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Use of Clinical Simulations to Evaluate the Impact of Health Information Systems and Ubiquitous Computing Devices Upon Health Professional Work
Abstract
Health information systems, and in particular ubiquitous computing devices (UCD), promise to revolutionize healthcare. However, before this can be widely achieved UCD need to be adapted to fit the information, workflow and cognitive needs of users of such devices. Indeed systems and devices that are not developed appropriately may inadvertently introduce error in healthcare (“technology-induced error”). This chapter describes an approach to applying clinical simulations to evaluate the impact of health information systems and ubiquitous computing devices on health professional work. The approach allows for an assessment of “cognitive-socio-technical fit” and the ability to modify and improve systems and devices before they are released into widespread use. The application of realistic clinical simulations is detailed, including the stages of development of such simulations (from the creation of representative clinical environments to subject selection and data collection approaches). In order to ensure the success and widespread adoption of UCD, it is argued that greater emphasis will need to be placed on ensuring such systems and devices have a high degree of fit with user’s cognitive and work processes.
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