Stud Health Technol Inform
November 2024
Usability is understood as a critical component to the success of electronic health records and other related healthcare technologies. Usability testing methods routinely employ scripts that help researchers understand how a particular tool works under real world conditions. This scoping review sought to better understand the guiding frameworks, principles, and methodologies employed when generating usability testing scripts to better understand how script generation occurs.
View Article and Find Full Text PDFRecent advancements in the field of Artificial Intelligence (AI) provide promising applications of this technology with the aim of solving complex healthcare challenges. These include optimizing operational efficiencies, supporting clinical administrative functions, and improving care outcomes. Numerous AI models are validated in research settings but few make their way into useful applications due to challenges associated with implementation and adoption.
View Article and Find Full Text PDFBackground: Teledermoscopy has demonstrated benefits such as decreased costs and enhanced access to dermatology care for skin cancer detection. However, the heterogeneity among teledermoscopy studies hinders the systematic reviews' synopsis of diagnostic outcomes, impeding trust and adoption in general practice and limiting overall health care benefits.
Objective: This study aims to improve understanding and standardization of teledermoscopy diagnostic studies, by identifying and categorizing study characteristics contributing to heterogeneity.
Background: Artificial intelligence (AI) use cases in health care are on the rise, with the potential to improve operational efficiency and care outcomes. However, the translation of AI into practical, everyday use has been limited, as its effectiveness relies on successful implementation and adoption by clinicians, patients, and other health care stakeholders.
Objective: As adoption is a key factor in the successful proliferation of an innovation, this scoping review aimed at presenting an overview of the barriers to and facilitators of AI adoption in health care.
Stud Health Technol Inform
August 2024
Older adults (and caregivers) face important health-related decisions which can have important consequences on their well-being, independence, and outcomes (e.g., where to live, how to stay safe, where to get care).
View Article and Find Full Text PDFObjective: This scoping review aims to map the available literature and provide an overview of the published articles discussing the impact of electronic prescribing on medication errors and pharmacy workflow.
Methods: The literature search was conducted using PubMed, Web of Science, and the Cochrane Database of Systematic Reviews, as well as grey literature reports, using the search terms and related components of "pharmacists", "electronic prescribing", "medication errors", and "efficiency". The search included all articles that were published from January 2011 to September 2023.
With the advent of the digital health era, there has emerged a new emphasis on collecting health information from patients and their families using technology platforms that are both empathetic and emotive in their design to meet the needs and situations of individuals, who are experiencing a health event or crisis. Digital empathy has emerged as an aspect of interactions between individuals and healthcare organizations especially in times of crises as more empathetic and emotive digital health platforms hold greater capacity to engage the user while collecting valuable health information that could be used to respond to the individuals' needs. In this paper we report on the results of a scoping review used to derive an initial set of evidence-based empathetic or emotive design heuristics.
View Article and Find Full Text PDFThe design of user interfaces and systems that promote positive emotional interaction and reaction from end users is becoming a critical area in the design of applications and systems for use by the general population. In this paper we describe our work in the creation of a set of empathetic design heuristics that were developed from examination of the literature in this area within the context of healthcare user interface design. The heuristics and their potential application are explored.
View Article and Find Full Text PDFEmpathetic and emotive design is becoming increasingly important in the digital age. In this research we describe the results of a combined cognitive walkthrough and heuristic evaluation using newly developed, empirically derived empathy or emotive design heuristics. We applied the heuristics to the evaluation of four commonly used survey platforms.
View Article and Find Full Text PDFUnlabelled: Hospital@home is a healthcare approach, where patients receive active treatment from health professionals in their own home for conditions that would normally necessitate a hospital stay.
Objective: To develop a framework of relevant features for describing hospital@home care models.
Methods: The framework was developed based on a literature review and thematic analysis.
Introduction: Digital Health Technologies (DHTs) have been shown to have variable usability as measured by efficiency, effectiveness and user satisfaction despite large-scale government projects to regulate and standardise user interface (UI) design. We hypothesised that Human-Computer Interaction (HCI) modelling could improve the methodology for DHT design and regulation, and support the creation of future evidence-based UI standards and guidelines for DHTs.
Methodology: Using a Design Science Research (DSR) framework, we developed novel UI components that adhered to existing standards and guidelines (combining the NHS Common User Interface (CUI) standard and the NHS Design System).
Stud Health Technol Inform
February 2024
The rapid growth of digital health and use of technology has led to an increased demand for qualified professionals in the areas of health informatics (HI) and health information management (HIM). This is reflected by the growth in the number of educational programs and graduates in these areas. However, to develop a culture of digital health innovation in Canada, the role of research needs to be critically examined.
View Article and Find Full Text PDFCompetencies are the knowledge, skills, and abilities needed to operate and perform successfully in the workplace. Due to the evolving nature of health informatics, it is important continuously examine and refine competencies in this field. In this study, we administered a questionnaire to Canadian employers (N = 29) of health informatics cooperative education (co-op) students to garner their feedback on competencies within a New Health Informatics Professional Competencies Framework.
View Article and Find Full Text PDFIn this study, we highlight patients' experiences with metal hypersensitivity (MH) after receiving implantable medical devices (IMDs). We aim to identify gaps in clinical care and improve outcomes for individuals who have or may be sensitive to metals. Secondary data analysis from a previous interpretative phenomenological qualitative study was utilized.
View Article and Find Full Text PDFHospitals faced extraordinary challenges during the pandemic. Some of these were directly related to patient care-expanding capacities, adjusting services, and using new knowledge to save lives in a dynamically changing situation. Other challenges were regulatory.
View Article and Find Full Text PDFThe impact of Covid-19 on hospitals was profound, with many lower-resourced hospitals' information technology resources inadequate to efficiently meet the new needs. We interviewed 52 personnel at all levels in two New York City hospitals to understand their issues in emergency response. The large differences in IT resources show the need for a schema to classify hospital IT readiness for emergency response.
View Article and Find Full Text PDFStud Health Technol Inform
May 2023
COVID-19 remains an important focus of study in the field of public health informatics. COVID-19 designated hospitals have played an important role in the management of patients affected by the disease. In this paper we describe our modelling of the needs and sources of information for infectious disease practitioners and hospital administrators used to manage a COVID-19 outbreak.
View Article and Find Full Text PDFBackground: Hospital@home is a model of healthcare, where healthcare professionals actively treat patients in their homes for conditions that may otherwise require hospitalization. Similar models of care have been implemented in jurisdictions around the world over the past few years. However, there are new developments in health informatics including digital health and participatory health informatics that may have an impact on hospital@home approaches.
View Article and Find Full Text PDFHealthc Manage Forum
March 2023
A range of human factors issues are recognized as critical to the success of projects involving Health Information Technology (HIT). Problems related to the usability of HIT have come to the fore, with continued reports of systems that are non-intuitive and difficult to use and that may even pose safety risks. In this article, we consider a number of approaches from usability engineering and human factors that can be applied to improve the chances of system success and adoption.
View Article and Find Full Text PDFIntroduction: The discipline of health informatics emerged to address the need for uniquely skilled professionals to design, develop, implement, and evaluate health information technology. Core competencies are an essential pre-requisite for establishing a professional discipline such as health informatics. In 2012, Digital Health Canada released a framework (DHC Framework) for Canadian health informatics competencies.
View Article and Find Full Text PDFHealth technology quality and safety is an important issue for health informatics (i.e. digital health) professionals.
View Article and Find Full Text PDFBackground: The purpose of educational recommendations is to assist in establishing courses and programs in a discipline, to further develop existing educational activities in the various nations, and to support international initiatives for collaboration and sharing of courseware. The International Medical Informatics Association (IMIA) has published two versions of its international recommendations in biomedical and health informatics (BMHI) education, initially in 2000 and revised in 2010. Given the recent changes to the science, technology, the needs of the healthcare systems, and the workforce of BMHI, a revision of the recommendations is necessary.
View Article and Find Full Text PDFStud Health Technol Inform
November 2022
Evaluating conversational agents (CA) that are supposed to be applied in healthcare and ensuring their quality is essential to avoid patient harm. However, most researchers only study usability and use the CA in clinical trials before conducting such careful evaluation. In previous work, consensus on metrics for evaluating healthcare CA have been found.
View Article and Find Full Text PDFIn many ways health technology safety has improved significantly over the past few decades. Yet, we still have examples of incidents where safety of health technology systems of care have led to possible and actual safety incidents. In this paper we examine the complexity of errors in an increasingly complex and digitized system of care.
View Article and Find Full Text PDFThere is a need to determine the relative similarity and differences in safety issues across specific types of software and medical devices in order to develop standardized solutions that can be used across these technologies. Over the past several years, health informatics researchers have identified differing types of technology-induced errors or safety issues. This work has led to a literature that has been effective in identifying varying technology-induced errors.
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