Evidence map›Paper›PMID 31795998›Full record

ArticleBMC medical informatics and decision making2019

Working with patients and the public to design an electronic health record interface: a qualitative mixed-methods study.

Leigh R Warren, Matthew Harrison, Sonal Arora, Ara Darzi

Abstract read
In one paragraph

Article in BMC medical informatics and decision making, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
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.

Leigh R WarrenDepartment of Surgery and Cancer, Patient Safety Translational Research Centre, St Mary's Hospital Campus, Imperial College London, London, W21NY, UK. leigh.warren@imperial.ac.uk.ORCID 0000-0002-6493-430X
Matthew HarrisonHelix Centre, St Mary's Campus, Imperial College London, London, W21NY, UK.
Sonal AroraDepartment of Surgery and Cancer, Patient Safety Translational Research Centre, St Mary's Hospital Campus, Imperial College London, London, W21NY, UK.
Ara DarziDepartment of Surgery and Cancer, Patient Safety Translational Research Centre, St Mary's Hospital Campus, Imperial College London, London, W21NY, UK.

Funding

Wellcome Trust
6 · The paper itself

Abstract

backgroundEnabling patients to be active users of their own medical records may promote the delivery of safe, efficient care across settings. Patients are rarely involved in designing digital health record systems which may make them unsuitable for patient use. We aimed to develop an evidence-based electronic health record (EHR) interface and participatory design process by involving patients and the public.

methodsParticipants were recruited to multi-step workshops involving individual and group design activities. A mixture of quantitative and qualitative questionnaires and observational methods were used to collect participant perspectives on interface design and feedback on the workshop design process.

results48 recruited participants identified several design principles and components of a patient-centred electronic medical record interface. Most participants indicated that an interactive timeline would be an appropriate way to depict a medical history. Several key principles and design components, including the use of specific colours and shapes for clinical events, were identified. Participants found the workshop design process utilised to be useful, interesting, enjoyable and beneficial to their understanding of the challenges of information exchange in healthcare.

conclusionPatients and the public should be involved in EHR interface design if these systems are to be suitable for use by patient-users. Workshops, as used in this study, can provide an engaging format for patient design input. Design principles and components highlighted in this study should be considered when patient-facing EHR design interfaces are being developed.

Indexed as

Electronic Health RecordsPatient ParticipationUser-Computer InterfaceComputer GraphicsFeedbackHumansMedical Records Systems, ComputerizedSurveys and QuestionnairesClinical information systemsElectronic health recordsHealthcare service innovationMedical informaticsPatient safety

Identifiers

PMID31795998
PMCPMC6889299

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.