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 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).

scholarly journals Experiences and perspectives of older patients with a return visit to the emergency department within 30 days: patient journey mapping

2021 ◽  
Author(s):  
Bo Schouten ◽  
Babiche E. J. M. Driesen ◽  
Hanneke Merten ◽  
Brigitte H. C. M. Burger ◽  
Mariëlle G. Hartjes ◽  
...  
Keyword(s):  
Emergency Department ◽  
Waiting Time ◽  
Older Patients ◽  
Patient Centered Care ◽  
Patient Centered ◽  
Patient Journey ◽  
Return Visit ◽  
Centered Care ◽  
Discharge Communication ◽  
Insight Into

Abstract Purpose Up to 22% of older patients who visit the emergency department (ED) have a return visit within 30 days. To achieve patient-centered care for this group at the ED it is important to involve the patient perspective and strive to provide the best possible experience. The aim of this study was to gain insight into the experiences and perspectives of older patients from initial to return ED visit by mapping their patient journey. Methods We performed a qualitative patient journey study with 13 patients of 70 years and older with a return ED visit within 30 days who presented at the Amsterdam UMC, a Dutch academic hospital. We used semi-structured interviews focusing on the patient experience during their journey and developed a conceptual framework for coding. Results Our sample consisted of 13 older patients with an average age of 80 years, and 62% of them were males. The framework contained a timeline of the patient journey with five chronological main themes, complemented with an ‘experience’ theme, these were divided into 34 subthemes. Health status, social system, contact with the general practitioner, aftercare, discharge and expectations were the five main themes. The experiences regarding these themes differed greatly between patients. The two most prominent subthemes were waiting time and discharge communication, which were mostly related to a negative experience. Conclusions This study provides insight into the experiences and perspectives of older patients from initial to return ED visit. The two major findings were that lack of clarity regarding waiting times and suboptimal discharge communication contributed to negative experiences. Recommendations regarding waiting time (i.e. a two-hour time out at the ED), and discharge communication (i.e. checklist for discharge) could contribute to a positive ED experience and thereby potentially improve patient-centered care.

Assessing Somatization and Psychosocial Impairment in the Pediatric Emergency Department

2010 ◽  
Author(s):  
Zorash Montano ◽  
Neda Safvati ◽  
Angela Li ◽  
Ilene Claudius ◽  
Jeffrey I. Gold
Keyword(s):  
Emergency Department ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department ◽  
Psychosocial Impairment

Variation in Test Ordering for Low Acuity Patients By Pediatric Emergency Department Providers

PEDIATRICS ◽  
2016 ◽  
Vol 137 (Supplement 3) ◽  
pp. 276A-276A
Author(s):  
Kaynan Doctor ◽  
Kristen Breslin ◽  
Melissa M. Tavarez ◽  
Deena Berkowitz ◽  
James M. Chamberlain
Keyword(s):  
Emergency Department ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department ◽  
Test Ordering
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