Wilcox Lauren, Morris Dan, Tan Desney, Gatewood Justin
Department of Computer Science, Columbia University; Microsoft Research.
Microsoft Research.
Proc SIGCHI Conf Hum Factor Comput Syst. 2010 Apr 10;2010:2123-2132. doi: 10.1145/1753326.1753650.
Electronic medical records are increasingly comprehensive, and this vast repository of information has already contributed to medical efficiency and hospital procedure. However, this information is not typically accessible to patients, who are frequently under-informed and unclear about their own hospital courses. In this paper, we propose a design for in-room, patient-centric information displays, based on iterative design with physicians. We use this as the basis for a Wizard-of-Oz study in an emergency department, to assess patient and provider responses to in-room information displays. 18 patients were presented with real-time information displays based on their medical records. Semi-structured interviews with patients, family members, and hospital staff reveal that subjective response to in-room displays was overwhelmingly positive, and through these interviews we elicited guidelines regarding specific information types, privacy, use cases, and information presentation techniques. We describe these findings, and we discuss the feasibility of a fully-automatic implementation of our design.
电子病历越来越全面,这个庞大的信息库已经提高了医疗效率并改善了医院流程。然而,患者通常无法获取这些信息,他们常常了解不足,对自己的住院过程不清楚。在本文中,我们基于与医生的迭代设计,提出了一种以患者为中心的病房内信息展示设计。我们以此为基础,在急诊科进行了一次模拟实验研究,以评估患者和医护人员对病房内信息展示的反应。18名患者看到了基于他们病历的实时信息展示。对患者、家属和医院工作人员的半结构化访谈表明,对病房内展示的主观反应总体上是积极的,通过这些访谈,我们得出了关于特定信息类型、隐私、用例和信息呈现技术的指导原则。我们描述了这些发现,并讨论了我们设计全自动实施的可行性。