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运用以用户为中心的设计理念于电子健康记录(EHR)中,以促进肿瘤学中的以患者为中心的护理。

Applying User-Centered Design in the Electronic Health Record (EHR) to Facilitate Patient-Centered Care in Oncology.

机构信息

Memorial Sloan Kettering Cancer Center, New York, NY.

Weill Cornell Graduate School of Medical Sciences, New York, NY.

出版信息

AMIA Annu Symp Proc. 2021 Jan 25;2020:833-839. eCollection 2020.

PMID:33936458
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8075506/
Abstract

Patient-centered care is an essential component of quality health care. To support patient-centered care initiatives at our institution, we created a feature in our EHR to centrally view information about the patient's values, goals and preferences. We applied user-centered design methods to ensure that the aggregate view was easy to use and would meet user needs. We created a six-week plan to iterate through increasingly detailed design mock-ups. We defined 7 user stories that later served as a basis for user testing scripts. We conducted user testing on our third design iteration; we reached theme saturation with 8 testing sessions. We incorporated findings into the fourth design (week 6) but continued to refine the design in parallel to development (through week 20+). The advance directives section required the most attention. We will use a pilot and additional user testing to validate the design and to inform future versions.

摘要

以患者为中心的护理是高质量医疗保健的重要组成部分。为了在我们的机构中支持以患者为中心的护理计划,我们在电子健康记录中创建了一个功能,以便集中查看有关患者价值观、目标和偏好的信息。我们应用了以用户为中心的设计方法,以确保总体视图易于使用并满足用户需求。我们制定了一个六周计划,通过逐步设计模拟来迭代。我们定义了 7 个用户故事,这些故事后来成为用户测试脚本的基础。我们在第三次设计迭代中进行了用户测试;在 8 次测试会议中达到了主题饱和。我们将研究结果纳入了第四次设计(第 6 周),但在开发过程中(第 20 周及以后)仍继续改进设计。预立医嘱部分需要特别关注。我们将使用试点和额外的用户测试来验证设计并为未来版本提供信息。

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本文引用的文献

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Giving Voice to Patient Values Throughout Cancer: A Novel Nurse-Led Intervention.在癌症全程中彰显患者价值观:一种新型护士主导的干预措施。
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