Hi Marc, Agreed with your analysis here. One thing that's unique with the company I am at is that we actually have a number of ethnographers on staff for researching workflows, etc. One thing I find however is that many of the medical facilities are hesitant to let them in unless it's something that will benefit them directly. So while the research is being done, the whole system is so fragmented (like you also state) that it's hard to get a complete picture. There's a ton of opportunity to really do something right in this space.
David On Tue, Oct 27, 2009 at 4:44 AM, marc resnick <[email protected]> wrote: > I usually hate to join a conversation after dozens of replies have > already been offered, but I have to jump in here because it seems a > big culprit is being missed (unless I skimmed the many replies too > fast). > > I have done a decent bit of consulting in this space and I have found > that there is often a lack of understanding of the complex processes > that underlie hospital activities and the EHRs miss something that > medical personnel can hack into their paper records but not the EHR. > The multi-disciplinary teams (nurses, doctors, technicians) all have > different expertise, knowledge, and task needs. There are handoff > issues when shifts change, especially for nurses. There are changes > in diagnosis and treatment protocols (i.e. for H1N1) that can't be > captured if the EHR is not flexible enough. > > Designers need to go beyond IXDA and even comprehensive usability > analysis. They need to do some deep ethnography and really get to > know the workflows, culture of care, and politics of the hospital > system to design an effective EHR system. It has to be a system, not > just a standalone set of file formats. > > Marc Resnick > Usability Solutions > resnickm at fiu.edu > 305 443-3765. > > > . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . > Posted from the new ixda.org > http://www.ixda.org/discuss?post=47008 > > > ________________________________________________________________ > Welcome to the Interaction Design Association (IxDA)! > To post to this list ....... [email protected] > Unsubscribe ................ http://www.ixda.org/unsubscribe > List Guidelines ............ http://www.ixda.org/guidelines > List Help .................. http://www.ixda.org/help > -- "Making peoples lives easier daily... since 1969" w: http://weatherdude.wordpress.com ________________________________________________________________ Welcome to the Interaction Design Association (IxDA)! To post to this list ....... [email protected] Unsubscribe ................ http://www.ixda.org/unsubscribe List Guidelines ............ http://www.ixda.org/guidelines List Help .................. http://www.ixda.org/help
