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Smarter Healthcare: An Emergency Physician View of the Problem

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The Smart Internet

Part of the book series: Lecture Notes in Computer Science ((LNISA,volume 6400))

Abstract

This chapter motivates the need for smarter interaction with a case study in healthcare that demonstrate the current state of interaction. The special challenges of practicing emergency medicine are reviewed, and a scenario is constructed to illustrate problems with current methods based on an observations study carried out at a hospital. A further scenario is then constructed showing how the problems that were observed may be avoided with smarter interaction. While the demonstrations of flawed interaction in this chapter only apply to emergency medicine, we believe that similar problems may be found in a broad range of domains.

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References

  1. Xiao, Y.: Artifacts and Collaborative Work in Healthcare: Methodological, Theoretical, and Technological Implications of the Tangible. Journal of Biomedical Informatics 38(1), 26–33 (2005)

    Article  Google Scholar 

  2. Bardram, J.E., Bossen, C.: Mobility Work: The Spatial Dimension of Collaboration at a Hospital. In: CSCW (2005)

    Google Scholar 

  3. Activity-based Computing, http://www.activity-based-computing.org/

  4. Muñoz, M.A., Rodríguez, M., Favela, J., Martinez-Garcia, A.I., González, V.M.: Context-Aware Mobile Communication in Hospitals. IEEE Xplore, 38–46 (2003)

    Google Scholar 

  5. Bossen, C.: The Parameters of Common Information Spaces: the Heterogeneity of Cooperative Work at a Hospital Ward. In: CSCW (2002)

    Google Scholar 

  6. Aronsky, D., Jones, I., Lanaghan, K., Slovis, C.M.: Supporting Patient Care in the Emergency Department with a Computerized Whiteboard System. Journal of the American Medical Informatics Association 15(2), 184–194 (2008)

    Article  Google Scholar 

  7. Cordell, W.H., Overhage, J.M., Waeckerle, J.F.: For the Information Management Work Group, Strategies for improving information management in emergency medicine to meet clinical, research, and administrative needs. Ann. Emerg. Med. 31, 172–178 (1998)

    Article  Google Scholar 

  8. Barthell, E.N., Coonan, K., Finnell, J., Pollock, D., Cochrane, D.: Disparate systems, disparate data: integration, interfaces, and standards in emergency medicine information technology. Acad. Emerg. Med. 11, 1142–1148 (2004)

    Article  Google Scholar 

  9. Kohn, L.T., Corrigan, J.M., Donaldson, M.S.: To Err Is Human: Building a Safer Health Care System. National Academy Press, Washington (1999)

    Google Scholar 

  10. Coonan, K.M.: Medical informatics standards applicable to emergency department information systems: making sense of the jumble. Academic Emergency Medicine 11(11), 1198–1205 (2004)

    Article  Google Scholar 

  11. Feied, C.F., Handler, J.A., Smith, M.S., Gillam, M., Kanhouwa, M., Rothenhaus, T., Conover, K., Shannon, T.: Clinical information systems: instant ubiquitous clinical data for error reduction and improved clinical outcomes. Academic Emergency Medicine 11(11), 1162–1169 (2004)

    Article  Google Scholar 

  12. Stead, W.: Rethinking electronic health records to better achieve quality and safety goals. Annual Review of Medicine 58, 35–47 (2007)

    Article  Google Scholar 

  13. Cook, R.I., Woods, D.D.: Operating at the ‘sharp end’: the complexity of human error. In: Bogner, S. (ed.) Human error in medicine, pp. 255–310. Erlbaum, Mahwah (1994)

    Google Scholar 

  14. Patel, V.L., Zhang, J., Yoskowitz, N.A., Green, R., Sayan, O.R.: Translational cognition for decision support in critical care environments: a review. Journal of Biomedical Informatics 41(3), 413–431 (2008)

    Article  Google Scholar 

  15. Bardram, J.E.: Hospitals of the future–ubiquitous computing support for medical work in hospitals. In: Proceedings of UbiHealth 2003 the 2nd International Workshop on Ubiquitous Computing for Pervasive Healthcare Applications (2003)

    Google Scholar 

  16. Ash, J.S., Berg, M., Coiera, E.: Some unintended consequences of information technology in health care: the nature of patient care information system-related errors. Journal of the American Medical Informatics Association 11(2), 104–112 (2004)

    Article  Google Scholar 

  17. Holzman, T.G., Griffith, A., Hunter, W.G., Allen, T., Simpson Jr, R.J.: Computer-Assisted trauma care prototype. Medinfo 8(2), 1685 (1995)

    Google Scholar 

  18. Little, B., Johnson, D., Tingle, J., Stanfill, M., Roy, M.: Project NEED: New Efficiency in an Emergency Department in Transforming Health Care Through Information: Case Studies. In: Einbinder, L., Lorenzi, N.M., Ash, J.S., Gadd, C.S. (eds.) , New York, pp. 167–177 (2010)

    Google Scholar 

  19. Kushniruk, A.W., Triola, M.M., Borycki, E.M., Stein, B., Kannry, J.L.: Technology induced error and usability: the relationship between usability problems and prescription errors when using a handheld application. International Journal of Medical Informatics 74(7-8), 519–526 (2005)

    Article  Google Scholar 

  20. Kjeldskov, J., Skov, M.: Supporting work activities in healthcare by mobile electronic patient records. In: Masoodian, M., Jones, S., Rogers, B. (eds.) APCHI 2004. LNCS, vol. 3101, pp. 191–200. Springer, Heidelberg (2004)

    Chapter  Google Scholar 

  21. Bricon-Souf, N., Newman, C.R.: Context awareness in health care: A review. International Journal of Medical Informatics 76(1), 2–12 (2007)

    Article  Google Scholar 

  22. Wachter, S.B., Agutter, J., Syroid, N., Drew, F., Weinger, M.B., Westenskow, D.: The employment of an iterative design process to develop a pulmonary graphical display. J. Am. Med. Inform. Assoc. 10, 363–372 (2003)

    Article  Google Scholar 

  23. Laxmisan, A., Hakimzada, F., Sayan, O.R., Green, R.A., Zhang, J., Patel, V.L.: The multitasking clinician: decision-making and cognitive demand during and after team handoffs in emergency care. International Journal of Medical Informatics 76(11-12), 801–811 (2007)

    Article  Google Scholar 

  24. Bardram, J.E., Christensen, H.B.: Pervasive computing support for hospitals: An overview of the activity-based computing project. IEEE Pervasive Computing, 44–51 (2007)

    Google Scholar 

  25. Laskowski, M., McLeod, R.D., Friesen, M.R., Podaima, B.W., Alfa, A.S.: Models of Emergency Departments for Reducing Patient Waiting Times. PLoS One 4(7) (2009)

    Google Scholar 

  26. McAlearney, A.S., Schweikhart, S.B., Medow, M.A.: Doctors’ experience with handheld computers in clinical practice: qualitative study. British Medical Journal 328(7449), 1162 (2004)

    Article  Google Scholar 

  27. Leape, L.L.: The preventability of medical injury. Human Error in Medicine, 13–25 (1994)

    Google Scholar 

  28. Leape, L.L., Bates, D.W., Cullen, D.J., Cooper, J., Demonaco, H.J., Gallivan, T., Hallisey, R., et al.: Systems analysis of adverse drug events. Journal of the American Medical Association 274(1), 35 (1995)

    Article  Google Scholar 

  29. Lottridge, D.: Emotional response as a measure of human performance. In: CHI 2008 Extended Abstracts on Human Factors in Computing Systems, pp. 2617–2620 (2008)

    Google Scholar 

  30. Lu, Y.C., Xiao, Y., Sears, A., Jacko, J.A.: A review and a framework of handheld computer adoption in healthcare. International Journal of Medical Informatics 74(5), 409–422 (2005)

    Article  Google Scholar 

  31. Leman, P., Guthrie, D., Simpson, R., Little, F.: Improving access to diagnostics: an evaluation of a satellite laboratory service in the emergency department. Emergency Medicine Journal 21(4), 452 (2004)

    Google Scholar 

  32. Kilpatrick, E.S., Holding, S.: Use of computer terminals on wards to access emergency test results: a retrospective audit. British Medical Journal 322(7294), 1101 (2001)

    Article  Google Scholar 

  33. Coeira, E., Jayasuria, R.A., Hardy, J., Bannan, A., Thorpe, M.E.: Communication loads on clinical staff in the emergency department. MJA 176(9), 415–418 (2002)

    Google Scholar 

  34. Fairbanks, R.J., Bisantz, A.M., Sunm, M.: Emergency department communication links and patterns. Annals of Emergency Medicine 50(4), 396–406 (2007)

    Article  Google Scholar 

  35. Woloshynowych, M., Davis, R., Brown, R., Vincent, C.: Communication patterns in a UK emergency department. Annals of Emergency Medicine 50(4), 407–413 (2007)

    Article  Google Scholar 

  36. Spencer, R., Logan, P., Coiera, E.: Socio-technical Factors Surrounding Practices Related to Telephone, Paging and Information System Use in an Emergency Department. In: Coiera, E., Chu, S., Simpson, C. (eds.) Health Informatics Society of Australia (HISA), Royal Australian College of General Practitioners, RACGP (2003) (combined conference) (August 2003)

    Google Scholar 

  37. Schuur, J., Moreau, J., Bohan, J., Fauchet, G., Lobon, L., Lyn, E., Nathanson, L., Stack, A., Temin, E., Tibbles, C.: 16: Emergency Department Consultation Practices and Documentation Vary Widely Across Hospitals. Annals of Emergency Medicine 54(3-1) (2009)

    Google Scholar 

  38. Lottridge, D., Chignell, M., Danicic-Mizdrak, R., Pavlovic, N.J., Kushniruk, A., Straus, S.E.: Group differences in physician responses to handheld presentation of clinical evidence: a verbal protocol analysis. BMC Medical Informatics and Decision Making 7(1), 22 (2007)

    Article  Google Scholar 

  39. Lowenhaupt, M.: Justify before You Buy. Healthcare Informatics 21, 36–37 (2004)

    Google Scholar 

  40. Hu, P.J., Chau, P.Y.K., Sheng, O.R.: Adoption of telemedicine technology by health care organizations: an exploratory study. Journal of Organizational Computing and Electronic Commerce 12(3) (2002)

    Google Scholar 

  41. Hu, P.J., Chau, P.Y.K., Sheng, O.R., Tam, K.Y.: Examining the technology acceptance model using physician acceptance of telemedicine technology. Journal of Management Information Systems 16(2), 91–112 (1999)

    Article  Google Scholar 

  42. Sheng, O.R., Hu, P.J., Wei, C.P., Higa, K., Au, G.: Adoption and diffusion of telemedicine technology in health care organizations: a comparative case study in Hong Kong. Journal of Organizational Computing and Electronic Commerce 8(4), 247–275 (1998)

    Article  Google Scholar 

  43. Walter, Z., Lopez, M.S.: Physician acceptance of information technologies: Role of perceived threat to professional autonomy. Decision Support Systems 46(1), 206–215 (2008)

    Article  Google Scholar 

  44. Norman, G.R., Brooks, L.R.: The non-analytical basis of clinical reasoning. Advances in Health Sciences Education 2(2), 173–184 (1997)

    Article  Google Scholar 

  45. Norman, G.R., Young, M., Brooks, L.R.: Non-analytical models of clinical reasoning: the role of experience. Medical Education 41(12), 1140–1145 (2007)

    Google Scholar 

  46. Young, M., Brooks, L.R., Norman, G.R.: Found in translation: the impact of familiar symptom descriptions on diagnosis in novices. Medical Education 41(12), 1146–1151 (2007)

    Article  Google Scholar 

  47. Friedman, S.M., Elinson, R., Arenovich, T.A.: A study of emergency physician work and communication: a human factors approach. Israeli J. Emerg. Med. 5, 35–42 (2005)

    Google Scholar 

  48. Preece, J., Rogers, Y., Sharp, H.: Interaction Design: Beyond Human Computer Interaction. John Wiley & Sons, New York (2002)

    Google Scholar 

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Author information

Authors and Affiliations

  1. Interactive Media Lab, Department of Mechanical and Industrial Engineering, University of Toronto, Canada

    Erin Yu, Ryan Kealey & Mark Chignell

  2. IBM Centre for Advanced Studies, Canada

    Joanna Ng & Jimmy Lo

Authors
  1. Erin Yu
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  2. Ryan Kealey
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  3. Mark Chignell
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  4. Joanna Ng
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  5. Jimmy Lo
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Editor information

Editors and Affiliations

  1. University of Toronto, M5S 2E4, Ontario, Canada

    Mark Chignell

  2. Queen’s University, K7L 3N6, Kingston, Ontario, Canada

    James Cordy

  3. IBM Canada Software Laboratories, L6G 1C7, Markham, Ontario, Canada

    Joanna Ng

  4. University of Maryland, Baltimore County, 21250, Baltimore, Maryland, USA

    Yelena Yesha

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© 2010 Springer-Verlag Berlin Heidelberg

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Yu, E., Kealey, R., Chignell, M., Ng, J., Lo, J. (2010). Smarter Healthcare: An Emergency Physician View of the Problem. In: Chignell, M., Cordy, J., Ng, J., Yesha, Y. (eds) The Smart Internet. Lecture Notes in Computer Science, vol 6400. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-16599-3_2

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  • DOI: https://doi.org/10.1007/978-3-642-16599-3_2

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-16598-6

  • Online ISBN: 978-3-642-16599-3

  • eBook Packages: Computer ScienceComputer Science (R0)

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