Gregory Borja written 4
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Thomas Edison State College *
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Course
7361
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Industrial Engineering
Date
Feb 20, 2024
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docx
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2
Uploaded by SuperHumanButterfly2575
IE 7361
Written Reflections for Module 4
Reading: Comparing the Impact of Double and Single Screen Electronic Health Records on Doctor-Patient Non-Verbal Communication
1.
A
short summary of the chosen paper or reading
The purpose or goal of the paper- To compare Electronic Health Record on a single screen and a mirrored double screen as a primary care communication tool on non-verbal doctor-patient communication based on eye-gaze patterns.
Background of the paper: Looking at the usefulness of new technologies is important, especially when it comes to patient attention span and the presentation of information to the patient. Looking at these two methods will place more of a focus on the better way to present information to the patient.
Methods of the study or investigation- Data was taken from two primary care clinics in Wisconsin between 2012 and 2016. The clinicians and patients met in a video equipped exam room at an outpatient clinic. Both clinics used the electronic health record system with one being a single screen and the other being mirrored. The visits were video recorded to quantify eye gaze behaviors with a measure of attention span and engagement.
Results of the study: Forty-eight patients and 16 doctors participated in the study. Patients
in the double-screen EHR setting gazed at their doctors significantly longer than in the single-screen setting (57.2 vs. 46.7% of the visit). More importantly, patients gazed at the
patient display in double-screen EHR settings significantly more than they gazed at the EHR in single-screen settings (25.9 vs. 13.7%).
Discussion and Conclusion: Comparing eye gaze patterns quantitatively was the important factor in this study as it provided an evidence based approach towards attention
and engagement. Earlier studies have shown that involvement of the patient in electronic health records would influence the patient’s engagement. The conclusion was that sharing
electronic health records using a double screen setup has the potential to enhance patient attention to visual information in primary care settings. Aim to provide a minimum of one sentence for each item, and keep the summary to no more than one page.
2.
One strength of the paper/reading and one weakness, with an explanation for both
Strength- One great strength to this study was the use of pre intervention and post intervention results over the period of a year to provide time based datas on all portions of the year. This would allow for more data and thus verifiable evidence of the effect on hand hygiene due to the intervention across many months based on several scenarios of lower and higher demand, taking into account complacency on behaviors in hand hygiene.
Weakness-A weakness of this study is the generalization of the study due to the threat to external
validity of this study based on the fact this study was only performed at a single center and with high staff retention of 2 years which may not apply to organizations outside of the study. It would be important to perform this study across many groups and platforms to validate the results. 3.
An extension study question related to this topic
The future experiment would be to determine the effect of using behavior based intervention to improve hand hygiene adherence in different healthcare settings. This would provide insight into the generalization of this study across many healthcare settings to provide adequate external validity for purposes of hand hygiene adherence reform. Having different settings provide the same results as this study would show that the results can be used across many healthcare settings. 4.
An experiment or study that could be used to test the question stated in Part C
The purpose of this experiment would be to test the effect on hand hygiene adherence through the use behavior based intervention in different healthcare settings. This study would show the benefits of a stratified intervention plan along with the benefits of the factors associated with intensity within the study towards a successful implementation. The study would have to be implemented in a way that reflects the methodology used in the original study. The use of baseline demographic characteristics, self-reported stage of hygiene commitment and the observed hand hygiene adherence throughout pre and post intervention would be necessary to prove that this study can be generalized across multiple healthcare settings. The data would be both qualitative and quantitative to provide the best results in hand hygiene adherence among healthcare workers. This study would directly test my question as if the results differ, this would show the use of stratified behavioral based interventions do not have an effect on the use of hand hygiene and vice versa. Adherence to the limitations of the original study with the exception of multiple healthcare settings is important to getting verifiable results on the effect of this strategy across healthcare systems. 5.
Full reference for the paper discussed and any additional sources used:
Avishek Choudhury, Bradley Crotty & Onur Asan (2020). Comparing the
Impact of Double and Single Screen Electronic Health Records on Doctor-Patient Non-
Verbal Communication, IISE Transactions on Occupational Ergonomics and Human Factors, 8:1, 42-49, 10.1080/24725838.2020.1742251
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