Investigation of the Human Factors, Usability and User Experience of Patient Monitors used in a Hospital Setting

Andrade, Evismar; Quinlan, Leo R.; Harte, Richard; Byrne, Dara; Fallon, Enda; Kelly, Martina; O’Connor, Paul; O’Hora, Denis; Scully, Michael; Laffey, John G.; Pladys, Patrick; Beuchée, Alain; ÓLaighin, Gearóid

doi:10.1007/978-3-030-02053-8_54

Cited by 2 publications

(2 citation statements)

References 9 publications

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“…Adaptability and user-centered design have been identified as key facilitators of digital health implementation in other settings [ 11 , 53 , 54 ]. To create the respective conditions, developers and providers of digital health technologies should actively participate in the implementation processes by taking advantage of the valuable feedback from clinical stakeholders and adapting their products in the spirit of user-centered design [ 55 - 57 ]. Therefore, our proposed implementation framework suggests several strategies to enhance the involvement of clinical stakeholders directly ( organize clinician implementation team meetings , inform local opinion leaders , and identify and prepare champions ), in line with the proposed strategies for other implementation settings [ 58 , 59 ].…”

Section: Discussionmentioning

confidence: 99%

Creation of an Evidence-Based Implementation Framework for Digital Health Technology in the Intensive Care Unit: Qualitative Study

Mosch¹,

Poncette²,

Spies³

et al. 2022

JMIR Form Res

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Background Digital health technologies such as continuous remote monitoring and artificial intelligence–driven clinical decision support systems could improve clinical outcomes in intensive care medicine. However, comprehensive evidence and guidelines for the successful implementation of digital health technologies into specific clinical settings such as the intensive care unit (ICU) are scarce. We evaluated the implementation of a remote patient monitoring platform and derived a framework proposal for the implementation of digital health technology in an ICU. Objective This study aims to investigate barriers and facilitators to the implementation of a remote patient monitoring technology and to develop a proposal for an implementation framework for digital health technology in the ICU. Methods This study was conducted from May 2018 to March 2020 during the implementation of a tablet computer–based remote patient monitoring system. The system was installed in the ICU of a large German university hospital as a supplementary monitoring device. Following a hybrid qualitative approach with inductive and deductive elements, we used the Consolidated Framework for Implementation Research and the Expert Recommendations for Implementing Change to analyze the transcripts of 7 semistructured interviews with clinical ICU stakeholders and descriptive questionnaire data. The results of the qualitative analysis, together with the findings from informal meetings, field observations, and previous explorations, provided the basis for the derivation of the proposed framework. Results This study revealed an insufficient implementation process due to lack of staff engagement and few perceived benefits from the novel solution. Further implementation barriers were the high staff presence and monitoring coverage in the ICU. The implementation framework includes strategies to be applied before and during implementation, targeting the implementation setting by involving all ICU stakeholders, assessing the intervention’s adaptability, facilitating the implementation process, and maintaining a vital feedback culture. Setting up a unit responsible for implementation, considering the guidance of an implementation advisor, and building on existing institutional capacities could improve the institutional context of implementation projects in the ICU. Conclusions Implementation of digital health in the ICU should involve a thorough preimplementation assessment of the ICU’s need for innovation and its readiness to change, as well as an ongoing evaluation of the implementation conditions. Involvement of all stakeholders, transparent communication, and continuous feedback in an equal atmosphere are essential, but leadership roles must be clearly defined and competently filled. Our proposed framework may guide health care providers with concrete, evidence-based, and step-by-step recommendations for implementation practice, facilitating the introduction of digital health in intensive care. Trial Registration ClinicalTrials.gov NCT03514173; https://clinicaltrials.gov/ct2/show/NCT03514173

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Section: Discussionmentioning

confidence: 99%

Creation of an Evidence-Based Implementation Framework for Digital Health Technology in the Intensive Care Unit: Qualitative Study

Mosch¹,

Poncette²,

Spies³

et al. 2022

JMIR Form Res

View full text Add to dashboard Cite

show abstract

“…Adaptability and user-centered design have been identi ed as key facilitators of digital health implementation in other settings [8,46,47]. To create the respective conditions, developers and providers of digital health technologies should actively participate in the implementation processes by taking advantage of the valuable feedback from clinical stakeholders and adapting their products in the spirit of user-centered design [48][49][50]. Therefore, our proposed implementation framework suggests several strategies to enhance the involvement of clinical stakeholders directly (Organize clinician implementation team meetings, Inform local opinion leaders, Identify and prepare champions), in line with proposed strategies for other implementation settings [51,52].…”

Section: Discussionmentioning

confidence: 99%

Proposal for an Implementation Framework for Digital Health Technology in the Intensive Care Unit: A Qualitative Study

Mosch

Poncette

Spies

et al. 2020

Preprint

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BackgroundIntensive care is lagging with digital transformation. It is essential to provide evidence and guidelines for integrating digital health technologies into the intensive care unit (ICU).We evaluated the implementation of a remote patient monitoring platform and derived an implementation framework proposal for digital health technology in an ICU.MethodsWe conducted this study from May 2018 to March 2020 during the implementation of a tablet-computer based remote patient monitoring system. The system was installed in the ICU of a large German university hospital as a supplementary monitoring device. Following a hybrid qualitative approach with inductive and deductive elements, we used the Consolidated Framework for Implementation Research and the Expert Recommendations for Implementing Change to analyze the transcripts of seven semi-structured interviews with ICU clinical stakeholders and quantifiable questionnaire data. Results of the qualitative analysis, together with the findings from informal meetings, field observations, and previous explorations, provided the basis for the derivation of the proposed framework. Results Inductive analysis of the interview transcripts revealed an insufficient implementation process because of a lack of staff engagement and little perceived benefits from the novel solution. The ICU was not considered the most suitable for remote patient monitoring, as the staff’s presence and monitoring coverage were high. We propose an implementation framework for digital technologies, including strategies to apply before and during implementation, targeting the implementation setting by involving all stakeholders, assessing the intervention’s adaptability, facilitating the implementation process, and maintaining a vital feedback culture. Setting up a unit responsible for implementation, taking into account the guidance of an implementation advisor, and building on existing institutional capacities could improve the institutional context of implementation projects.Conclusions The ICU provides an exceptional setting for the introduction of digital health technology because it is a high-tech environment involving multiple professions and high-stress levels. Before implementation, the need for innovation and the ICU’s readiness to change should be assessed. During implementation, a clinical team should ensure transparent communication and continuous feedback. The establishment of an implementation unit is recommended to promote a sustainable implementation culture and to benefit from existing networks.Trial registrationClinicalTrials.gov NCT03514173; https://clinicaltrials.gov/ct2/show/NCT03514173

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Investigation of the Human Factors, Usability and User Experience of Patient Monitors used in a Hospital Setting

Cited by 2 publications

References 9 publications

Creation of an Evidence-Based Implementation Framework for Digital Health Technology in the Intensive Care Unit: Qualitative Study

Creation of an Evidence-Based Implementation Framework for Digital Health Technology in the Intensive Care Unit: Qualitative Study

Proposal for an Implementation Framework for Digital Health Technology in the Intensive Care Unit: A Qualitative Study

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