Vergleich aktueller Patientendatenmanagementsysteme in der Intensivmedizin aus Sicht der klinischen Nutzer

Suchodolski, Klaudiusz; Dincklage, Falk von; Lichtner, Gregor; Friesdorf, W.; Podtschaske, Beatrice; Ragaller, M.

doi:10.1007/s00101-019-0615-x

Cited by 3 publications

(1 citation statement)

References 25 publications

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“…Furthermore, this radial approach limits the number of tests displayed on the screen due to visual cluttering and makes it harder to compare and examine multiple results simultaneously. At last, there are single-patient commercial systems that provide timeline visualizations of clinical events, such as the ICUdata [35], which also focus on line charts to represent test results, having the previously mentioned problems.…”

Section: Related Work and Conceptsmentioning

confidence: 99%

ClinicalPath: a Visualization tool to Improve the Evaluation of Electronic Health Records in Clinical Decision-Making

Linhares,

Lima,

Ponciano

et al. 2022

Preprint

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Physicians work at a very tight schedule and need decision-making support tools to help on improving and doing their work in a timely and dependable manner. Examining piles of sheets with test results and using systems with little visualization support to provide diagnostics is daunting, but that is still the usual way for the physicians' daily procedure, especially in developing countries. Electronic Health Records systems have been designed to keep the patients' history and reduce the time spent analyzing the patient's data. However, better tools to support decision-making are still needed. In this paper, we propose ClinicalPath, a visualization tool for users to track a patient's clinical path through a series of tests and data, which can aid in treatments and diagnoses. Our proposal is focused on patient's data analysis, presenting the test results and clinical history longitudinally. Both the visualization design and the system functionality were developed in close collaboration with experts in the medical domain to ensure a right fit of the technical solutions and the real needs of the professionals. We validated the proposed visualization based on case studies and user assessments through tasks based on the physician's daily activities. Our results show that our proposed system improves the physicians' experience in decision-making tasks, made with more confidence and better usage of the physicians' time, allowing them to take other needed care for the patients.

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Section: Related Work and Conceptsmentioning

confidence: 99%

ClinicalPath: a Visualization tool to Improve the Evaluation of Electronic Health Records in Clinical Decision-Making

Linhares,

Lima,

Ponciano

et al. 2022

Preprint

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Informationstechnologie und E-Health zur Verbesserung der Patientensicherheit

Müller

2020

Internist

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Barriers and facilitators of the use of critical care information systems in the intensive care unit - A qualitative interview study (Preprint)

Thissen,

Fürstenau,

Salgado

et al. 2023

Preprint

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BACKGROUND Critical care information systems (CCIS) can have positive, neutral or negative effects on clinical care in intensive care units (ICUs) and the job satisfaction of ICU staff. Central mediating factors here are a high usability of the IT system and sufficient training, but also possible occuring resistance generated by increased control via the system and lack of participation. The usability of CCIS and co-determination factors in connection with CCIS use are not sufficiently examined. OBJECTIVE The aim of the study was to investigate the usage barriers of CCIS to derive recommendations for action for manufacturing companies and hospitals. The aim was to directly address previously researched potentially relevant factors and at the same time to leave room for free comments. METHODS Ten semi-structured qualitative interviews of 1 hour were conducted with ICU staff of 3 ICUs of a German university hospital (4 nurses, 6 doctors) where the CCIS was also reviewed together. The 10 interviews were recorded, transcribed, coded with MAXQDA and analyzed in terms of content structure (deductive and inductive). RESULTS : A total of 86 different usability problems was found, which were divided into 7 main categories and 22 subcategories. Particularly relevant were the unclear presentation of information (especially in medication documentation and order), too small or lengthy interaction steps in documentation (especially in nursing documentation), missing information or information distributed on different pages (especially also missing reminders of new entries), necessary duplicate entries of data and too low a speed of the system. Independently of this, other problems mentioned in connection with the use of the system were categorized as training, co-determination, feeling of being hazed, standard operating procedures and process changes. Satisfaction with the system was described as directly related to job satisfaction. CONCLUSIONS The usability of the CCIS is a central factor for the satisfaction with the IT system and can explain why CCIS use can have such opposing outcomes. Improving the usability of a complex system like an CCIS is a promising but challenging task and should involve iterative user testing. As co-determination is a relevant factor for use satisfaction, a comprehensive, transparent communication and opportunities for employee participation should be established. Sufficient training opportunities and SOPs for the system should also be a focus. System implementation requires sufficient monetary and time resources to create effective organizational structures and roles that can enable an effective feedback structure and system development.

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Vergleich aktueller Patientendatenmanagementsysteme in der Intensivmedizin aus Sicht der klinischen Nutzer

Cited by 3 publications

References 25 publications

ClinicalPath: a Visualization tool to Improve the Evaluation of Electronic Health Records in Clinical Decision-Making

ClinicalPath: a Visualization tool to Improve the Evaluation of Electronic Health Records in Clinical Decision-Making

Informationstechnologie und E-Health zur Verbesserung der Patientensicherheit

Barriers and facilitators of the use of critical care information systems in the intensive care unit - A qualitative interview study (Preprint)

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