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User-centered design in clinical handover: exploring post-implementation outcomes for clinicians

Citation

Wong, MC and Cummings, E and Turner, P, User-centered design in clinical handover: exploring post-implementation outcomes for clinicians, Studies in Health Technology and Informatics, 192 pp. 253-257. ISSN 0926-9630 (2013) [Refereed Article]


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Copyright 2013 IMIA and IOS Press

DOI: doi:10.3233/978-1-61499-289-9-253

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 postimplementation 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 flowon 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.

Item Details

Item Type:Refereed Article
Keywords:user-centered design, health information technology, clinical handover
Research Division:Information and Computing Sciences
Research Group:Library and Information Studies
Research Field:Health Informatics
Objective Division:Health
Objective Group:Health and Support Services
Objective Field:Health and Support Services not elsewhere classified
Author:Wong, MC (Dr Ming Wong)
Author:Cummings, E (Associate Professor Liz Cummings)
Author:Turner, P (Associate Professor Paul Turner)
ID Code:85963
Year Published:2013
Web of Science® Times Cited:4
Deposited By:Health Sciences B
Deposited On:2013-08-16
Last Modified:2017-11-02
Downloads:255 View Download Statistics

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