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PubMed on Tap: Access PubMed on Handheld, Wireless Devices. Dina Demner-Fushman University of Maryland, College Park and CEB/LHNCBC/NLM/NIH/HHS. PubMed on Tap.

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pubmed on tap access pubmed on handheld wireless devices

PubMed on Tap: Access PubMed on Handheld, Wireless Devices

Dina Demner-Fushman

University of Maryland, College Park

and

CEB/LHNCBC/NLM/NIH/HHS

pubmed on tap
PubMed on Tap
  • a pilot R&D project of the Communications Engineering Branch, Lister Hill National Center for Biomedical Communications, National Library of Medicine, National Institutes of Health,Health and Human Services
  • Goal
    • Develop a stable system to study design principles for delivery of medical information to handheld devices at the point-of-care
  • Designers/Developers
    • Susan Hauser, project leader
    • Glenn Ford
    • Dina Demner-Fushman
outline
Outline
  • Motivation
  • PubMed at a glance
  • Design questions
  • Usability study
  • Next steps
why patients need just in time information for clinicians
Why patients need just-in-time information for clinicians:

Patient Fact Sheet

20 Tips to Help Prevent Medical Errors

….Medical errors are one of the Nation\'s leading causes of death and injury. A recent report by the Institute of Medicine estimates that as many as 44,000 to 98,000 people die in U.S. hospitals each year as the result of medical errors. This means that more people die from medical errors than from motor vehicle accidents, breast cancer, or AIDS…..

Ask your doctor if your treatment is based on the latest evidence

AHRQ Publication No. 00-PO38, February 2000. Agency for Healthcare Research and Quality

http://www.ahrq.gov/consumer/20tips.htm

motivationPubMeddesignusabilityfuture

slide5
Doctors are encouraged to search for evidence based answers to their questions about patient care but most go unanswered

Fifty nine obstacles were found while attempting to answer clinical questions with evidence

3. Obstacles related to seeking information

3.1.3. Lack of time to initiate search

3.2.1. Uncertainty about where to look for information

3.3.1. Resource physically distant

3.3.9. Resource not current

3.3.10. …. Most general resources do not allow real time interaction with the searcher

(Ely et al., British Medical Journal. 2002)

motivationPubMeddesignusabilityfuture

where to look for information
Where to look for information

motivationPubMeddesignusabilityfuture

current interactive resource at hand
Current interactive resource at hand
  • Speed up search
    • Navigation
    • Presentation
  • Provide expected PubMed functionality

motivationPubMeddesignusabilityfuture

pubmed search
PubMed Search

motivationPubMeddesignusabilityfuture

advanced search
Advanced Search

("variola virus"[MeSH Terms] OR "smallpox"[MeSH Terms]) AND hasabstract[text] AND Clinical Trial[ptyp] AND jsubsetaim[text] AND "adult"[MeSH Terms] AND ("hominidae"[MeSH Terms] OR "Human"[MeSH Terms]) AND ("2000"[PDAT] :"2004"[PDAT])

motivationPubMeddesignusabilityfuture

clinical queries
Clinical Queries

motivationPubMeddesignusabilityfuture

search results
Search Results

motivationPubMeddesignusabilityfuture

working with search results navigating results pages
Working with Search Results Navigating results pages

motivationPubMeddesignusabilityfuture

working with search results viewing selected citations and links
Working with Search ResultsViewing selected citations and links

motivationPubMeddesignusabilityfuture

working with search results saving selected citations
Working with Search ResultsSaving selected citations

motivationPubMeddesignusabilityfuture

saving search strategy

Use the Cubby to store search strategies and LinkOut preferences. Access Cubby on the PubMed sidebar. You need to register for the Cubby and then login whenever you want to use it. Your web browser must be set to accept cookies.

Saving Search Strategy

motivationPubMeddesignusabilityfuture

interface design challenges
Interface Design Challenges
  • Maximize utilization of 160x160 pixels, but don’t lose readability
  • Decide what information is essential for an overview and how to organize ‘detail on demand’
  • Organize content in an easy to navigate manner, avoid scrolling
  • Find clear graphical metaphors for task objects and actions
  • Maximally approximate users’ model of the existing desktop application

motivationPubMeddesignusabilityfuture

our approach
Our Approach
  • Identify most likely target user’s tasks
  • Develop a working prototype, and present to potential users for feedback
  • Develop a stable system with a usable interface and sufficient features to be useful
  • Conduct usability study
  • Release the improved system to health care professionals, listen to users’ feedback, and study aggregate user statistics

motivationPubMeddesignusabilityfuture

organizing content

usability study

prototype presentation

Organizing Content

motivationPubMeddesignusabilityfuture

organizing content continued
Organizing Content continued

motivationPubMeddesignusabilityfuture

finding metaphors is hard
Finding Metaphors is Hard

motivationPubMeddesignusabilityfuture

maintaining common feel and look for different platforms and operating systems is hard
Maintaining common feel and look for different platforms and operating systems is hard

motivationPubMeddesignusabilityfuture

usability study
Usability Study
  • Conducted at the National Cancer Institute (NCI) usability laboratory, facilitator Gregory Alexander, RN
  • 9 subjects (informatics students, nurses, physicians, and medical librarians)
  • 3 test tasks embedded in clinical scenarios
  • 6 observers taking “stream of consciousness” notes, while viewing participant’s face and the PDA projected on a large screen
  • Post-test questionnaire

motivationPubMeddesignusabilityfuture

usability study results
Usability Study Results

All participants were able to find Medline citations containing answers to questions described in all test scenarios

There is strong correlation between time to completion and problems in locating functions and navigation

motivationPubMeddesignusabilityfuture

usability study observations
Usability Study Observations

234 unique observations

Most frequent observations. Participants:

  • Found brief mode (more titles per screen) useful
  • Were confused by the related articles icon
  • Did not know how to get back to the search tab from the profiles
  • Did not know how to drill down to a citation
  • Expected more information messages, e.g. on saving profiles
  • Hesitated tapping the search globe

motivationPubMeddesignusabilityfuture

next steps
Next Steps
  • Organize content using key points of clinical scenario
  • Conduct usability testing of all alternative layouts
  • Include other NLM resources, e.g. practical guidelines

motivationPubMeddesignusabilityfuture

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