Interaction design for mobile clinical decision support systems: the MET system solutions

The fit to the workflow is an important requirement for the acceptance of clinical decision support systems in practice. Clinical systems that do not satisfy this requirement are likely to be rejected by their users despite their functionality. Disruptions and deviations from the workflow may be avoided by the appropriate and careful design of interactions between the system and its users. In this paper we focus on mobile clinical decision support systems that can be used directly at the point of care for the emergency triage. We discuss the interaction design methodologies used to develop the MET (Mobile Emergency Triage) system that facilitates emergency triage of patients with various acute pain conditions. We use a scenario-based design methodology to encapsulate the user’s mental representations of tasks to accomplish, and an Object-Action-Interface model combined with the Eight Golden Rules of Interface Design to design the input and the output components of an interaction framework. We also demonstrate how we have implemented these theoretical solutions.

[1]  이창민 Human Interface , 2009, Encyclopedia of Database Systems.

[2]  H. Warner,et al.  A mathematical approach to medical diagnosis. Application to congenital heart disease. , 1961, JAMA.

[3]  P Ramnarayan,et al.  ISABEL: a web-based differential diagnostic aid for paediatrics: results from an initial performance evaluation , 2003, Archives of disease in childhood.

[4]  Diane S. Brown,et al.  Device design methodology for trauma applications , 1998, CHI.

[5]  Herbert A. Simon,et al.  The new science of management decision , 1960 .

[6]  Wojtek Michalowski,et al.  Supporting triage of children with abdominal pain in the emergency room , 2005, Eur. J. Oper. Res..

[7]  C. Martin Harris,et al.  Physician use of an ambulatory medical record system: matching form and function , 1998, AMIA.

[8]  Hans-Ulrich Prokosch,et al.  Workflow analysis and evidence-based medicine: towards integration of knowledge-based functions in hospital information systems , 1999, AMIA.

[9]  Jan Gulliksen,et al.  Domain-specific design of user interfaces , 1995, Int. J. Hum. Comput. Interact..

[10]  Bonnie L. Webber,et al.  TraumaTIQ: Online Decision Support for Trauma Management , 1998, IEEE Intell. Syst..

[11]  R. Haynes,et al.  Effects of computer-based clinical decision support systems on physician performance and patient outcomes: a systematic review. , 1998, JAMA.

[12]  G. Octo Barnett,et al.  DXplain on the Internet , 1998, AMIA.

[13]  Richard N. Shiffman,et al.  Pen-based, mobile decision support in healthcare , 1999, SIGB.

[14]  W. Buxton Human-Computer Interaction , 1988, Springer Berlin Heidelberg.

[15]  Clayton Lewis,et al.  TASK-CENTERED USER INTERFACE DESIGN A Practical Introduction , 2006 .

[16]  Patrick M M Bossuyt,et al.  Comparison of diagnostic decision rules and structured data collection in assessment of acute ankle injury. , 2002, CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne.

[17]  James G. Anderson,et al.  Clearing the way for physicians' use of clinical information systems , 1997, CACM.

[18]  Stephanie Guerlain,et al.  The Effect of a Standardized Data Collection form on the Examination and Diagnosis of Patients with Abdominal Pain , 2001 .

[19]  Julie M. Fiskio,et al.  Evaluating physician satisfaction regarding user interactions with an electronic medical record system , 1999, AMIA.

[20]  S J Jay,et al.  The diffusion of computer applications in medical settings. , 1984, Medical informatics = Medecine et informatique.

[21]  Thomas G. Holzman Computer-human interface solutions for emergency medical care , 1999, INTR.

[22]  E. Shortliffe Clinical decision-support systems , 1990 .

[23]  Wojtek Michalowski,et al.  Prospective evaluation of the MET-AP system providing triage plans for acute pediatric abdominal pain , 2008, Int. J. Medical Informatics.

[24]  Ivan Bratko,et al.  Decisions at Hand: A Decision Support System on Handhelds , 2001, MedInfo.

[25]  Kristen H. Kjerulff,et al.  Implementing Computerization in Hospitals: A Case Study of the Behavioral and Attitudinal Impacts of a Medical Information System , 1985 .

[26]  Alan Dix The human interface , 1994 .

[27]  R Slowinski,et al.  Design and Development of a Mobile System for Supporting Emergency Triage , 2005, Methods of Information in Medicine.

[28]  Wojtek Michalowski,et al.  MET system: a new approach to m-health in emergency triage. , 2004, Studies in health technology and informatics.

[29]  Ben Shneiderman,et al.  Designing The User Interface , 2013 .

[30]  Ben Shneiderman,et al.  Designing the User Interface: Strategies for Effective Human-Computer Interaction , 1998 .

[31]  P Ramnarayan,et al.  Paediatric clinical decision support systems , 2002, Archives of disease in childhood.

[32]  John M. Carroll,et al.  Making Use: Scenario-Based Design of Human-Computer Interactions , 2000 .

[33]  Edward H. Shortliffe,et al.  Computer-based medical consultations, MYCIN , 1976 .