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Cognitive Maps to Visualise Clinical Cases in Handovers : Design, Implementation, Usability, and Attractiveness Testing

  • Background: Clinical handovers at changes of shifts are typical scenarios of time restricted and information intensive communication, which are highly cognitively demanding. The currently available applications supporting handovers typically present complex information in a textual checklist-like manner. This presentation style has been criticised for not meeting the specific user requirements. Objectives: We, therefore, aimed at developing a concept for visualising the overview of a clinical case that serves as an alternative way to checklist-like presentations in clinical handovers. We also aimed at implementing this concept in a handoverEHR in order to support the pre-handover phase, the actual handover, and the post-handover phase as well as at evaluating its usability and attractiveness. Results: We developed and implemented a concept that draws on Tolman's pioneering work on cognitive maps that we designed in accordance with Gestalt principles. These maps provide a pictorial overview of a clinical case. The application to build, manipulate, and store the cognitive maps was integrated into an openEHR based handover record that extends conventional records with handover specific information. Usability (n = 28) and attractiveness (n = 26) testing with experienced clinicians resulted in good ratings for suitability for the task as well as for attractiveness and pragmatism. Conclusion: We propose cognitive maps to represent and visualise the clinical case in situations where there is limited time to present complex information.

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Metadaten
Author:Daniel Flemming, Mareike PrzysuchaORCiD, Ursula Hertha HübnerORCiD
Title (English):Cognitive Maps to Visualise Clinical Cases in Handovers : Design, Implementation, Usability, and Attractiveness Testing
DOI:https://doi.org/10.3414/ME15-02-0001
ISSN:2511-705X
ISSN:0026-1270
Parent Title (English):Methods of Information in Medicine
Document Type:Article
Language:English
Year of Completion:2015
Identifier:Zur Anzeige in scinos
electronic ID:Zur Anzeige in scinos
Release Date:2021/05/25
Tag:Clinical handover; Electronic Health Record; cognition; continuity of care; information visualisation
Volume:54
Issue:5
First Page:412
Last Page:423
Note:
Zugriff im Hochschulnetz
Faculties:Fakultät WiSo
DDC classes:600 Technik, Medizin, angewandte Wissenschaften / 610 Medizin, Gesundheit
Review Status:Veröffentlichte Fassung/Verlagsversion