Contributions of activity ergonomics to the design of an electronic health record to support collaborative mental care of children and youth: Preliminary results

Abstract

BACKGROUND: The use of electronic health records (EHR) is related to the improvement of service quality and care coordination. The design of this platform generally focuses on the individual use of the system and does not integrate the specific needs of workers to provide support for collaborative activities. OBJECTIVE:The study investigated how activity ergonomics (AE) contributed to improve the design of an EHR that supports the collaborative mental health care of children and youth. METHODS: This qualitative study, based on the theoretical framework of AE, used individual and group interviews and document analysis as research procedures. The data collection occurred between March and September 2017 in Rio de Janeiro, Brazil. RESULTS:The study highlighted the following points: the characteristics that marked the different perceptions of workers regarding the use of a communication tool for collaborative care; the problems related to spreadsheet usability; and the desirable attributes that should be considered in the conception of a new EHR. CONCLUSIONS: The research indicated that AE favors improving the design of an EHR by incorporating the work dimension into the project.

Involving Health Care Professionals in the Development of Electronic Health Records: Scoping Review

“…Furthermore, 8 studies were conducted in the context of ICUs [ 49 , 55 , 56 , 58 ,​ 63 , 68 , 73 , 87 , 93 , 115 ], 6 were conducted in the context of family medicine [ 52 , 59 , 101 , 102 , 109 , 110 ], 6 were conducted in primary care hospitals [ 53 , 61 , 97 , 98 , 104 , 105 ], 5 were conducted in outpatient or clinic settings [ 54 , 57 , 74 , 95 , 108 ], and 3 were conducted in tertiary hospitals [ 50 , 86 , 107 ]. Two studies each were conducted in a dental clinic [ 47 , 51 ], in a palliative care setting [ 88 , 96 ], in emergency departments [ 90 , 103 ], in the gynecological and antenatal settings [ 64 , 66 ], and in the context of mental health or psychiatry settings [ 48 , 69 ]. One study each was conducted in the setting of home care [ 94 ], older adult care [ 79 ], community health [ 106 ], cancer centers [ 112 ], and childcare [ 113 ].…”

“…Overall, 36% (25/70) of the studies used mixed methods design [ 54 , 55 , 57 , 60 , 61 , 66 , 72 , 75 , 78 , 79 , 81 , 83 , 84 , 90 , 92 , 94 , 95 , 98 , 100 ,​ 102 , 103 , 105 , 108 , 109 , 111 , 113 ]. Moreover, 31% (22/70) of the studies used a qualitative design [ 49 , 50 , 52 , 56 , 59 , 62 , 64 ,​ 69 - 71 , 73 , 74 , 77 , 86 , 87 , 91 , 96 , 99 , 104 , 107 , 114 , 115 ], whereas 31% (22/70) of the studies used a quantitative design [ 47 , 48 ,​ 51 , 53 , 58 , 63 , 65 , 67 , 68 , 76 , 80 , 82 , 85 , 88 , 89 , 93 , 97 , 99 , …”

“…In one of the studies, it was only given as a keyword and not in the manuscript [ 97 ]. In terms of frequency, the following terms were used: “participatory design” in 6% (4/70) of the studies [ 48 , 63 , 65 , 96 ], “co-design” in 3% (2/70) of the studies [ 94 , 105 ], and “iterative rapid design involving providers” [ 53 ], “end-user design” [ 49 ], “multidisciplinary design” [ 61 ] and “human-centered design” [ 113 ] in 1 study each.…”

“…Individual semistructured interviews [ 48 , 53 - 55 , 60 , 63 , 65 , 67 ,​ 68 , 70 , 72 , 79 , 80 , 82 - 85 , 87 , 88 , 90 , 93 , 94 , 96 - 98 , 102 , 104 - 106 , 110 , 111 , 113 , 114 ] and group interviews and focus group discussions [ 48 , 60 , 62 , 63 , 67 ] were conducted. In some of the studies, design workshops were held with various users [ 53 , 57 , 65 , 90 , 110 ].…”

“…Less frequently used methods include document analysis [ 48 , 85 ] and extraction of routine data from the EHR for analysis [ 60 , 61 , 70 , 74 , 111 , 113 ].…”