BMC Med Inform Decis Mak - Video observation in HIT development: lessons learned on benefits and challenges.

Tópicos

{ research(1085) discuss(1038) issu(1018) }
{ health(3367) inform(1360) care(1135) }
{ clinic(1479) use(1117) guidelin(835) }
{ motion(1329) object(1292) video(1091) }
{ record(1888) medic(1808) patient(1693) }
{ analysi(2126) use(1163) compon(1037) }
{ process(1125) use(805) approach(778) }
{ model(3404) distribut(989) bayesian(671) }
{ method(2212) result(1239) propos(1039) }
{ patient(2315) diseas(1263) diabet(1191) }
{ learn(2355) train(1041) set(1003) }
{ care(1570) inform(1187) nurs(1089) }
{ can(774) often(719) complex(702) }
{ studi(1410) differ(1259) use(1210) }
{ design(1359) user(1324) use(1319) }
{ data(3963) clinic(1234) research(1004) }
{ data(2317) use(1299) case(1017) }
{ treatment(1704) effect(941) patient(846) }
{ howev(809) still(633) remain(590) }
{ method(1219) similar(1157) match(930) }
{ imag(2830) propos(1344) filter(1198) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ import(1318) role(1303) understand(862) }
{ use(976) code(926) identifi(902) }
{ method(1969) cluster(1462) data(1082) }
{ data(1737) use(1416) pattern(1282) }
{ inform(2794) health(2639) internet(1427) }
{ imag(2675) segment(2577) method(1081) }
{ take(945) account(800) differ(722) }
{ studi(2440) review(1878) systemat(933) }
{ assess(1506) score(1403) qualiti(1306) }
{ problem(2511) optim(1539) algorithm(950) }
{ chang(1828) time(1643) increas(1301) }
{ extract(1171) text(1153) clinic(932) }
{ method(1557) propos(1049) approach(1037) }
{ data(1714) softwar(1251) tool(1186) }
{ model(2220) cell(1177) simul(1124) }
{ perform(1367) use(1326) method(1137) }
{ patient(2837) hospit(1953) medic(668) }
{ model(2656) set(1616) predict(1553) }
{ signal(2180) analysi(812) frequenc(800) }
{ cost(1906) reduc(1198) effect(832) }
{ first(2504) two(1366) second(1323) }
{ use(2086) technolog(871) perceiv(783) }
{ use(1733) differ(960) four(931) }
{ imag(1947) propos(1133) code(1026) }
{ system(1976) rule(880) can(841) }
{ measur(2081) correl(1212) valu(896) }
{ imag(1057) registr(996) error(939) }
{ bind(1733) structur(1185) ligand(1036) }
{ sequenc(1873) structur(1644) protein(1328) }
{ featur(3375) classif(2383) classifi(1994) }
{ network(2748) neural(1063) input(814) }
{ framework(1458) process(801) describ(734) }
{ error(1145) method(1030) estim(1020) }
{ concept(1167) ontolog(924) domain(897) }
{ algorithm(1844) comput(1787) effici(935) }
{ control(1307) perform(991) simul(935) }
{ general(901) number(790) one(736) }
{ method(984) reconstruct(947) comput(926) }
{ search(2224) databas(1162) retriev(909) }
{ featur(1941) imag(1645) propos(1176) }
{ case(1353) use(1143) diagnosi(1136) }
{ risk(3053) factor(974) diseas(938) }
{ perform(999) metric(946) measur(919) }
{ system(1050) medic(1026) inform(1018) }
{ model(2341) predict(2261) use(1141) }
{ visual(1396) interact(850) tool(830) }
{ compound(1573) activ(1297) structur(1058) }
{ studi(1119) effect(1106) posit(819) }
{ blood(1257) pressur(1144) flow(957) }
{ spatial(1525) area(1432) region(1030) }
{ model(3480) simul(1196) paramet(876) }
{ monitor(1329) mobil(1314) devic(1160) }
{ ehr(2073) health(1662) electron(1139) }
{ state(1844) use(1261) util(961) }
{ research(1218) medic(880) student(794) }
{ age(1611) year(1155) adult(843) }
{ medic(1828) order(1363) alert(1069) }
{ group(2977) signific(1463) compar(1072) }
{ sampl(1606) size(1419) use(1276) }
{ gene(2352) biolog(1181) express(1162) }
{ data(3008) multipl(1320) sourc(1022) }
{ intervent(3218) particip(2042) group(1664) }
{ activ(1138) subject(705) human(624) }
{ time(1939) patient(1703) rate(768) }
{ patient(1821) servic(1111) care(1106) }
{ can(981) present(881) function(850) }
{ health(1844) social(1437) communiti(874) }
{ structur(1116) can(940) graph(676) }
{ high(1669) rate(1365) level(1280) }
{ cancer(2502) breast(956) screen(824) }
{ drug(1928) target(777) effect(648) }
{ result(1111) use(1088) new(759) }
{ implement(1333) system(1263) develop(1122) }
{ survey(1388) particip(1329) question(1065) }
{ estim(2440) model(1874) function(577) }
{ decis(3086) make(1611) patient(1517) }
{ activ(1452) weight(1219) physic(1104) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

CKGROUND: Experience shows that the precondition for the development of successful health information technologies is a thorough insight into clinical work practice. In contemporary clinical work practice, clinical work and health information technology are integrated, and part of the practice is tacit. When work practice becomes routine, it slips to the background of the conscious awareness and becomes difficult to recognize without the context to support recall. This means that it is difficult to capture with traditional ethnographic research methods or in usability laboratories or clinical set ups. Observation by the use of the video technique within healthcare settings has proven to be capable of providing a thorough insight into the complex clinical work practice and its context - including parts of the tacit practice. The objective of this paper is 1) to argue for the video observation technique to inform and improve health-information-technology development and 2) to share insights and lessons learned on benefits and challenges when using the video observation technique within healthcare settings.METHODS: A multiple case study including nine case studies conducted by DaCHI researchers 2004-2011 using audio-visual, non-participant video observation for data collection within different healthcare settings.RESULTS: In HIT development, video observation is beneficial for 1) informing and improving system design 2) studying changes in work practice 3) identifying new potentials and 4) documenting current work practices.CONCLUSIONS: The video observation technique used within healthcare settings is superior to other ethnographic research methods when it comes to disclosing the complexity in clinical work practice. The insights gained are far more realistic compared to traditional ethnographic studies or usability studies and studies in clinical set ups. Besides, the data generated through video recordings provide a solid basis for dialog between the health care professionals involved. The most important lessons learned are that a well considered methodology and clear formulated objectives are imperative, in order to stay focused during the data rich analysis phase. Additionally, the video observation technique is primarily recommended for studies of specific clinical work practices within delimited clinical settings. Overall, the video observation technique has proven to be capable of improving our understanding of the interwoven relation between clinical work practice and HIT and to inform us about user requirements and needs for HIT, which is a precondition for the development of more successful HIT systems in the future.

Resumo Limpo

ckground experi show precondit develop success health inform technolog thorough insight clinic work practic contemporari clinic work practic clinic work health inform technolog integr part practic tacit work practic becom routin slip background conscious awar becom difficult recogn without context support recal mean difficult captur tradit ethnograph research method usabl laboratori clinic set up observ use video techniqu within healthcar set proven capabl provid thorough insight complex clinic work practic context includ part tacit practic object paper argu video observ techniqu inform improv healthinformationtechnolog develop share insight lesson learn benefit challeng use video observ techniqu within healthcar settingsmethod multipl case studi includ nine case studi conduct dachi research use audiovisu nonparticip video observ data collect within differ healthcar settingsresult hit develop video observ benefici inform improv system design studi chang work practic identifi new potenti document current work practicesconclus video observ techniqu use within healthcar set superior ethnograph research method come disclos complex clinic work practic insight gain far realist compar tradit ethnograph studi usabl studi studi clinic set up besid data generat video record provid solid basi dialog health care profession involv import lesson learn well consid methodolog clear formul object imper order stay focus data rich analysi phase addit video observ techniqu primarili recommend studi specif clinic work practic within delimit clinic set overal video observ techniqu proven capabl improv understand interwoven relat clinic work practic hit inform us user requir need hit precondit develop success hit system futur

Resumos Similares

J Am Med Inform Assoc - The future state of clinical data capture and documentation: a report from AMIA's 2011 Policy Meeting. ( 0,647474754252359 )
Res Synth Methods - Methods for documenting systematic review searches: a discussion of common issues. ( 0,645009185869631 )
J Am Med Inform Assoc - An integrative framework for sensor-based measurement of teamwork in healthcare. ( 0,639857233864718 )
Telemed J E Health - The patient-centered medical home and health information technology. ( 0,639207196448197 )
J Biomed Inform - Consumer-mediated health information exchanges: the 2012 ACMI debate. ( 0,637688678488436 )
Int J Med Inform - Implementation science approaches for integrating eHealth research into practice and policy. ( 0,637391199715476 )
Inform Health Soc Care - Information technology and hospice palliative care: social, cultural, ethical and technical implications in a rural setting. ( 0,632212723759891 )
Telemed J E Health - Telehealth trends and the challenge for infrastructure. ( 0,631921434245298 )
Int J Med Inform - Transforming healthcare with information technology in Japan: a review of policy, people, and progress. ( 0,625589108897106 )
J Clin Monit Comput - Endotracheal tube cuff--small important part of a big issue. ( 0,624658822621643 )
J Biomed Inform - Summarization of clinical information: a conceptual model. ( 0,620774148330709 )
Artif Intell Med - Recommendations for the ethical use and design of artificial intelligent care providers. ( 0,620552046105612 )
J. Med. Internet Res. - The impact of social media on medical professionalism: a systematic qualitative review of challenges and opportunities. ( 0,615433629446078 )
Telemed J E Health - The link between information and communication technologies and global public health: pushing forward. ( 0,613136367958169 )
Int J Med Inform - Ethical and legal challenges for health telematics in a global world: telehealth and the technological imperative. ( 0,608450420027939 )
J Am Med Inform Assoc - Policies for patient access to clinical data via PHRs: current state and recommendations. ( 0,607137207665369 )
J Biomed Inform - Natural language processing: state of the art and prospects for significant progress, a workshop sponsored by the National Library of Medicine. ( 0,603916310922139 )
J Am Med Inform Assoc - Advanced networks and computing in healthcare. ( 0,602478541666111 )
J Am Med Inform Assoc - Why common carrier and network neutrality principles apply to the Nationwide Health Information Network (NWHIN). ( 0,59808795172628 )
Health Info Libr J - Information needs of public health practitioners: a review of the literature. ( 0,591077843558247 )
J. Med. Internet Res. - Issues in mHealth: findings from key informant interviews. ( 0,590066011985716 )
AMIA Annu Symp Proc - A survey of rural hospitals' perspectives on health information technology outsourcing. ( 0,588940296064363 )
Methods Inf Med - The lower saxony bank of health. rationale, principles, services, organization and architectural framework. ( 0,587028340282559 )
J Med Syst - Cloud based emergency health care information service in India. ( 0,586430530839507 )
J Am Med Inform Assoc - The next-generation electronic health record: perspectives of key leaders from the US Department of Veterans Affairs. ( 0,577320748100317 )
J Am Med Inform Assoc - Pathology imaging informatics for quantitative analysis of whole-slide images. ( 0,576620080935709 )
J Am Med Inform Assoc - Data governance requirements for distributed clinical research networks: triangulating perspectives of diverse stakeholders. ( 0,573782563947302 )
J. Med. Internet Res. - How current are leading evidence-based medical textbooks? An analytic survey of four online textbooks. ( 0,573137873358528 )
Med Decis Making - Addressing adoption and research design decisions simultaneously: the role of value of sample information analysis. ( 0,572689389069602 )
J Am Med Inform Assoc - The future of health IT innovation and informatics: a report from AMIA's 2010 policy meeting. ( 0,567705803817969 )
Appl Clin Inform - Health information technology knowledge and skills needed by HIT employers. ( 0,567568284844902 )
J Am Med Inform Assoc - Health data use, stewardship, and governance: ongoing gaps and challenges: a report from AMIA's 2012 Health Policy Meeting. ( 0,567501593840448 )
Int J Med Inform - The Department of Veterans Affairs' (VA) implementation of the Virtual Lifetime Electronic Record (VLER): findings and lessons learned from Health Information Exchange at 12 sites. ( 0,565095461222206 )
J Am Med Inform Assoc - A personally controlled electronic health record for Australia. ( 0,562699031883808 )
Inform Health Soc Care - The need of a multi-actor perspective to understand expectations from virtual presence: managing elderly homecare informatics. ( 0,560887927217997 )
BMC Med Inform Decis Mak - Technical challenges of providing record linkage services for research. ( 0,55997337755155 )
BMC Med Inform Decis Mak - A national survey of health service infrastructure and policy impacts on access to computerised CBT in Scotland. ( 0,559811818107954 )
J. Med. Internet Res. - Opportunities and challenges of cloud computing to improve health care services. ( 0,557538569876751 )
J Med Syst - Integration of footprints information systems in palliative care: the case of Medical Center of Central Georgia. ( 0,556795416840272 )
Perspect Health Inf Manag - Health information exchange between jails and their communities: a bridge that is needed under healthcare reform. ( 0,556693578028854 )
BMC Med Inform Decis Mak - Actor-Network Theory and its role in understanding the implementation of information technology developments in healthcare. ( 0,556408679188348 )
Health Info Libr J - A review of competencies needed for health librarians--a comparison of Irish and international practice. ( 0,555617076699371 )
AMIA Annu Symp Proc - Toward a Virtual Lifetime Electronic Record: the Department of Veterans Affairs experience with the Nationwide Health Information Network. ( 0,555286345810431 )
Med Biol Eng Comput - Effectiveness of medical equipment donations to improve health systems: how much medical equipment is broken in the developing world? ( 0,554511038662537 )
J. Med. Internet Res. - A multidimensional view of personal health systems for underserved populations. ( 0,553949102753757 )
Int J Med Inform - Introducing a nationally shared electronic patient record: case study comparison of Scotland, England, Wales and Northern Ireland. ( 0,552758550985909 )
Telemed J E Health - The U.S. Army Telemedicine and m-Health Program: making a difference at home and abroad. ( 0,55158686410593 )
J Am Med Inform Assoc - Transforming consumer health informatics through a patient work framework: connecting patients to context. ( 0,550856093590253 )
J Am Med Inform Assoc - Tracking the delivery of prevention-oriented care among primary care providers who have adopted electronic health records. ( 0,550517682875914 )
AMIA Annu Symp Proc - Multi-National, Multi-Institutional Analysis of Clinical Decision Support Data Needs to Inform Development of the HL7 Virtual Medical Record Standard. ( 0,548659073084173 )
Wiley Interdiscip Rev Syst Biol Med - Promise of personalized omics to precision medicine. ( 0,547017645405479 )
J Am Med Inform Assoc - Development of an optical character recognition pipeline for handwritten form fields from an electronic health record. ( 0,546775632268071 )
Int J Med Inform - Kenya's health workforce information system: a model of impact on strategic human resources policy, planning and management. ( 0,54376665361153 )
J. Med. Internet Res. - Smoking cessation apps for smartphones: content analysis with the self-determination theory. ( 0,543274247269319 )
BMC Med Inform Decis Mak - Designing a patient-centered personal health record to promote preventive care. ( 0,542953630423292 )
J Med Syst - Web information retrieval for health professionals. ( 0,541789358926257 )
Perspect Health Inf Manag - Long-term care and health information technology: opportunities and responsibilities for long-term and post-acute care providers. ( 0,540747617003299 )
J Med Syst - The adoption and implementation of RFID technologies in healthcare: a literature review. ( 0,53897142283203 )
Int J Med Inform - A methodology for the pseudonymization of medical data. ( 0,537878719916484 )
Inform Health Soc Care - Identifying health facilities outside the enterprise: challenges and strategies for supporting health reform and meaningful use. ( 0,537670133050481 )
Brief. Bioinformatics - Towards more accurate prediction of protein folding rates: a review of the existing Web-based bioinformatics approaches. ( 0,536490481104035 )
J. Med. Internet Res. - Single-case experimental designs to evaluate novel technology-based health interventions. ( 0,536264904333927 )
AMIA Annu Symp Proc - Probing the benefits of real-time tracking during cancer care. ( 0,534266280890635 )
Telemed J E Health - Technology-mediated therapy for chronic pain management: the challenges of adapting behavior change interventions for delivery with pervasive communication technology. ( 0,532667757386381 )
AMIA Annu Symp Proc - Evolution in clinical knowledge management strategy at Intermountain Healthcare. ( 0,53143774147341 )
Perspect Health Inf Manag - Validating competence: a new credential for clinical documentation improvement practitioners. ( 0,531162025802283 )
Res Synth Methods - The evolution of a new publication type: Steps and challenges of producing overviews of reviews. ( 0,530068333992169 )
J. Med. Internet Res. - Usability evaluation of a web-based support system for people with a schizophrenia diagnosis. ( 0,529657933328161 )
Spat Spatiotemporal Epidemiol - The role of public health and how boundary analysis can provide a tool for public health investigations: the public health perspective. ( 0,528434713407949 )
J Med Syst - Using recommendation to support adaptive clinical pathways. ( 0,528416944216393 )
Healthc (Amst) - Relationship-centered care: A new paradigm for population health management. ( 0,525386234463541 )
Healthc (Amst) - Worth a thousand words: Integrating clinical photographs into an electronic medical record. ( 0,525159038120766 )
Brief. Bioinformatics - Tools and collaborative environments for bioinformatics research. ( 0,52504037709922 )
Brief. Bioinformatics - Comparison of software packages for detecting differential expression in RNA-seq studies. ( 0,523156011971699 )
AMIA Annu Symp Proc - Emergency medical services: the frontier in health information exchange. ( 0,522268222652513 )
Perspect Health Inf Manag - ICD-9 to ICD-10: evolution, revolution, and current debates in the United States. ( 0,519211618284139 )
Res Synth Methods - Meta-research: The art of getting it wrong. ( 0,518607582061449 )
J Am Med Inform Assoc - Scalable Collaborative Infrastructure for a Learning Healthcare System (SCILHS): architecture. ( 0,518293850957182 )
J Med Syst - Organizational challenges in developing one of the Nationwide Health Information Network trial implementation awardees. ( 0,516730325881295 )
Telemed J E Health - A lexicon of assessment and outcome measures for telemental health. ( 0,515568064927177 )
Comput Math Methods Med - Retracted: Bayes clustering and structural support vector machines for segmentation of carotid artery plaques in multicontrast MRI. ( 0,515162868728277 )
J. Med. Internet Res. - Using online health communities to deliver patient-centered care to people with chronic conditions. ( 0,515028058836707 )
AMIA Annu Symp Proc - Applying an organizational framework for health information technology to alerts. ( 0,51280915724619 )
J Med Syst - Patient safety through RFID: vulnerabilities in recently proposed grouping protocols. ( 0,512587054384636 )
Brief. Bioinformatics - Environmental bio-monitoring with high-throughput sequencing. ( 0,512546691702765 )
Res Synth Methods - Methodological approaches in conducting overviews: current state in HTA agencies. ( 0,512372681169378 )
Int J Health Geogr - Catchments of general practice in different countries--a literature review. ( 0,511911295301409 )
J Med Syst - Designing patient-centered personal health records (PHRs): health care professionals' perspective on patient-generated data. ( 0,511349257992702 )
J Biomed Inform - An Integrated Model for Patient Care and Clinical Trials (IMPACT) to support clinical research visit scheduling workflow for future learning health systems. ( 0,510939170154251 )
J Telemed Telecare - National telemental health responses to a major bushfire disaster. ( 0,510698723624252 )
J Am Med Inform Assoc - Towards public health decision support: a systematic review of bidirectional communication approaches. ( 0,509200023939714 )
Perspect Health Inf Manag - Innovation in Indian healthcare: using health information technology to achieve health equity for American Indian and Alaska Native populations. ( 0,509095418591935 )
Appl Clin Inform - Measurement error in performance studies of health information technology: lessons from the management literature. ( 0,508493387088958 )
Int J Med Inform - Empowering citizens with access control mechanisms to their personal health resources. ( 0,507712701392495 )
Brief. Bioinformatics - Bio/chemoinformatics in India: an outlook. ( 0,507654699546083 )
Int J Med Inform - Characteristics of health IT outage and suggested risk management strategies: an analysis of historical incident reports in China. ( 0,507511399309842 )
J Am Med Inform Assoc - Lessons from the Canadian national health information technology plan for the United States: opinions of key Canadian experts. ( 0,507364994119265 )
Health Informatics J - Electronic patient information systems and care pathways: the organisational challenges of implementation and integration. ( 0,506167239227216 )
BMC Med Inform Decis Mak - Building consensus about eHealth in Slovene primary health care: Delphi study. ( 0,50596383507712 )
Int J Med Inform - Telemedicine--a bibliometric and content analysis of 17,932 publication records. ( 0,502225065723371 )