AMIA Annu Symp Proc - Optimization of an EHR mobile application using the UFuRT conceptual framework.

Tópicos

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{ clinic(1479) use(1117) guidelin(835) }
{ ehr(2073) health(1662) electron(1139) }
{ bind(1733) structur(1185) ligand(1036) }
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{ record(1888) medic(1808) patient(1693) }
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{ monitor(1329) mobil(1314) devic(1160) }
{ patient(2837) hospit(1953) medic(668) }
{ model(2656) set(1616) predict(1553) }
{ data(2317) use(1299) case(1017) }
{ age(1611) year(1155) adult(843) }
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{ cost(1906) reduc(1198) effect(832) }
{ group(2977) signific(1463) compar(1072) }
{ sampl(1606) size(1419) use(1276) }
{ gene(2352) biolog(1181) express(1162) }
{ data(3008) multipl(1320) sourc(1022) }
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{ intervent(3218) particip(2042) group(1664) }
{ activ(1138) subject(705) human(624) }
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{ drug(1928) target(777) effect(648) }
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{ survey(1388) particip(1329) question(1065) }
{ decis(3086) make(1611) patient(1517) }
{ process(1125) use(805) approach(778) }
{ activ(1452) weight(1219) physic(1104) }
{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }

Resumo

Drchrono is an Electronic Healthcare Record (EHR) application designed specifically for the iPad. Described as portable, efficient and accessible anywhere, drchrono has several features that might be attractive to health care providers. However, EHRs have to conform to certain Federal Healthcare Information Technology Guidelines, which are evaluated in a series of 12 test procedures, defined by the Office of the National Coordinator for Health Information Technology (ONC). In this study, we evaluated Test Procedure for ?170.302 (c) Maintain up-to-date problem list, in drchrono. The methodology for our evaluation was contained within Zhang's unified framework for usability, using UFuRT, i.e. user, functional, representation and task analyses. Based upon the analysis, using Adobe Flex, we then designed a prototype that corrected or improved on perceived weaknesses in the functionality served by the test procedure. We applied the test procedure taxonomy to a prototypic modification of drchrono, and then repeated the UFuRT usability analysis. We also used a 14-item heuristic evaluation by each member of our informatics team. Our findings support a conclusion that UFuRT is a valuable tool to evaluate EHR usability and that an "up-to-date problem" list may be customized, according to healthcare provider preference.

Resumo Limpo

drchrono electron healthcar record ehr applic design specif ipad describ portabl effici access anywher drchrono sever featur might attract health care provid howev ehr conform certain feder healthcar inform technolog guidelin evalu seri test procedur defin offic nation coordin health inform technolog onc studi evalu test procedur c maintain uptod problem list drchrono methodolog evalu contain within zhang unifi framework usabl use ufurt ie user function represent task analys base upon analysi use adob flex design prototyp correct improv perceiv weak function serv test procedur appli test procedur taxonomi prototyp modif drchrono repeat ufurt usabl analysi also use item heurist evalu member informat team find support conclus ufurt valuabl tool evalu ehr usabl uptod problem list may custom accord healthcar provid prefer

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