Østervang Christina, Lassen Annmarie, Schmidt Thomas, Coyne Elisabeth, Dieperink Karin Brochstedt, Jensen Charlotte Myhre
Department of Emergency Medicine, Odense University Hospital, Odense, Denmark.
Department of Clinical Research, University of Southern Denmark, Odense, Denmark.
Digit Health. 2022 Dec 26;8:20552076221145856. doi: 10.1177/20552076221145856. eCollection 2022 Jan-Dec.
The successful development and implementation of sustainable healthcare technologies require an understanding of the clinical setting and its potential challenges from a user perspective. Previous studies have uncovered a gap between what emergency departments deliver and the needs and preferences of patients and family members. This study investigated whether a user-driven approach and participatory design could provide a technical solution to bridge the identified gap.
We conducted four workshops, and five one-to-one workshops with patients, family members, healthcare professionals, and information technology specialists to codesign a prototype. Revisions of the prototype were made until an acceptable solution was agreed upon and tested by the participants. The data were analyzed following iterative processes (plan → act → observe → reflect).
The participants emphasized the importance of a person-centered approach focusing on improved information. An already implemented system for clinicians' use only was redesigned into a unique patient module that provides a process line displaying continually updated informative features, including (1) person-centered activities, (2) general information videos, (3) a notepad, (4) estimated waiting time, and (5) the nurse and physician responsible for care and treatment.
Participatory design is a usable approach to designing an information system for use in the emergency department. The process yielded insight into the complexity of translating ideas into technologies that can actually be implemented in clinical practice, and the user perspectives revealed the key to identifying these complex aspects. The iterations with the participants enabled us to redesign an existing technology.
可持续医疗技术的成功开发与实施需要从用户角度理解临床环境及其潜在挑战。以往研究发现急诊科提供的服务与患者及其家属的需求和偏好之间存在差距。本研究调查了以用户为驱动的方法和参与式设计是否能提供一种技术解决方案来弥合已识别的差距。
我们与患者、家属、医护人员和信息技术专家举办了四场研讨会以及五场一对一研讨会，共同设计一个原型。对原型进行修订，直到参与者达成可接受的解决方案并进行测试。按照迭代过程（计划→行动→观察→反思）对数据进行分析。
参与者强调了以患者为中心、注重改善信息的方法的重要性。一个已实施的仅供临床医生使用的系统被重新设计成一个独特的患者模块，该模块提供一条流程线，展示不断更新的信息功能，包括（1）以患者为中心的活动，（2）一般信息视频，（3）一个记事本，（4）预计等待时间，以及（5）负责护理和治疗的护士和医生。
参与式设计是一种可用于设计急诊科信息系统的方法。该过程深入了解了将想法转化为可在临床实践中实际实施的技术的复杂性，而用户视角揭示了识别这些复杂方面的关键。与参与者的反复交流使我们能够重新设计现有技术。
