scholarly journals Usability testing of a Patient-Centered Mobile Health App for Supporting and Guiding the Pediatric Emergency Department Patient Journey: A Mixed-Methods Study (Preprint)

10.2196/25540 ◽  
2020 ◽  
Author(s):  
Jessica Rochat ◽  
Frédéric Ehrler ◽  
Johan Siebert ◽  
Arnaud Ricci ◽  
Victor Garretas Ruiz ◽  
...  
Keyword(s):  
Emergency Department ◽  
Mixed Methods ◽  
Mobile Health ◽  
Usability Testing ◽  
Emergency Department Patient ◽  
Pediatric Emergency ◽  
Mixed Methods Study ◽  
Pediatric Emergency Department ◽  
Patient Centered ◽  
Patient Journey

Usability evaluation of a mHealth application to support patient journey at pediatric emergency department (Preprint)

2020 ◽  
Author(s):  
Jessica Rochat ◽  
Frédéric Ehrler ◽  
Arnaud Ricci ◽  
Victor Garretas Ruiz ◽  
Christian Lovis
Keyword(s):  
Emergency Department ◽  
Interaction Design ◽  
Mobile Application ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department ◽  
Patient Centered ◽  
Patient Journey ◽  
Care Processes ◽  
System Usability Scale ◽  
Centered Care

BACKGROUND Patient experience at pediatric emergency department (PED) remain suboptimal. As an attempt to support the patients and their families before, during and after visit at PED, we have developed InfoKids, a mobile application guided by the patient centered care principle. OBJECTIVE The objective of this study is to assess the usability of the Infokids mobile application. METHODS The app was assessed through an in lab evaluation were participants had to execute 7 tasks of a scenario leading them from the installation of the app till the reception of a diagnostic sheet linked to the care episode. All interactions were recorded and usability flaws were analyzed in regards with usability criteria. A system usability scale questionnaire was also filled by the participant to compare our system with other. RESULTS A total of 17 parents, 15 women and 2 men (ages 26-53) participated in the study. Overall, they were mostly satisfied with the navigation, layout and interaction design of the app. Most of the problems encountered were related with navigation, especially difficulties for some participants to find the location of the action to perform. CONCLUSIONS empowering patient through mobile application supporting care processes has the potential to improve both care efficiency and to release pressure on healthcare system. The success of these applications is however linked to an optimal user experience that can be improved through usability testing.

scholarly journals Doctors documenting: an ethnographic and informatics approach to understanding attending physician documentation in the pediatric emergency department

2020 ◽  
Author(s):  
Sarah D Fouquet ◽  
Laura Fitzmaurice ◽  
Y Raymond Chan ◽  
Evan M Palmer
Keyword(s):  
Emergency Department ◽  
Mixed Methods ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Pediatric Emergency ◽  
Second Phase ◽  
Pediatric Emergency Department ◽  
Mixed Methods Approach ◽  
Time And Motion ◽  
Attending Physician

Abstract Objective The pediatric emergency department is a highly complex and evolving environment. Despite the fact that physicians spend a majority of their time on documentation, little research has examined the role of documentation in provider workflow. The aim of this study is to examine the task of attending physician documentation workflow using a mixed-methods approach including focused ethnography, informatics, and the Systems Engineering Initiative for Patient Safety (SEIPS) model as a theoretical framework. Materials and Methods In a 2-part study, we conducted a hierarchical task analysis of patient flow, followed by a survey of documenting ED providers. The second phase of the study included focused ethnographic observations of ED attendings which included measuring interruptions, time and motion, documentation locations, and qualitative field notes. This was followed by analysis of documentation data from the electronic medical record system. Results Overall attending physicians reported low ratings of documentation satisfaction; satisfaction after each shift was associated with busyness and resident completion. Documentation occurred primarily in the provider workrooms, however strategies such as bedside documentation, dictation, and multitasking with residents were observed. Residents interrupted attendings more often but also completed more documentation actions in the electronic medical record. Discussion Our findings demonstrate that complex work processes such as documentation, cannot be measured with 1 single data point or statistical analysis but rather a combination of data gathered from observations, surveys, comments, and thematic analyses. Conclusion Utilizing a sociotechnical systems framework and a mixed-methods approach, this study provides a holistic picture of documentation workflow. This approach provides a valuable foundation not only for researchers approaching complex healthcare systems but also for hospitals who are considering implementing large health information technology projects.

Back pain with cardiovascular collapse in a pediatric emergency department patient

1990 ◽  
Vol 6 (1) ◽  
pp. 17-20 ◽  
Author(s):  
JOHN R. GRIGGS ◽  
J. TIMOTHY BRICKER ◽  
M. MICHELLE MARISCALCO ◽  
LARRY S. JEFFERSON ◽  
CLAIRE LANGSTON
Keyword(s):  
Emergency Department ◽  
Back Pain ◽  
Emergency Department Patient ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department ◽  
Cardiovascular Collapse

scholarly journals Dynamic modeling of the patient journey in a Pediatric Emergency Department of CHRU of Lille

2014 ◽  
Vol 12 (6) ◽  
pp. 3580-3590
Author(s):  
Inès Ajmi ◽  
Hayfa Zgaya ◽  
Lotfi Gammoudi ◽  
Slim Hammadi ◽  
Jean-Marie Renard
Keyword(s):  
Emergency Department ◽  
Evidence Base ◽  
Pediatric Emergency ◽  
Patient Treatment ◽  
Pediatric Emergency Department ◽  
Workflow Model ◽  
Patient Journey ◽  
Complete Representation ◽  
Optimization Simulation ◽  
Treatment Data

The Workflow models of the patient journey in a Pediatric Emergency Department (PED) seems to be an effective approach to develop an accurate and complete representation of the PED processes. The model developed can drive the collection of comprehensive quantitative and qualitative service delivery and patient treatment data as an evidence base for the PED planning. Our objective in this study is to identify tension indicators and bottlenecks that contribute to over-crowding, the goal is to optimize these paths to improve the quality of the patient handling while mastering the time waiting. The development of this model was based on accurate visits made in the Pediatric Emergency Department (PED) in CHRU of Lille (France). This modeling, which has to represent most faithfully possible the reality of the PED of CHRU of Lille, is necessary. The main aim of this paper is to present the overall design of the proposed Workflow model, emphasizing the simulation results in the normal situation and the crowding situation. Besides, we describe the crowding indicators in PED. Our survey is integrated into the French National Research Agency project, titled: “Hospital: optimization, simulation and avoidance of strain” (ANR HOST).

Small Rare Earth Magnets Adhered to Pharyngeal Tissue in a Pediatric Emergency Department Patient

2021 ◽  
Author(s):  
Emily Powers ◽  
Emmanuel Ohuabunwa ◽  
Parsa P. Salehi ◽  
Carl R. Baum
Keyword(s):  
Emergency Department ◽  
Rare Earth ◽  
Emergency Department Patient ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department

scholarly journals Analysis of pediatric emergency department patient volume trends during the COVID-19 pandemic

Medicine ◽  
2021 ◽  
Vol 100 (27) ◽  
pp. e26583
Author(s):  
Matthew Philip Pepper ◽  
Ernest Leva ◽  
Prerna Trivedy ◽  
James Luckey ◽  
Mark Douglas Baker
Keyword(s):  
Emergency Department ◽  
Emergency Department Patient ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department ◽  
Patient Volume

Hourly Rounding in the Pediatric Emergency Department: Patient and Family Safety and Satisfaction Rounds

2014 ◽  
Vol 47 (1) ◽  
pp. 99-104 ◽  
Author(s):  
Beth L. Emerson ◽  
Kendra B. Chmura ◽  
David Walker
Keyword(s):  
Emergency Department ◽  
Emergency Department Patient ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department ◽  
Hourly Rounding
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