identify usability problems in the user interface (UI) design. It specifically involves evaluators examining the interface and judging its compliance with recognised usability principles (the "heuristics"). Despite the benefits of this practice, to our knowledge formal heuristic evaluation is rarely performed for healthcare software applications, and particularly for those used in home care. In this paper we present a heuristic evaluation aimed at improving the usability of a virtual health record used by district nurses in home care. A user analysis was added to the conventional evaluation, defining specific characteristics of district nurses in home care, e.g. expertise, skills, knowledge, cognitive capacities and frequency of system use. The evaluation was performed by 6 people, half of which had both heuristic evaluation experience and medical domain knowledge. The evaluators used 10 heuristics to categorise heuristic violations and usability problems. Fifty-eight heuristic violations and 44 usability problems were identified. Based on a scale of 1 (cosmetic) to 4 (catastrophic) the average severity ratings of all heuristic violations identified was 1.78. The most frequently violated were "Consistency and Standards" for novice users and "Flexibility and efficiency of use" for Experienced users. The most severe violations were found in "Visibility of system status". The results of our study indicate that heuristic evaluation combined with user analysis provides a richer assessment than heuristic evaluation alone for the development of Health Information Systems where heterogeneous user groups are common.
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| 9. |
- Scandurra, Isabella, 1973-, et al.
(author)
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Specific demands for developing ICT systems for shared home care : a user centred approach
- 2005
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In: Journal on Information Technology in Healthcare. - Wallington : Optimum. - 1479-649X. ; 3:5, s. 279-285
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Journal article (peer-reviewed)abstract
- When different care professionals are involved in patient care without proper coordination, the care process may not be meaningfully integrated. To address this issue we have analysed the specific demands for shared home care employing a user-centred system development method and working in close cooperation with district nurses, home helpers and general practitioners. Through this experience we have gained insight into the specific demands that should be taken into consideration when developing information communication technology (ICT) systems for shared home care. This paper describes these requirements and also how a user-centred system engineering approach can assist in improving cooperation in shared home care.
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