Improving Antibiotic Resistant Infection Transmission Situational Awareness in Enclosed Facilities with a Novel Interface Design for Tactical Biosurveillance

The implementation of the Electronic Health Record to substantially improve the practice of medicine has not fully reached its projected potential partly due to many barriers to its adoption. There is growing evidence that one of the reasons for the delay in the adoption of EHR has been due to the negative impact of current EHRs on the clinician-patient interaction, clinician workflow and communications. This research studies the usability of the Electronic Health Record for clinicians involved in cardiac care by evaluating various clinician-patient interaction workflows. The aim of the study is to identify inefficiencies by examining the similarities and differences among various clinician-patient interaction workflows. This research is presented as “work in progress”

Examining the Success of a Youth Care Management Information System through the Lenses of Novices

The goal of the research is to evaluate the success of novice end user interactions with a newly developed youth care management information system (YCMIS) that was designed to replace a paper based system managing mentally challenged clients. Delone and McLean’s (1992) framework of information system (IS) success was utilized in the evaluation which predicts the success of the end user interaction by measuring six independent variables; end user’s satisfaction, usage, system quality, information quality, individual impact, and organizational impact. In this study researchers used a semi-structured group interview to collect the data. The interview questions were designed to address the six independent variables measured in the Delone and McLean (1992) success model which are to determine the dependent variable, IS success. In conclusion, the YCMIS system was found to be a success and the interviews also identified unintended organizational value and efficiencies

Best Practices for Implementing Agile Methods: A Guide for Department of Defense Software Developers

Traditional plan-driven software development has been widely used in the government because it\u27s considered to be less risky, more consistent, and structured. But there has been a shift from this approach to Agile methods which are more flexible, resulting in fast releases by working in an incremental fashion to adapt to the reality of the changing or unclear requirements. This report describes the Agile software development philosophy, methods, and best practices in launching software design projects using the Agile approach. It is targeted to Defense Department software developers because they face broad challenges in creating enterprise-wide information systems, where Agile methods could be used most effectively. Though not a panacea, agile methods offer a solution to an important class of problems faced by organizations today. Technology and E-Government

Recognizing patient safety importance through instrument validation on physicians’ assessment of an EHR

Patient safety and high quality patient care are critical concerns for healthcare providers. The Institute of Medicine report suggests medical errors account for up to 98,000 patient deaths each year. Therefore, the US healthcare system is looking to information technology applications as one means of making patient care safer. This paper compares the psychometric properties of the Electronic Health Record Nurse Satisfaction instrument (based on the Health Information Technology Research-based Evaluation Framework) to our study that employed the same instrument but measured clinical physicians\u27 opinions of an EHR to determine if the instrument could be used across domains of users. Our results found the factor analysis and the clustering of the sub-scale items were different. We propose a two-factorial instrument that identifies the following dimensions: System Features/Performance and Data Quality/Accuracy. Another important contribution of this study is that patient safety was identified as a more salient indicator for physicians

An Evaluation of the Usability of a Computerized Decision Support System for Nursing Homes

Background: Computerized decision support systems (CDSSs) have the potential to significantly improve the quality of nursing care of older people by enhancing the decision making of nursing personnel. Despite this potential, health care organizations have been slow to incorporate CDSSs into nursing home practices. Objective: This study describes facilitators and barriers that impact the ability of nursing personnel to effectively use a clinical CDSS for planning and treating pressure ulcers (PUs) and malnutrition and for following the suggested risk assessment guidelines for the care of nursing home residents. Methods: We employed a qualitative descriptive design using varied methods, including structured group interviews, cognitive walkthrough observations and a graphical user interface (GUI) usability evaluation. Group interviews were conducted with 25 nursing personnel from four nursing homes in southern Norway. Five nursing personnel participated in cognitive walkthrough observations and the GUI usability evaluation. Text transcripts were analyzed using qualitative content analysis. Results: Group interview participants reported that ease of use, usefulness and a supportive work environment were key facilitators of CDSS use. The barriers identified were lack of training, resistance to using computers and limited integration of the CDSS with the facility’s electronic health record (EHR) system. Key findings from the usability evaluation also identified the difficulty of using the CDSS within the EHR and the poorly designed GUI integration as barriers. Conclusion: Overall, we found disconnect between two types of nursing personnel. Those who were comfortable with computer technology reported positive feedback about the CDSS, while others expressed resistance to using the CDSS for various reasons. This study revealed that organizations must invest more resources in educating nursing personnel on the seriousness of PUs and poor nutrition in the elderly, providing specialized CDSS training and ensuring that nursing personnel have time in the workday to use the CDSS

Toward Visualization-Specific Heuristic Evaluation

This position paper describes heuristic evaluation as it relates to visualization and visual analytics. We review heuristic evaluation in general, then comment on previous process-based, performance-based, and framework-based efforts to adapt the method to visualization-specific needs. We postulate that the framework-based approach holds the most promise for future progress in development of visualization-specific heuristics, and propose a specific framework as a starting point. We then recommend a method for community involvement and input into the further development of the heuristic framework and more detailed design and evaluation guidelines

An empirical study of human -computer interaction usability factors affecting perceptions of trust of e -health consumers

A critical challenge facing organizations today is to develop a web presence that is not only compelling to the consumer, but also establishes trust. This study focuses on an e-business environment that requires establishing trust relationships between an organization and consumers in the context of exchanging personal information using an e-health care service. E-business includes using the convenience, availability, and global reach of electronic media to enhance existing businesses and create new virtual businesses. E-business is often categorized as: internal transactions using an Intranet, business-to-business (B2B) transactions through an Extranet, and business-to-consumer (B2C) transactions over the Internet. B2B transactions have had remarkable economic growth; however, B2C transactions have lagged behind. One of the most often cited reasons for this lag are consumers\u27 fear of divulging personal data over the Internet. Consumers simply do not trust web providers enough to engage in “relationship exchanges” that involve money and personal information. Specifically, this study investigated the effect of Human-Computer Interaction (HCI) usability factors on consumers\u27 perception of trust when using e-health services. The study also examined the importance of an individual\u27s trust propensity and the influence of the severity of the health problem. This research confirmed that HCI usability factors are essential elements in conveying the trustworthiness of a web-based system and do affect consumers\u27 perception of trust in personal relationship-based information exchanges. Further, the results indicate that consumers who have a high trust propensity rate the trustworthiness of a web-based system higher than individuals with a low trust propensity, and that the severity of the health problem does influence trustworthiness. This research will help web developers better understand which usability factors effect the users\u27 perception of trust and will aid in designing websites that impart trustworthiness. Secondly, this study broadened the research field by examining HCI usability factors and trust from a personal-information exchange perspective. Lastly, this research addressed how HCI usability factors can assist in better enabling e-health technologies

Electronic Commerce Strategy - Looking Through the Lenses of an Innovation Strategy Model

The world is in the midst of a revolution in the way businesses perform commerce. Many industries who were in the past relatively low tech are now finding themselves in a situation where they must embrace technology and prepare to compete head-on using E- Commerce. This paradigm shift in thinking and competition is creating opportunities and chaos. This paper examines the innovation capability of organizations in evaluating and deploying their E-Commerce strategies. An Innovation Strategy Model is used in this research as the theoretical foundation. The case study and survey research methodologies were selected. Data gathering and analysis are in progress. Preliminary results are discussed in this paper

\u3ci\u3ePatient-Centered E-Health\u3c/i\u3e

Editor: E. Vance Wilson Chapter 12, Patient-Centered E-Health, authored by Ann Fruhling, UNO faculty member Adoption of a user-centered design (UCD) focus has immensely enriched the health industry. Application of UCD concepts are key to successful development of e-services, including e-health. Patient-Centered E-Health presents the perspective of a distinct form of e-health that is patient-focused, patient-aware, patient-empowered, and patient-active. This must-have book for researchers, educators, and healthcare practitioners addresses the special characteristics of the e-health domain through a user-centered design, providing foundational topics in areas such as patient-centered design methods, psychological aspects of online health communication, and e-health marketing.https://digitalcommons.unomaha.edu/facultybooks/1285/thumbnail.jp

The Impact of Electronic Commerce on Business-Level Strategies

This paper examines the impact of electronic commerce on business-level strategies. The paper examines electronic commerce (E.C) from the perspective of intra-business E.C., business-to-business E.C., business-toconsumer E.C., and value/supply chain management. Business-level strategies are considered to include: addedvalue, differentiation, cost leadership, focus, and growth source. The paper concludes that E-commerce will have significant impacts on each of the business-level strategic areas. 1