Interactive tools for inpatient medication tracking: a multi-phase study with cardiothoracic surgery patients

Wilcox, Lauren; Woollen, Janet; Prey, Jennifer E.; Restaino, Susan; Bakken, Suzanne; Feiner, Steven; Sackeim, Alexander; Vawdrey, David K.

doi:10.1093/jamia/ocv160

Cited by 38 publications

(73 citation statements)

References 43 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Valdez et al recognize tracking as an important part of patient work [52], and researchers have begun to explore the potential of tracking support tools in this space (e.g. [57] and others reviewed in the discussion section). However, tracking remains a difficult task for patients in the hospital.…”

Section: Related Workmentioning

confidence: 99%

“…Although researchers have begun to explore better ways to present data provided to patients by health care organizations [22,60], much work remains to be done on how to support patient-provider collaboration in the hospital, where clinicians collect and control the bulk of patient data. Thus far, studies in this space have shown that hospitalized patients value the ability to ask their clinicians questions electronically [57], “triage” their inquiries [57], and set personalized health goals [10]. Studies of technology-mediated patient-clinician collaboration in the hospital [12] and after discharge [5] have shown improved outcomes as a result of this collaboration, underscoring the importance of properly supporting this collaboration.…”

Section: Related Workmentioning

confidence: 99%

See 1 more Smart Citation

Supporting Collaborative Health Tracking in the Hospital

Mishra

Miller

Haldar

et al. 2018

Proceedings of the 2018 CHI Conference on Human Factors in Computing Systems

View full text Add to dashboard Cite

The hospital setting creates a high-stakes environment where patients’ lives depend on accurate tracking of health data. Despite recent work emphasizing the importance of patients’ engagement in their own health care, less is known about how patients track their health and care in the hospital. Through interviews and design probes, we investigated hospitalized patients’ tracking activity and analyzed our results using the stage-based personal informatics model. We used this model to understand how to support the tracking needs of hospitalized patients at each stage. In this paper, we discuss hospitalized patients’ needs for collaboratively tracking their health with their care team. We suggest future extensions of the stage-based model to accommodate collaborative tracking situations, such as hospitals, where data is collected, analyzed, and acted on by multiple people. Our findings uncover new directions for HCI research and highlight ways to support patients in tracking their care and improving patient safety.

show abstract

Section: Related Workmentioning

confidence: 99%

Section: Related Workmentioning

confidence: 99%

Supporting Collaborative Health Tracking in the Hospital

Mishra

Miller

Haldar

et al. 2018

Proceedings of the 2018 CHI Conference on Human Factors in Computing Systems

View full text Add to dashboard Cite

show abstract

“…To assist patients in understanding changes to medication therapies during their stay, we developed information processing techniques to create summaries of medication schedules, updated dynamically as medications were ordered, administered, and discontinued [1,5,7]. These summaries included interactive graphical elements in the user interface to display medication information, including medication name, dose, timing, indication, and a descriptive educational summary.…”

Section: Delivering Near Real Time Patient-accessible Information Dumentioning

confidence: 99%

“…Postoperative cardiothoracic surgery patients used the technology in a pilot study, demonstrating a high level of engagement with the tools. These patients' assessment of health status and care progress improved with the ability to track medication changes, and improved communication regarding their home medication list [7].…”

Section: Delivering Near Real Time Patient-accessible Information Dumentioning

confidence: 99%

The social side of personal engagement in healthcare

Wilcox

2015

2015 International Conference on Collaboration Technologies and Systems (CTS)

Self Cite

View full text Add to dashboard Cite

The recent trend toward patient participation in their own healthcare has opened up numerous challenges and opportunities for research related to collaborative systems. In this paper, I summarize interdisciplinary efforts to create "shared understandings of personal health"-in which collaborative systems are designed through ongoing efforts to assess and support patients' information and communication needs. In particular, these efforts address needs as they are made evident in healthcare settings, such as the need to stay informed about care processes, track and communicate symptoms, and learn about treatments and therapies to participate in shared decision-making. I discuss a research program focused on the design of collaborative systems to support shared understandings of a patient's health and discuss a range of current projects in this unique interdisciplinary space. A. BackgroundThe health services industry maintains close connections with research in such areas as Human-Computer Interaction (HCI) Software Engineering, Machine Learning and Biomedical Informatics, among others. Taking a traditional approach, researchers identify opportunities to enhance specific work practices with novel technologies. Oftentimes, especially in the fields of HCI and Software Engineering, researchers work with specific target users of potential technologies through formative approaches, iterative user-centered design and evaluation studies, which often lead to prototypes. Occasionally, these prototypes are further studied in deployments that inspire new products and shape the way health care is delivered. In many cases, however, these efforts often consider the experiences of particular users of healthcare systems-the initial focus on a target user group does not extend beyond that group, and opportunities to study adoption and use of the technologies do not consider the variety of stakeholders influencing actual practice. Of course, these limitations in turn narrow opportunities to incorporate lessons learned from the study of multiple stakeholders into the design of new technologies-and to envision new innovations based on collaborative practices.In contrast to this approach, our research group, focused on human-centered health informatics, has cultivated efforts to facilitate and study "shared understandings of personal health"-in which collaborative systems are designed through ongoing efforts to assess and support patients' information and communication needs. Our efforts seek empirical understandings of these needs, by studying communication, use of novel systems, and perspectives of a variety of stakeholders.Our recent collaborative projects include the School of Interactive Computing and the Institute for People and Technology (IPaT), at Georgia Institute of Technology (Georgia Tech), along with partners at Emory Healthcare, and Children's Healthcare of Atlanta (CHOA). Longer-running collaborative efforts include the NewYork-Presbyterian (NYP) as well as Microsoft Research and MedStar Institute for Innovation. As desc...

show abstract

“…While studies that have explored the effect of IPPs in specific contexts go back to 2011 [13][14][15], adoption of large scale commercial IPPs has generally been slow. One of the first such implementations occurred in 2013 at The Ohio State University Wexner Medical Center (OSU) with Epic Systems' MyChart Bedside (MCB) product.…”

Section: Introductionmentioning

confidence: 99%

Patient Engagement as Measured by Inpatient Portal Use: Methodology for Log File Analysis (Preprint)

Huerta¹,

Fareed²,

Hefner³

et al. 2018

Preprint

View full text Add to dashboard Cite

Background: Inpatient Portals (IPPs) have the potential to increase patient engagement and satisfaction with their healthcare. An IPP provides a hospitalized patient with similar functions to those found in outpatient portals, including the ability to view vital signs, laboratory results, medication information, schedule appointments and communicate with their provider. However, IPPs may offer additional functions such as meal planning, real-time messaging with the inpatient care team, daily schedules, and access to educational materials relevant to their specific condition. In practice, IPPs have been developed as websites and tablet apps, with hospitals providing the required technology as a component of care during the patient's stay.

show abstract

Interactive tools for inpatient medication tracking: a multi-phase study with cardiothoracic surgery patients

Abstract: Inpatient medication-tracking tools, when designed to meet patients' needs, can play an important role in fostering patient participation in their own care and patient-provider communication during a hospital stay.

Cited by 38 publications

References 43 publications

Supporting Collaborative Health Tracking in the Hospital

Supporting Collaborative Health Tracking in the Hospital

The social side of personal engagement in healthcare

Patient Engagement as Measured by Inpatient Portal Use: Methodology for Log File Analysis (Preprint)

Contact Info

Product

Resources

About