A Patient-Centered Information System (myED) for Emergency Care Journeys: Design, Development, and Initial Adoption.
access to information
electronic patient-provider communication
medical records
patient participation
technology
user-centered design
Journal
JMIR formative research
ISSN: 2561-326X
Titre abrégé: JMIR Form Res
Pays: Canada
ID NLM: 101726394
Informations de publication
Date de publication:
25 Feb 2020
25 Feb 2020
Historique:
received:
26
09
2019
accepted:
15
12
2019
revised:
15
12
2019
entrez:
5
3
2020
pubmed:
5
3
2020
medline:
5
3
2020
Statut:
epublish
Résumé
Medical care is highly complex in that it addresses patient-centered health goals that require the coordination of multiple care providers. Emergency department (ED) patients currently lack a sense of predictability about ED procedures. This increases frustration and aggression. Herein, we describe a system for providing real-time information to ED patients regarding the procedures in their ED medical journey. This study aimed to develop a system that provides patients with dynamically updated information about the specific procedures and expected waiting times in their personal ED journey, and to report initial evaluations of this system. To develop the myED system, we extracted information from hospital databases and translated it using process mining and user interface design into a language that is accessible and comprehensible to patients. We evaluated the system using a mixed methods approach that combined observations, interviews, and online records. Interviews with patients, accompanying family members, and health care providers (HCPs) confirmed patients' needs for information about their personal ED journey. The system developed enables patients to access this information on their personal mobile phones through a responsive website. In the third month after deployment, 492 of 1614 (30.48%) patients used myED. Patients' understanding of their ED journey improved significantly (F Our iterative work with ED patients, HCPs, and a multidisciplinary team of developers yielded a system that provides personal information to patients about their ED journey in a secure, effective, and user-friendly way. MyED communicates this information through mobile technology. This improves health care by addressing patients' psychological needs for information and understanding, which are often overlooked. We continue to test and refine the system and expect to find positive effects of myED on patients' ED experience and hospital operations.
Sections du résumé
BACKGROUND
BACKGROUND
Medical care is highly complex in that it addresses patient-centered health goals that require the coordination of multiple care providers. Emergency department (ED) patients currently lack a sense of predictability about ED procedures. This increases frustration and aggression. Herein, we describe a system for providing real-time information to ED patients regarding the procedures in their ED medical journey.
OBJECTIVE
OBJECTIVE
This study aimed to develop a system that provides patients with dynamically updated information about the specific procedures and expected waiting times in their personal ED journey, and to report initial evaluations of this system.
METHODS
METHODS
To develop the myED system, we extracted information from hospital databases and translated it using process mining and user interface design into a language that is accessible and comprehensible to patients. We evaluated the system using a mixed methods approach that combined observations, interviews, and online records.
RESULTS
RESULTS
Interviews with patients, accompanying family members, and health care providers (HCPs) confirmed patients' needs for information about their personal ED journey. The system developed enables patients to access this information on their personal mobile phones through a responsive website. In the third month after deployment, 492 of 1614 (30.48%) patients used myED. Patients' understanding of their ED journey improved significantly (F
CONCLUSIONS
CONCLUSIONS
Our iterative work with ED patients, HCPs, and a multidisciplinary team of developers yielded a system that provides personal information to patients about their ED journey in a secure, effective, and user-friendly way. MyED communicates this information through mobile technology. This improves health care by addressing patients' psychological needs for information and understanding, which are often overlooked. We continue to test and refine the system and expect to find positive effects of myED on patients' ED experience and hospital operations.
Identifiants
pubmed: 32130144
pii: v4i2e16410
doi: 10.2196/16410
pmc: PMC7064965
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e16410Informations de copyright
©Monika Westphal, Galit Bracha Yom-Tov, Avi Parush, Nitzan Carmeli, Alina Shaulov, Chen Shapira, Anat Rafaeli. Originally published in JMIR Formative Research (http://formative.jmir.org), 25.02.2020.
Références
JMIR Hum Factors. 2017 Dec 07;4(4):e31
pubmed: 29217504
J Med Internet Res. 2018 Mar 27;20(3):e105
pubmed: 29588269
Qual Health Care. 1998 Dec;7 Suppl:S30-6
pubmed: 10339033
Int J Med Inform. 2007 Feb-Mar;76(2-3):234-45
pubmed: 16798071
Stud Health Technol Inform. 2019;257:341-345
pubmed: 30741220
J Med Internet Res. 2018 Oct 1;20(10):e269
pubmed: 30287416
J Health Organ Manag. 2003;17(5):349-59
pubmed: 14628488
Res Nurs Health. 1995 Apr;18(2):179-83
pubmed: 7899572
JMIR Mhealth Uhealth. 2018 Nov 22;6(11):e10666
pubmed: 30467100
Ann Emerg Med. 2014 Mar;63(3):311-9.e2
pubmed: 24054787
JMIR Mhealth Uhealth. 2019 Jul 22;7(7):e14779
pubmed: 31333195
J Med Internet Res. 2018 Jan 30;20(1):e37
pubmed: 29382624
BMJ. 2010 Aug 13;341:c4078
pubmed: 20709715
J Med Internet Res. 2019 Aug 20;21(8):13743
pubmed: 31432782
J Biomed Inform. 2013 Dec;46(6):957-69
pubmed: 23702104
Patient Educ Couns. 2009 Jan;74(1):61-9
pubmed: 18778909
PLoS One. 2020 Jan 29;15(1):e0227729
pubmed: 31995583
J Med Internet Res. 2008 Oct 31;10(4):e34
pubmed: 18974036
JMIR Mhealth Uhealth. 2019 Aug 12;7(8):e11575
pubmed: 30903746
Stud Health Technol Inform. 2017;245:79-83
pubmed: 29295056