Department of Anesthesiology, Vanderbilt University School of Medicine, Nashville, TN 37212, USA; Center for Perioperative Research in Quality (CPRQ), Vanderbilt University School of Medicine, Nashville, TN 37212, USA.
Vanderbilt School of Nursing, Nashville, TN 37212, USA.
J Biomed Inform. 2010 Oct;43(5 Suppl):S27-S31. doi: 10.1016/j.jbi.2010.06.006.
The last mile of the medication use system requires tools to help patients comply with medication administration rules and monitor for side effects. Personal health records (PHR) and emerging user-adopted communication tools promise to change the landscape of medication management; however, no research has been done to demonstrate how these tools might be constructed to support children with special healthcare needs. The overarching goal of the MyMediHealth project was to investigate ways in which PHRs and supported applications can improve the safety and quality of medication delivery in this population.
This project employed user-centered design to identify requirements for a child-centered medication management system. We collected information through site visits, facilitated group discussions, and iterative design sessions with adult caregivers. Once design requirements were articulated and validated, we constructed an initial prototype medication scheduler, which was evaluated by 202 parents using scripted activities completed using an online interactive prototype. The results of this analysis informed the development of a working prototype.
We have completed a working prototype of a scheduling system, a text-message-based alert and reminder system, and a medication administration record based on web-entered patient data.
Pilot testing of the working prototype by stakeholders yielded strong endorsement and helpful feedback for future modifications, which are now underway as a part of an expanded project to test this system in a real-world environment.
用药系统的最后一英里需要工具来帮助患者遵守用药管理规则并监测副作用。个人健康记录 (PHR) 和新兴的用户采用的通信工具有望改变药物管理的格局；然而，尚未有研究表明如何构建这些工具来支持有特殊医疗需求的儿童。MyMediHealth 项目的总体目标是调查 PHR 和支持的应用程序如何改善这一人群的药物输送的安全性和质量。
该项目采用以用户为中心的设计方法，以确定面向儿童的药物管理系统的要求。我们通过现场访问、小组讨论以及与成年照顾者的迭代设计会议收集信息。一旦阐明和验证了设计要求，我们就构建了一个初始原型药物调度程序，该程序由 202 名家长使用在线交互式原型完成脚本活动进行评估。该分析的结果为开发工作原型提供了信息。
我们已经完成了调度系统、基于文本消息的警报和提醒系统以及基于患者输入的在线数据的药物管理记录的工作原型。
利益相关者对工作原型的试点测试得到了强烈认可，并为未来的修改提供了有帮助的反馈，这些修改现在正在进行中，作为在真实环境中测试该系统的扩展项目的一部分。
