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Designing patient-centric information displays for hospitals

Published: 10 April 2010 Publication History

Abstract

Electronic medical records are increasingly comprehensive, and this vast repository of information has already contri-buted 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.

References

[1]
Bardram, J., Hansen, T. Soegaard, M. Large Interactive Displays in Hospitals: Motivation, Examples, and Challenges. CHI 2006 Workshop, Inf Visualization and Interaction Techniques for Collab Across Multiple Displays.
[2]
Bickmore, T., Pfeifer, L. and Jack, B. Taking the time to care: empowering low health literacy hospital patients with virtual nurse agents. Proc. CHI (2009), 1265--74.
[3]
Björvell, H. and Stieg, J. Patients' perceptions of the health care received in an emergency department. Annals of Emer. Med., 20, 7 (1991), 734--38.
[4]
Blinder, D., Rotenberg, L., Peleg, M. and Taicher, S. Patient compliance to instructions after oral surgical procedures. Int J Oral Maxillofac Surg., 30 (2001), 216--19.
[5]
Byrne, G., Heyman, R. Patient anxiety in the accident and emergency department. J Clin Nursing 6.4, 1997.
[6]
Dahlen, I., Janson, C. Anxiety and Depression are Related to the Outcome of Emergency Treatment in Patients with Obstructive Pulmonary Disease. Chest, 122, 5 (2002), 1633--1637.
[7]
Dourish, P., Bellotti, V. Awareness and coordination in shared workspaces. Proc. CSCW 1992, 107--14.
[8]
Engel, K., et al. Patient Comprehension of Emergency Department Care and Instructions: Are Patients Aware of When They Don't Understand? Annals of Emer. Med,53 (2009), 454--61.
[9]
Enquist, H., Tollmar, K. The memory stone: a personal ICT device in health care. NordiCHI 2008 358, 103--12.
[10]
Goldschmidt, L., Goodrich, G. Development and evaluation of a point-of-care interactive patient education kiosk. J Telemed Telecare, 10 (2004), 30--2.
[11]
Halamka, J., Mandl, K., and Tang, P. Early Experiences with Personal Health Records. JAMIA, 15, 1 (2008), 1--7.
[12]
Hawkey, K., Kellar, M., Reilly, D., Whalen, T. and Inkpen, K. The proximity factor: impact of distance on co-located collaboration. Proc Group 2005, 31--40.
[13]
Jones, R. The role of health kiosks in 2009: literature and informant review. Int J Environ Res Public Health, 6, 6 (2009), 1818--55.
[14]
Kessels, R. Patients' memory for medical information. J Royal Society of Med., 96 (2003), 219--22.
[15]
Ley, P. Memory for medical information. Br J Soc Clin psychol., 18 (1979) 245--55.
[16]
McGuire LC. Remembering what the doctor said: organization and older adults' memory for medical information. Exp Aging Res., 22 (1996) 403--28.
[17]
Nicholas, D., Huntington, P., Williams, P. Delivering consumer health information digitally: a comparison between the web and touchscreen kiosk. J Med Syst., 27, 1 (2003), 13--34.
[18]
Piper, A.M., Hollan, J.D. Supporting medical conversations between deaf and hearing individuals with table-top displays. Proc. CSCW (2008), 147--56.
[19]
Powers, R. Emergency Department Patient Literacy and the Readability of Patient-Directed Discharge Materials. Annals of Emer. Med., 17, 2 (1988), 124--6.
[20]
Safeer, R., Keenan, J. Health literacy: the gap between physicians and patients. Am Fam Physician, 72, 3 (2005), 463--8.
[21]
Su, R. and Bailey, B. Towards guidelines for positioning large displays in interactive workspaces. Proc. INTERACT, LNCS 3585, (2005) 337--349.
[22]
Tang, P.C. and Newcomb, C. Informing patients: a guide for providing patient health information. J Am Med Inform Assoc., 5, 6 (1998), 563--70.
[23]
Wigdor, D., Shen, C., Forlines, C., Balakrishnan, R., Effects of Display Position and Control Space Orientation on User Preference and Performance. Proc CHI 2006, 309--18.

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        cover image ACM Conferences
        CHI '10: Proceedings of the SIGCHI Conference on Human Factors in Computing Systems
        April 2010
        2690 pages
        ISBN:9781605589299
        DOI:10.1145/1753326
        Permission to make digital or hard copies of all or part of this work for personal or classroom use is granted without fee provided that copies are not made or distributed for profit or commercial advantage and that copies bear this notice and the full citation on the first page. Copyrights for components of this work owned by others than ACM must be honored. Abstracting with credit is permitted. To copy otherwise, or republish, to post on servers or to redistribute to lists, requires prior specific permission and/or a fee. Request permissions from [email protected]

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        Published: 10 April 2010

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        1. electronic medical records
        2. patient awareness

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        • (2024)Inpatient Experiences of Long-Term Monitoring: The Case of EEGCompanion Publication of the 2024 Conference on Computer-Supported Cooperative Work and Social Computing10.1145/3678884.3681899(511-518)Online publication date: 11-Nov-2024
        • (2023)Exploring patient, proxy, and clinician perspectives on the value and impact of an inpatient portal: A qualitative study (Preprint)JMIR Human Factors10.2196/52703Online publication date: 4-Oct-2023
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