What is it about?
This paper looks at primary care assessment, treatment and recording processes, using work domain analysis.
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Why is it important?
Most cognitive work analysis in healthcare has been of the work domains that largely diagnostic or monitoring oriented. These mapped well to cognitive work analysis, which emerged from industrial situations. This work models primary care, particularly including documentation in medical records. This is a challenging problem as this part of the process can be quite intentional, and variable in human behavior. Understanding this process with CWA was the first step in a project to design a system to help improve record keeping behavior. In our later work on this project, we added Persuasive Design to reinforce the behaviors we identified in the CWA that we reported here.
Perspectives
This is the Ph.D. work of my student Justin St. Maurice. We learned through this process, that there is a lot of variability in the work of recording keeping related to medical records. However, this variability leads to reduced data quality, and lower quality medical records. This led us to explore Persuasive Design as a technique to change human behavior issues, identified through the CWA.
Dr Catherine M Burns
University of Waterloo
Read the Original
This page is a summary of: Modeling Patient Treatment With Medical Records: An Abstraction Hierarchy to Understand User Competencies and Needs, JMIR Human Factors, July 2017, JMIR Publications Inc.,
DOI: 10.2196/humanfactors.6857.
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