Paper Info
Title
User-centered Design in Clinical Handover: Exploring Post-Implementation Outcomes for Clinicians.
Abstract
This paper examines the outcomes for clinicians from their involvement in the development of an electronic clinical handover tool developed using principles of user-centered design. Conventional e-health post-implementation evaluations tend to emphasize technology-related (mostly positive) outcomes. More recently, unintended (mostly negative) consequences arising from the implementation of e-health technologies have also been reported. There remains limited focus on the post-implementation outcomes for users, particularly those directly involved in e-health design processes. This paper presents detailed analysis and insights into the outcomes experienced post-implementation by a cohort of junior clinicians involved in developing an electronic clinical handover tool in Tasmania, Australia. The qualitative methods used included observations, semi-structured interviews and analysis of clinical handover notes. Significantly, a number of unanticipated flow-on effects were identified that mitigated some of the challenges arising during the design and implementation of the tool. The paper concludes by highlighting the importance of identifying post-implementation user outcomes beyond conventional system adoption and use and also points to the need for more comprehensive evaluative frameworks to encapsulate these broader socio-technical user outcomes.
Year
DOI
Venue
2013
10.3233/978-1-61499-289-9-253
Studies in Health Technology and Informatics
Keywords
Field
DocType
User-centered design,Health information technology
Patient Handoff,Health information technology,Knowledge management,Qualitative research,Medicine,Clinical handover,User-centered design
Conference
Volume
ISSN
Citations 
192
0926-9630
1
PageRank 
References 
Authors
0.48
8
3
Name
Order
Citations
PageRank
Ming Chao Wong166.42
Elizabeth Cummings2149.86
Paul Turner3317.53