Impact of mobile computing on medical systems usability

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yvggyrorne

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Description

Although the EHR improves clinical documentation and consistency, some clinicians observe that their time to document patient encounters increases rather than decreases. Having readily accessible mobile devices such as tablet computers, mobile carts, bedside terminals and even smartphones can be one way to provide less interruption to nurse and physician workflow at bedside.

Below are two healthcare scenarios that describe the use of mobile devices.

Healthcare Scenarios

Review the scenarios and respond to the corresponding questions

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First Scenario “Laptop Convenience”: There is a trial for the deployment of laptops to the nursing staff at LiveWell Hospital. The staff on 3 East are very pleased with the new laptops provided to them for documentation in the e HR. Previously, the staff recorded little notes on paper and returned to the main nursing station to use the desktop computers there to enter patient documentation. Medical Assistant completed morning rounds on 5 patients at a time, noted each patient’s vitals on notepads that fit into their pockets, then headed to nursing station to document in the e HR. When complete, they returned to see the next 5 patients assigned to them and repeated the process. Now, each Medical Assistant has a laptop that they carry with them to each room. They sit on the corner of the patient bed, open the laptop, log-in and record the patient’s vitals. This is a great time saver. • • One laptop was dropped and needed repair on the first day the new process was rolled out on 3 east. At the end of the 1st week, two Medical Assistants on 3 East reported to employee health both complaining of neck pain and muscle strain in the neck and shoulder area. Identify 2 mobile device features or characteristics that would enhance usability and workflow for the Laptop Convenience scenario. (Be sure to use citations from resource material.) In a paragraph, analyze the Laptop Convenience scenario and consider: • • • Privacy issues Ergonomic issues Human factors How does the above evaluation of the Laptop Convenience scenario assist in the adoption and selection of mobile devices? Second Scenario “Smart Use of a Smartphone”: Dr. Altoff accesses the new eHR on his smartphone. He is able to see all his patients on 3 east before morning break because of this new found convenience using his smartphone. He is adept at navigating the e HR – he locates lab and radiology results, places his own orders, messages pharmacy with medication clarifications and even makes referrals using his smartphone. The nurses and staff love his independent work style as it frees up their time to do their own tasks. Other physicians hate the eHR, they don’t know how to log-in, make the nurses enter their orders and place phone calls to pharmacy.______________________________________________________________________ At the 1st floor reception area, a hospital visitor approaches with a phone in hand. The visitor indicates that the phone was found the day before in the parking lot when the visitor was headed home following his mom’s hip surgery. The visitor brought the phone home and tried to figure out who owned the phone – he looked over the phone extensively and realized it was a doctor’s phone. The next morning, he returned to visit his mom and decided to turn the phone in at the reception desk. The phone is later identified as Dr Althoff’s. Identify 2 mobile device features or characteristics that would enhance usability and workflow for the Smart Use scenario. (Be sure to use citations from resource material.) In a paragraph, analyze the Smart Use scenario and consider: • • • Privacy issues Ergonomic issues Human factors How does the above evaluation of the Smart Use scenario assist in the adoption and selection of mobile devices?
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Explanation & Answer

Attached.

First Scenario “Laptop Convenience”: There is a trial for the deployment of laptops to the
nursing staff at LiveWell Hospital. The staff on 3 East are very pleased with the new laptops provided
to them for documentation in the e HR. Previously, the staff recorded little notes on paper and
returned to the main nursing station to use the desktop computers there to enter patient
documentation. Medical Assistant completed morning rounds on 5 patients at a time, noted each
patient’s vitals on notepads that fit into their pockets, then headed to nursing station to document in
the e HR. When complete, they returned to see the next 5 patients assigned to them and repeated the
process.
Now, each Medical Assistant has a laptop that they carry with them to each room. They sit on the
corner of the patient bed, open the laptop, log-in and record the patient’s vitals. This is a great time
saver.



One laptop was dropped and needed repair on the first day the new process was rolled out on
3 east.
At the end of the 1st week, two Medical Assistants on 3 East reported to employee health both
complaining of neck pain and muscle strain in the neck and shoulder area.

Identify...


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