Evidence map›Paper›PMID 31368444›Full record

ArticleJMIR mHealth and uHealth2019

A Smartphone App for Improving Clinical Photography in Emergency Departments: Comparative Study.

Chung-Hsien Liu, I-Chun Lin, Jui-Jen Lu, Dengchuan Cai

Abstract readComparative Study
In one paragraph

Article in JMIR mHealth and uHealth, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Implementing a Photodocumentation Program.Journal of imaging informatics in medicine · 2025
    Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Chung-Hsien LiuGraduate School of Design, National Yunlin University of Science and Technology, Yunlin, Taiwan.ORCID 0000-0002-2938-8454
I-Chun LinDepartment of Industrial Engineering and Management, National Yunlin University of Science and Technology, Yunlin, Taiwan.ORCID 0000-0002-1372-0168
Jui-Jen LuDepartment of Emergency Medicine, Ditmanson Medical Foundation Chiayi Christian Hospital, Chiayi, Taiwan.ORCID 0000-0002-5116-3489
Dengchuan CaiGraduate School of Design, National Yunlin University of Science and Technology, Yunlin, Taiwan.ORCID 0000-0003-3689-0677

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDigital photography is crucial for electronic medical records (EMRs), particularly for documenting dermatological diseases and traumatic wounds. In modern emergency departments (EDs), digital cameras are commonly used for photography, but the process is time-consuming. The problems of addressing patient privacy issues and that of interruptions and heavy workloads can cause archival errors when uploading photos. However, smartphones are widely available and cheap, so with a suitable app many errors could be mitigated.

objectiveThe aim of this study is to design and test a smartphone app to improve the efficiency of clinical photography and improve patient privacy in the ED. The app is connected to the hospital information system to verify patient identification and enable archiving, and the app can automatically delete images after upload to the patient's EMR.

methodsThis study enrolled 48 experienced ED nurses trained in clinical photography. Each nurse was first assigned a digital camera for photography and then a smartphone with the app preinstalled after it was launched. The time taken to upload images to a patient's EMR was then recorded and the efficiency of the digital camera and app groups were compared.

resultsThe average time taken to upload images to a patient's EMR for the camera and app groups were 96.3 s (SD 19.3; P<.001) and 26.3 s (SD 4.7; P<.001), respectively.

conclusionsThe app effectively reduced processing time and improved clinical photography efficiency in the ED. Some issues of patient privacy in the camera group were revealed and resolved in the app group.

Indexed as

ConfidentialityDocumentationElectronic Health RecordsEmergency Service, HospitalHospital Information SystemsHumansMobile ApplicationsNursesPhotographyPhysical ExaminationPrivacySkin DiseasesSmartphoneTime FactorsWorkloadWounds and Injuriesclinical photographyhealth informaticspatient privacysmartphone app

Identifiers

PMID31368444
PMCPMC6693297

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.