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


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]


Copyright Statement

Copyright 2013 IMIA and IOS Press

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


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:Health Sciences
Research Group:Health services and systems
Research Field:Health informatics and information systems
Objective Division:Health
Objective Group:Evaluation of health and support services
Objective Field:Evaluation of health and support services not elsewhere classified
UTAS Author:Wong, MC (Dr Ming Wong)
UTAS Author:Cummings, E (Associate Professor Liz Cummings)
UTAS Author:Turner, P (Associate Professor Paul Turner)
ID Code:85963
Year Published:2013
Web of Science® Times Cited:6
Deposited By:Health Sciences B
Deposited On:2013-08-16
Last Modified:2017-11-02
Downloads:309 View Download Statistics

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