Many factors contribute to the successful implementation and adoption of electronic medical records (EMRs). Easy access to the EMR, where and when required by clinicians, is a key component of adoption and end-user satisfaction with the system. A pediatric hospital implementing an integrated EMR used multiple methods within an iterative human-centered design (HCD) framework to develop hardware and access solutions supporting future EMR workflows in Inpatient and Emergency Departments. Context of use analysis, participatory design methods, preliminary analysis of evaluative simulations and tacit knowledge of the project team led to the development of guiding principles for hardware implementation and solutions supporting just-in-time documentation within the constraints of existing facility design.

Medication non-adherence is a major issue and young adults have unique circumstances leading to non-adherence. User-centered design methods and a constructivist approach were used to address this issue through exploratory, qualitative research. An initial review of the literature framed the project scope and identified knowledge on the issues/interventions for medication adherence. Interviews were conducted with individuals in the target demographic to identify their current approach and issues with medication adherence. Information collected informed co-design sessions, which gathered information on users needs and desires to improve adherence. Results from the literature review, interview and co-design sessions were analysed to create design considerations for a tool that assists in medication taking for the target demographic.These considerations include functional, experiential and healthcare system guidelines.Findings of this study are an initial step towards developing a solution to this issue and the methods used can be applied to future research.

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