The role of patients in designing health information systems: the case of applying simulation techniques to design an electronic patient record (EPR) interface.
One overall objective of Electronic Patient Records (EPRs) is to improve patient education and to enhance the patient experience through the use of information technology (IT) so as to facilitate the sharing of information between providers and their patients. The research project reported on herein took place at University Health Network (UHN) in Toronto (Canada), which is a large academic health science center with multiple hospital sites in the city. As a first step in this process, we examined the literature to investigate the human factors issues related to healthcare as well as other settings. Subsequently, we interviewed a number of interested stakeholders from two groups: the physicians (both family and attending) and the patients themselves. Finally, using a simulation environment, we explored the content that UHN lung-transplant patients would be interested in having within their own EPRs. In this paper, we report on the research, the methodology and the findings pertaining to the both the content and the design of an electronic patient record.
Leonard
Kevin J
KJ
Department of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON M5S 1A8, Canada. k.leonard@utoronto.ca
D002170:Canada; D003198:Computer Simulation; D007407:Interviews as Topic; D016347:Medical Records Systems, Computerized / Q000706:statistics & numerical data*; D017060:Patient Satisfaction; D011795:Surveys and Questionnaires; D014584:User-Computer Interface
Int J Med Inform. 1998 Oct-Dec;52(1-3):105-15
9848407
Int J Med Inform. 2001 Apr;61(1):1-10
11248599
J Clin Oncol. 2001 Mar 15;19(6):1676-87
11250997
QRB Qual Rev Bull. 1978 Dec;4(12):2-4
104231
Comput Biol Med. 1998 Sep;28(5):567-79
9861512
Physician Exec. 1998 May-Jun;24(3):20-4
10180969
Int J Med Inform. 2001 Dec;64(2-3):201-5
11734386
Med Inform (Lond). 1997 Jul-Sep;22(3):207-14
9364429
J Biomed Inform. 2001 Dec;34(6):415-22
12198761
Stud Health Technol Inform. 2001;84(Pt 2):1440-4
11604964
Br Med J (Clin Res Ed). 1986 Mar 1;292(6520):596-8
3081187
J Gen Intern Med. 1986 Jan-Feb;1(1):34-7
3772566
Jt Comm J Qual Improv. 1997 May;23 (5):251-7
9179717
Hosp Q. 2000-2001 Winter;4(2):30-4
11484620
J Am Med Inform Assoc. 2003 Mar-Apr;10(2):129-38
12595402
J Natl Cancer Inst Monogr. 1999;(25):134-9
10854469
J Am Med Inform Assoc. 2002 Mar-Apr;9(2):181-91
11861633
Cancer Pract. 1999 Nov-Dec;7(6):297-301
10732527
Proc AMIA Symp. 2001;:691-5
11825274
J Fam Pract. 2000 Apr;49(4):349-57
10778842
Aust Fam Physician. 1998 Jan;27 Suppl 1:S39-43
9503735
Stud Health Technol Inform. 2001;84(Pt 1):141-5
11604722
J Am Med Inform Assoc. 2000 Nov-Dec;7(6):569-85
11062231
J Am Med Inform Assoc. 1998 Nov-Dec;5(6):563-70
9824803
Int J Med Inform. 2001 Nov;64(1):1-14
11673099
Int J Med Inform. 1998 Oct-Dec;52(1-3):243-51
9848421
Healthc Manage Forum. 2000 Fall;13(3):45-51
15892319
J Fam Pract. 1999 May;48(5):356-63
10334612
J Am Med Inform Assoc. 1999 Sep-Oct;6(5):341-8
10495093
Proc AMIA Symp. 2000;:151-5
11079863
Int J Med Inform. 2001 Apr;61(1):45-70
11248603
Int J Med Inform. 1999 Dec;56(1-3):117-23
10659940