Posts Tagged ‘Medical Informatics’

Caring for Caregivers: Designing for Integrality - December 17th, 2012

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Photo courtesy of paulworthington

Congratulations to Informatics faculty, MS Student and grad student Yunan Chen, Victor Ngo, Sun Young Park on having their paper, “Caring for Caregivers: Designing for Integrality” accepted to CSCW 2013.

“Health and wellness have drawn significant attention in the HCI and CSCW communities. Many prior studies have focused on designing technologies that are patient-centric, allowing caregivers to take better care of patients. Less has been done in understanding and minimizing the burden of caregiving in caregivers’ own lives. We conducted a qualitative interview study to understand their experiences in caregiving. The findings reveal a great magnitude of challenges in the caregivers’ day-to-day lives, ranging from the physical and social, to the personal and emotional. Caregivers have to constantly balance their personal lives with work, family, and their caregiver roles, which can be overwhelmingly stressful. We discuss how caregivers attempt maintaining this balance through two concepts: first, action-reaction, and second, visibility-invisibility. Our study’s findings call for system design that focuses not only on patients but also caregivers, addressing the burdens that often impair their health and wellness.”

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Posted: 12/17/12 3:00 pm UTC by Make the First Comment
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Local-Universality: Designing EMR to Support Localized Informal Documentation Practices - December 12th, 2012

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Congratulations to Informatics Ph.D. student, post-doc researcher, and faculty, Sun Young Park, Katie Pine, Yunan Chen on having their paper, “Local-Universality: Designing EMR to Support Localized Informal Documentation Practices” accepted to CSCW 2013.

“In this paper, we describe a practice that is common across multiple heterogeneous contexts but enacted differently depending on the unique constellation of resources and demands present in each local context. Using the case of informal documentation practices in two departments of a single hospital, Emergency and Labor & Delivery, we describe how clinicians in each department develop contextualized informal documentation practices after deployment of a new EMR system. We describe three underlying functions of informal documentation that are inherent to the practice of medical personnel: “memory work,” abstraction work,” and “future work.” We then find that the newly deployed EMR technology does not support these kinds of work. We argue that hospital documentation work systems should be designed with an eye to such universal work practices, while keeping in mind that the effectiveness of informal documentation practices is rooted in its adaptive and flexible deployment in heterogeneous work settings.”

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Posted: 12/12/12 3:00 pm UTC by Make the First Comment
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Adaptation as Design: Learning from an EMR deployment Study - February 22nd, 2012

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Photo courtesy of paulworthington

Congratulations to LUCI grad student Sun Young Park and faculty Yunan Chen on having their paper titled, “Adaptation as Design: Learning from an EMR deployment Study” accepted to CHI 2012.

We conducted an observational study in an Emergency Department (ED) to examine the adaptation process after deploying an Electronic Medical Records (EMR) system. We investigated how EMR was adapted to the complex clinical work environment and how doctors and nurses engaged in the adaptation process. In this paper, we present three cases in which ED clinicians designed workarounds in order to adapt to the new work practice. Our findings reveal a rich picture of ED clinicians’ active reinterpretation and modification of their work practice through their engagement with the system-in-use and its organizational and physical context. These findings call for the adaptation period in designing a socio-technical system in healthcare settings to be critically considered as an active end-user design process, a negotiating process, and a re-routinized process.

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Posted: 2/22/12 9:00 am UTC by Make the First Comment
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Bridging Clinical and Non-clinical Health Practices: Opportunities and Challenges - February 21st, 2012

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Photo courtesy of paulworthington

Congratulations to LUCI faculty Yunan Chen, post-doc Karen Cheng and grad students Sun Young Park on having their workshop proposal titled, “Bridging Clinical and Non-clinical Health Practices: Opportunities and Challenges” accepted to the CHI 2012 program.

There has been a growing interest in the HCI community to study Health, with particular focus in understanding healthcare practices and designing technologies to support and to enhance these practices. A majority of current health studies in HCI have focused on either clinical settings, such as hospitals and clinics, or non-clinical spaces, like patients’ homes and senior centers. Yet, there has been little work investigating how patient care in clinical and non- clinical settings connect with each other. Building on the illness trajectory concept, this workshop aims to explore the interplay between, and the challenges and opportunities in designing healthcare technologies for bridging the clinical and the non-clinical settings, as well as their impact on the continuum of patient care

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Posted: 2/21/12 7:53 pm UTC by Make the First Comment
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The effects of EMR deployment on doctors’ work practices - February 13th, 2012

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Photo courtesy of paulworthington

Congratulations to grad students Sun Young Park, So Young Lee and LUCI faculty Yunan Chen on having their paper titled, “The effects of EMR deployment on doctors’ work practices: A qualitative study in the emergency department of a teaching hospital” accepted to The International Journal of Medical Informatics!

Results: The use of the EMR in the ED resulted in both direct and indirect effects on ED doctors’ work practices. It directly influenced the ED doctors’ documentation process: (i) increasing documentation time four to five fold, which in turn significantly increased the number of incomplete charts, (ii) obscuring the distinction between residents’ charting inputs and those of attendings, shifting more documentation responsibilities to the residents, and (iii) leading to the use of paper notes as documentation aids to transfer information from the patient bedside to the charting room. EMR use also had indirect consequences: it increased the cognitive burden of doctors, since they had to remember multiple patients’ data; it aggravated doctors’ multi-tasking due to flexibility in the system use allowing more interruptions; and it caused ED doctors’ work to become largely stationary in the charting room, which further contributed to reducing doctors’ time with patients and their interaction with nurses.

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Posted: 2/13/12 9:52 pm UTC by Make the First Comment
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Supporting the Transition from Hospital to Home for Premature Infants… - May 23rd, 2011

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Congratulations to Informatics faculty members Gillian Hayes and Don Patterson, their collaborator Mohan Singh (in Ireland!), and UCI medical school faculty, students and staff, Dan Cooper, Dana Gravem and Julia Rich on having their paper,
‘Supporting the Transition from Hospital to Home for Premature Infants Using Integrated Mobile Computing and Sensor Support’ accepted to Personal and Ubiquitous Computing (Springer journal).

Abstract: This paper reports on the requirements for, design of, and preliminary evaluation of a novel pervasive healthcare system for supporting the care of premature infants as they transition from hospital to home. In support of this system, we report the results of gesture sensing in a clinical setting and of interviews and focus groups with caregivers and clinicians who are involved in the post natal transition to the home. From these results, we developed prototype systems for monitoring and tracking observations of behavioral and health-related data in the home, including both a mobile-phone based capture and access system for caregivers, a sensing platform and an activity-recognition algorithm for automatically documenting infant movement. We describe the results of preliminary trials of both systems with an emphasis on the synergistic importance of bridging this transition. The results of these trials indicate that clinically relevant monitoring can be accomplished in the home, but there is still more to do to integrate these approaches into a comprehensive monitoring system for this population.

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Posted: 5/23/11 9:00 am UTC by Make the First Comment
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LUCI is doing: The Impact of EMR in the ER - May 12th, 2011

The Impact of EMR in the ER

The Impact of EMR in the ER

What has LUCI been up to recently?

The Impact of Emergency Medical Records in the Emergency Room

Recently, United States healthcare reform advocates have promoted the nationwide adoption of Electronic Medical Records (EMRs) in the hopes of increasing the efficiency of healthcare processes, decreasing medical errors and eliminating billions of dollars in healthcare spending. The estimated success rate for the adoption of large-scale health-care IT systems is only about 28%. In this study, we examine the impact of deploying an EMR system in the Emergency Room. We are studying the pre-deployment, transitional, and post-deployment stages of an EMR implementation by conducting observational fieldwork and interviews with emergency personnel. We are discovering issues associated with workflow, workload, and communication and are developing guidelines to promote successful future EMR implementations.

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Posted: 5/12/11 10:00 am UTC by Make the First Comment
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LUCI is doing: FitBaby: Hospital to Home - May 9th, 2011

FitBaby: Hospital to Home

FitBaby: Hospital to Home

What has LUCI been up to recently?

FitBaby: Hospital to Home

Premature birth is associated with long term health impairments including neurological and cognitive deficiencies, chronic lung disease, and altered growth patterns of lean, fat, and bone tissues. Furthermore, parents of premature infants may experience excessive stress, post-partum depression, and other challenges associated with the birth of and caring for their child. We are designing, developing, and deploying technologies to detect abnormal baby movements in the NICU with accelerometers. Data collection continues as these high risk babies move home with a mobile solution for collecting infant and caregiver observations, sharing this data with their providers, and visualizing and summarizing these data. We are additionally developing a capture and access tool called Estrellita to share data with healthcare providers, close relatives, and friends.

More info

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Posted: 5/9/11 10:00 am UTC by Make the First Comment
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LUCI has 8 (!) papers accepted to CSCW - November 12th, 2010

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The LUCI lab will have a tremendous showing at CSCW 2011. The list of accepted works was just released and includes the following by grad students and faculty:

Full Papers:

“We will never forget you [online]”: An empirical investigation of post-mortem MySpace comments by Jed R. Brubaker (LUCI grad student), Gillian R. Hayes (LUCI faculty)

SELECT * FROM USER: Infrastructure and Socio-technical Representation by Jed R. Brubaker (LUCI grad student), Gillian R. Hayes (LUCI faculty)

Improving Communication and Social Support for Caregivers of High-Risk Infants through Mobile Technologies by Leslie S. Liu (LUCI grad student), Sen H. Hirano (LUCI grad student), Monica Tentori (LUCI post-doc), Karen G. Cheng (Charles Drew University of Medicine and Science), Sheba George (Charles Drew University of Medicine and Science), Sunyoung Park (LUCI grad student), Gillian R. Hayes (LUCI faculty)

The Values of Data: Considering the Context of Production in Data Economies by Janet Vertesi (Princeton University), Paul Dourish (LUCI faculty)

Social Mechanisms and Technological Affordances for Building Trust: ICT Use By Civilians in a Warzone by Bryan Semaan (Informatics grad student), Gloria Mark (Informatics faculty)

Notes:

Health Information Use in Chronic Care Cycles by Yunan Chen (LUCI faculty)

Forget Online Communities? Revisit Cooperative Work! by Yong Ming Kow (Informatics grad student), Bonnie Nardi (LUCI faculty)

What Do My Buddies Choose?: Informing Privacy Preferences with Social Navigation by Sameer Patil (former LUCI grad student), Xinru Page (Informatics grad student), Alfred Kobsa (Informatics faculty)

Congratulations
Jed, Gillian, Leslie, Sen, Monica Tentori, Karen, Sheba, Sunyoung, Bryan, Gloria, Yunan, Janet, Paul, Yong Ming, Bonnie, Sameer, Xinru and Alfred!

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Posted: 11/12/10 4:24 pm UTC by Add Your Comment
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PatientsLikeMe: Empowerment and Representation in a Patient-Centered Social Network - December 23rd, 2009

Moleskins and Pens

Photo courtesy of paulworthington

Congratulations to Informatics grad student Jed Brubaker, Computer Science grad student Caitlin Lustig and Informatics faculty member Gillian Hayes on having their paper,
‘PatientsLikeMe: Empowerment and Representation in a Patient-Centered Social Network’ accepted to CSCW-2010.

Abstract:
“We examine the patient networking site PatientsLikeMe relative to current trends in medicine toward patient-centered care and empowerment. We focus on both patient and institutional demands for personal medical data. Given PatientsLikeMe’s mixture of social networking and health management tools, we consider the role of online health communities in the changing patient/provider relationship, and the use of patient-provided medical data.”

Congratulations Jed, Caitie and Gillian!

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Posted: 12/23/09 9:49 am UTC by Make the First Comment
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