Usability of a Web-based Software Tool for History Taking in the Emergency Department

2020 ◽  
Vol 19 (3) ◽  
pp. 131-137
Author(s):  
Johanna Frey Renggli ◽  
◽  
Ceylan Eken ◽  
Victoria Siegrist ◽  
Ricardo Nieves Ortega ◽  
...  

Medical history taking is an important step within the diagnostic process. This study aims to assess the quality and usability (effectiveness, satisfaction, efficiency) of a web-based medical history taking app in the emergency department. During three weeks, patients and junior physicians filled out study questionnaires about the app. Senior physicians rated the quality of medical histories taken by junior physicians and app. In 241 patients, the studied app showed excellent usability with patients not in need of immediate medical attention. Senior physicians rated medical histories as more complete when app was used by patients in comparison to conventional history taking alone (p<0.01). Current app could not substitute medical history taking by physicians, but could definitely rather be used to gather ancillary information.

2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Tobias Lindner ◽  
Anna Slagman ◽  
Arthur Senkin ◽  
Martin Möckel ◽  
Julia Searle

Background. Medical histories are a crucially important diagnostic tool. Elderly patients represent a large and increasing group of emergency patients. Due to cognitive deficits, taking a reliable medical history in this patient group can be difficult. We sought to evaluate the medical history-taking in emergency patients above 75 years of age with respect to duration and completeness.Methods. Anonymous data of consecutive patients were recorded. Times for the defined basic medical history-taking were documented, as were the availability of other sources and times to assess these.Results. Data of 104 patients were included in the analysis. In a quarter of patients (25%,n=26) no complete basic medical history could be obtained. In the group of patients where complete data could be gathered, only 16 patients were able to provide all necessary information on their own. Including other sources like relatives or GPs prolonged the time until complete medical history from 7.3 minutes (patient only) to 26.4 (+relatives) and 56.3 (+GP) minutes.Conclusions. Medical histories are important diagnostic tools in the emergency setting and are prolonged in the elderly, especially if additional documentation and third parties need to be involved. New technologies like emergency medical cards might help to improve the availability of important patient data but implementation of these technologies is costly and faces data protection issues.


Author(s):  
Zulfiya Mustakimovna Izmaylova ◽  
L. E Smirnova ◽  
V. D Vagner

The paper presents a protocol of medical record review used for control of adequate medical history taking, diagnostics, care and rehabilitation thus improving the quality of dental care in patients undergoing oral surgery procedures.


Author(s):  
Christine Arnold ◽  
Sarah Berger ◽  
Nadine Gronewold ◽  
Denise Schwabe ◽  
Burkhard Götsch ◽  
...  

2017 ◽  
Vol 18 (6) ◽  
pp. 403-408 ◽  
Author(s):  
Aya Matsushita ◽  
Junji Haruta ◽  
Madoka Tsutumi ◽  
Takuya Sato ◽  
Tetsuhiro Maeno

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