Philipp Krop
Marc Erich Latoschik
ABSTRACT
Management of radiology requests in larger clinical contexts is characterized by a complex and distributed workflow. In our partner hospital, representing many similar clinics, these processes often still rely on exchanging physical papers and forms, making patient or case data challenging to access. This often leads to phone calls with long waiting queues, which are time-inefficient and result in frequent interrupts. We report on a user-centered design approach based on Rapid Contextual Design with an additional focus group to optimize and iteratively develop a new workflow. Participants found our prototypes fast and intuitive, the design clean and consistent, relevant information easy to access, and the request process fast and easy. Due to the COVID pandemic, we switched to remote prototype testing, which yielded equally good feedback and increased the participation rate. In the end, we propose best practices for remote prototype testing in hospitals with complex and distributed workflows.
Supplemental Material
- Apple. 2021. iOS Design Themes. https://developer.apple.com/design/human-interface-guidelines/ios/overview/themes/Google Scholar
- Lars Borgen, Erling Stranden, and Ansgar Espeland. 2010. Clinicians’ justification of imaging: do radiation issues play a role?Insights into imaging 1, 3 (2010), 193–200.Google Scholar
- John Brooke. 1995. SUS: A ’Quick and Dirty’ Usability Scale. Usability Evaluation In IndustryJuly (1995), 207–212. https://doi.org/10.1201/9781498710411-35Google Scholar
- Nicholas Brown and Lee Jones. 2013. Knowledge of medical imaging radiation dose and risk among doctors. Journal of medical imaging and radiation oncology 57, 1 (2013), 8–14.Google ScholarCross Ref
- Karen Holtzblatt, Jessamyn Burns Wendell, and Shelley Wood. 2004. Rapid contextual design: a how-to guide to key techniques for user-centered design. Elsevier, 500 Sansome Street, Suite 400, San Francisco, CA 94111.Google Scholar
- Ursula Hübner, Moritz Esdar, Jens Hüsers, Jan-David Liebe, Laura Naumann, Johannes Thye, and Jan-Patrick Weiß. 2020. IT-Report Gesundheitswesen 2020 - Wie reif ist die Gesundheits-IT aus Anwender-Perspektive? Befragung ärztlicher und pflegerischer Krankenhaus-Direktoren*innen in Deutschland, Österreich und der Schweiz. Technical Report. Forschungsgruppe Informatik im Gesundheitswesen (IGW) - Hochschule Osnabrück.Google Scholar
- Axure Software Solutions Inc.2021. Axure RP 10. https://www.axure.com/Google Scholar
- Zoom Video Communications Inc.2021. Zoom: Video Conferencing Tool. https://zoom.us/Google Scholar
- Interaction Design Group. 2018. NASA-TLX (Kurzfassung deutsch). (2018), 1–3. http://interaction-design-group.de/toolbox/wp-content/uploads/2016/05/NASA-TLX.pdfGoogle Scholar
- Holger Klapperich, Matthias Laschke, and Marc Hassenzahl. 2018. The positive practice canvas: gathering inspiration for wellbeing-driven design. In Proceedings of the 10th Nordic Conference on Human-Computer Interaction. 74–81.Google ScholarDigital Library
- Philipp Krop, Samantha Straka, Melanie Ullrich, Maximilian Ertl, and Marc Erich Latoschik. 2021. IT-Supported request management for clinical radiology: Analyzing the Radiological Order Workflow through Contextual Interviews. In Mensch und Computer 2021 (MuC ’21), September 5-8, 2021, Ingolstadt, Germany. Association for Computing Machinery, New York, NY, USA, 1–7. https://doi.org/10.1145/3473856.3473992Google ScholarDigital Library
- Jordan Gilleland Marchak, Brooke Cherven, Rebecca Williamson Lewis, Paula Edwards, Lillian R. Meacham, Michael Palgon, Cam Escoffery, and Ann C. Mertens. 2020. User-centered design and enhancement of an electronic personal health record to support survivors of pediatric cancers. Supportive Care in Cancer 28, 8 (2020), 3905–3914. https://doi.org/10.1007/s00520-019-05199-wGoogle ScholarCross Ref
- Miro. 2021. Miro - Online Whiteboard Tool. https://miro.com/Google Scholar
- João M. Monteiro and Carla Teixeira Lopes. 2018. Health talks — a mobile app to improve health communication and personal information management. CHIIR 2018 - Proceedings of the 2018 Conference on Human Information Interaction and Retrieval 2018-March (2018), 329–332. https://doi.org/10.1145/3176349.3176894Google Scholar
- Jakob Nielsen. 1994. Usability engineering. Morgan Kaufmann.Google Scholar
- Jharina Pascual and Sarah Wallbank. 2021. Analyzing Workflows and Improving Communication across Departments: A Quick and Simple Project Using Rapid Contextual Design. Serials Librarian 80, 1-4 (2021), 11–18. https://doi.org/10.1080/0361526X.2021.1877996Google ScholarCross Ref
- T. Rudolf and S. Schmidt. 2016. Digitalisierung im Krankenhaus. Medizintechnik (Cologne) 136, 6 (2016), 28–30.Google Scholar
- Victor Stephani, Reinhard Busse, and Alexander Geissler. 2019. Benchmarking der Krankenhaus-IT: Deutschland im internationalen Vergleich. In Krankenhaus-Report 2019. Springer Berlin Heidelberg, Berlin, Heidelberg, 17–32. https://doi.org/10.1007/978-3-662-58225-1_2Google ScholarCross Ref
- Antti Surma-aho, Katja Hölttä-Otto, Kaisa Nelskylä, and Nina C. Lindfors. 2021. Usability issues in the operating room – Towards contextual design guidelines for medical device design. Applied Ergonomics 90, December 2019 (2021). https://doi.org/10.1016/j.apergo.2020.103221Google Scholar
- Johannes Thye, Ursula Hübner, Moritz Esdar, Jens Hüsers, Jens Rauch, Jan-David Liebe, and Jan-Patrick Weiß. 2018. IT-Report Gesundheitswesen 2018 - Schwerpunkt - Wie reif ist die IT in deutschen Krankenhäusern?Technical Report. Forschungsgruppe Informatik im Gesundheitswesen (IGW) - Hochschule Osnabrück.Google Scholar
- Alarith Uhde, Matthias Laschke, and Marc Hassenzahl. 2021. Design and Appropriation of Computer-supported Self-scheduling Practices in Healthcare Shift Work. Proceedings of the ACM on Human-Computer Interaction 5, CSCW1(2021), 1–26. https://doi.org/10.1145/3449219 arxiv:2102.02132Google ScholarDigital Library
- Karel Vredenburg, Ji Ye Mao, Paul W. Smith, and Tom Carey. 2002. A survey of user-centered design practice. Conference on Human Factors in Computing Systems - Proceedings 4, 1(2002), 471–478. https://doi.org/10.1145/503457.503460Google ScholarDigital Library
- Yao Xie, Melody Chen, David Kao, Ge Gao, and Xiang Anthony Chen. 2020. CheXplain: Enabling Physicians to Explore and Understand Data-Driven, AI-Enabled Medical Imaging Analysis. Conference on Human Factors in Computing Systems - Proceedings (2020), 1–13. https://doi.org/10.1145/3313831.3376807 arxiv:2001.05149Google Scholar
Recommendations
IT-Supported request management for clinical radiology: Analyzing Requirements through Contextual Interviews
MuC '21: Proceedings of Mensch und Computer 2021Requests for radiological examinations in large medical facilities are a distributed and complex process with potential health-related risks for patients. A user-centered qualitative analysis with contextual interviews uncovered nine core problems, ...
Formula One: Mobile Device Supported Rapid In-the-Wild Design and Evaluation of Interactive Prototypes
HCIK '16: Proceedings of HCI KoreaAs computers are becoming more wearable and ubiquitous, design methods using interactive prototypes have also been evolved to support in-the-wild design and evaluation in the early design stage. However, current prototype-based design methods are still ...
Discount User-Centered e-Health Design: A Quick-but-not-Dirty Method
6th Symposium of the Workgroup Human-Computer Interaction and Usability Engineering on HCI in Work and Learning, Life and Leisure - Volume 6389The philosophy of discount usability engineering perfectly fits the health care setting, where cost-cutting is ubiquitously present. We adapted Nielsen's discount usability approach for the health care setting by combining traditional thinking aloud n=...
Comments