Promise of mobile technology delivered to the hospital

INDIANAPOLIS – As hospitalists – doctors who provide general medical care to inpatients – become more common, new study sheds new light on missed and potential integration opportunities for mobile technology, such as phones laptops, tablets and applications (applications) in hospital workflow to improve patient care.

“Health systems across the country have invested heavily in health information technology. [HIT], but when it comes to mobile technology delivered to hospitals, HIT hasn’t incorporated a lot of user-centric designs, ”said study correspondent author and human factors engineer April Savoy, PhD, researcher from the Regenstrief Institute and the US Department of Veterans Affairs and Purdue School of Engineering and Technology at the IUPUI faculty member. “Cell phones work well for ordering a ride from a car service or posting to social media, as their apps are designed for the consumers these companies want to reach. But we have seen a lack of user-centric mobile technology applications designed to reduce hassle and increase the efficiency of hospital workflows and improve patient care.

“We have determined that when hospital workers leave their desks to see patients, these hard-working doctors are relying on paper, pen and, most importantly, their memory,” noted Dr. Savoy. This memory addiction contributes to the cognitive load of daily work and can threaten patient safety. With the increasing volume and acuity of patients everywhere, ways to improve daily hospital care are urgently needed.

“During the rounds, the hospital workers do not use mobile technology because it is not user-oriented. It lacks easy-to-use apps on small screens without a keyboard, as most healthcare systems haven’t figured out how to make mobile devices accessible when and where it’s needed and haven’t addressed basic issues like battery life and device sanitation.

After mapping workflows and interviewing hospitals, the study authors identified the most frequent, redundant, or most difficult tasks from a vendor perspective and came up with potential solutions, including types of applications. that can be prioritized to solve problems and provide solutions. Based on their analysis, they concluded that mobile apps focused on data entry and presentation that support specific tasks should also be prioritized.

“Clinician Perspectives on Unmet Mobile Technology Needs Among Hospitallers: A Workflow Analysis Based on Semi-structured Interviews” is published online in Human Factors JMIR. The study, which was funded by the Department of Veterans Affairs, was conducted to inform the design and implementation processes of future health information technologies to improve the continuity of hospital medicine and , ultimately, patient care.

The authors, in addition to Dr. Savoy, are former Regenstrief Institute research scientist Jason Saleem, PhD, now JB Speed ​​School of Engineering, University of Louisville; Barry C. Barker and Himalaya Patel, PhD, of the Center for Health Information and Communication at the Richard L. Roudebush Department of Veterans Affairs Medical Center, and hospitalist Areeba Kara, MD, of Indiana University School of Medicine and IU Health Physicians.

About April Savoy, PhD

In addition to her role as a Research Scientist at the Regenstrief Institute, April Savoy, PhD, is Director of the Human Machine Interaction Simulation and Interaction and Health Services Simulation Laboratory at the United States Department of Veterans Affairs. United, and Principal Investigator for the Center for Health Information and Communication, Richard L. Roudebush VA Medical Center. She is also an Assistant Professor of Computing and Information Technology at the Purdue School of Engineering and Technology at IUPUI.

About the Regenstrief Institute

Founded in 1969 in Indianapolis, the Regenstrief Institute is a local, national and global leader dedicated to a world where better information empowers people to end disease and achieve true health. A key research partner of Indiana University, Regenstrief and her researchers are responsible for a growing number of major innovations and studies in healthcare. Examples range from developing global health information technology standards that enable the use and interoperability of electronic health records to improving patient-physician communications, to creating models of care. that inform practice and improve the lives of patients around the world.

Sam Regenstrief, a nationally successful entrepreneur from Connersville, Indiana, founded the institute with the goal of making healthcare more efficient and accessible to all. His vision continues to guide the research mission of the institute.

About Richard L. Roudebush Veterans Affairs (VA) Medical Center

Founded in 1932, the Richard L. Roudebush VA Medical Center serves Indiana and Western Illinois veterans. Roudebush VAMC is one of the largest and most complex medical centers in the Department of Veterans Affairs and provides acute inpatient medical, surgical, psychiatric, rehabilitation and neurological care to more than 60,000 veterans each. year. Some of the many services available to Veterans include emergency medicine, primary care, cardiac care, radiation oncology, audiology, community long-term care, and community VA clinics.

About the IUPUI Purdue School of Engineering and Technology

The IUPUI’s Purdue School of Engineering and Technology is considered one of the premier urban schools of engineering and technology in the United States. It offers undergraduate and graduate programs that prepare students for careers in a global economy, and is recognized regionally, nationally and internationally for its excellence in teaching and learning, research and activities. creative, and community engagement.

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