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Multi-diciplinary design and implementation of a mass vaccination clinic mobile application to support decision-making

Tennant, Ryan (författare)
Department of Systems Design Engineering, University of Waterloo, Ontario, Canada
Tetui, Moses (författare)
Umeå universitet,Institutionen för epidemiologi och global hälsa,School of Pharmacy, University of Waterloo, Waterloo, Canada
Grindrod, Kelly (författare)
School of Pharmacy, University of Waterloo, Ontario, Canada
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Burns, Catherine M. (författare)
Department of Systems Design Engineering, University of Waterloo, Ontario, Canada
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 (creator_code:org_t)
IEEE, 2023
2023
Engelska.
Ingår i: IEEE Journal of Translational Engineering in Health and Medicine. - : IEEE. - 2168-2372. ; 11, s. 60-69
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
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  • Mass vaccination clinics are complex systems that combine professionals who do not typically work together. Coordinating vaccine preparation and patient intake is critically important to maintain patient flow equilibrium, requiring continuous communication and shared decision-making to reduce vaccine waste.Objectives: (1) To develop a mobile application (app) that can address the information needs of vaccination clinic stakeholders for end-of-day doses decision-making in mass immunization settings; and (2) to understand usability and clinical implementation among multi-disciplinary users.Methods: Contextual inquiry guided 71.5 hours of observations to inform design characteristics. Rapid iterative testing and evaluation were performed to validate and improve the design. Usability and integration were evaluated through observations, interviews, and the system usability scale.Results: Designing the app required consolidating contextual factors to support information and workload needs. Twenty-four participants used the app at four clinics who reported its effectiveness in reducing stress and improving communication efficiency and satisfaction. They also discussed positive workflow changes and design recommendations to improve its usefulness. The average system usability score was 87 (n=22).Discussion: There is significant potential for mobile apps to improve workflow efficiencies for information sharing and decision-making in vaccination clinics when designed for established cultures and usability, thereby providing frontline workers with greater time to focus on patient care and immunization needs. However, designing and implementing digital systems for dynamic settings is challenging when healthcare teams constantly adapt to evolving complexities. System-level barriers to adoption require further investigation. Future research should explore the implementation of the app within global contexts.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)

Nyckelord

Decision support systems
human factors
mass vaccination clinics
mobile applications
usability testing

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Tennant, Ryan
Tetui, Moses
Grindrod, Kelly
Burns, Catherine ...
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