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      Electronic Medical Records: Provotype visualisation maximises clinical usability

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      , , ,

      Electronic Visualisation and the Arts (EVA)

      Electronic Visualisation and the Arts

      9 - 13 July 2018

      Electronic medical record, Visualisation, Information architecture, Usability, Provotype, Psychology

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            Abstract

            The Electronic Medical Record (EMR) is the essential tool of the clinical consultation, effectively replacing the paper medical record. Since its gradual adoption in the early 2000s there has been a failure to achieve even moderate levels of EMR usability in clinical settings, resulting in a negative impact on clinical care, time efficiency and patient safety. This research explores how deeper collaboration with clinical users through participatory design, drawing on the disciplines of visual design, user experience (UX) design and visual analytics, might offer a more effective approach to this important problem. The lead researcher for this project is both a practising doctor and design researcher. Usability of two commercial EMR interfaces in the field of sexual health is explored through a mixed method survey, with responses used to inform the design of an interface provotype. This in turn is evaluated through repeat survey and ‘test-drive’ talk-aloud workshops. Results from the survey on two commercial EMR interfaces (n=49) revealed deep dissatisfaction particularly around issues of navigation, flow of consultation, frustration, safety, time-dependent and time-independent data, data complexity and data salience. Comparative provotype evaluation (n=63) showed that clinically-relevant visualisation offers marked gains in clinical usability and performance. This research argues for a re-imagining of the way we look at medical data during the clinical consultation so that the affordances and benefits of the digital format can be exploited more fully. It highlights the value of combining participatory design with visualisation to embed explicit, experiential and even tacit clinical knowledge into the EMR interface.

            Content

            Author and article information

            Contributors
            Conference
            July 2018
            July 2018
            : 228-235
            Affiliations
            [0001]School of Design

            Royal College of Art

            London, SW7 2EU, UK
            [0002]School of Design

            Carnegie Mellon University

            Pittsburgh, PA 15213, USA
            [0003]School of Psychology

            Cardiff University

            Cardiff, CF10 3AT, UK
            Article
            10.14236/ewic/EVA2018.44
            8514c6dc-53c6-42dc-abdb-a36649dcecb6
            © Pao et al. Published by BCS Learning and Development Ltd. Proceedings of EVA London 2018, UK

            This work is licensed under a Creative Commons Attribution 4.0 Unported License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

            Electronic Visualisation and the Arts
            EVA
            London, UK
            9 - 13 July 2018
            Electronic Workshops in Computing (eWiC)
            Electronic Visualisation and the Arts
            Product
            Product Information: 1477-9358BCS Learning & Development
            Self URI (journal page): https://ewic.bcs.org/
            Categories
            Electronic Workshops in Computing

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