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Evaluation of response time delay of a pen-tablet system in thin-client computing environments: implications for
Kei Teramoto1, Shigeki Kuwata, Andre W Kushniruk
1Medical Informatics Division, Tottori University Hospital, Tottori, Japan. kei-tera@umin.net
Studies in Health Technology and Informatics
|June 15, 2010
Summary
Transitioning to electronic patient records (EPR) requires efficient input methods. Pen-tablet systems (PTS) offer an alternative, but their usability with thin-client computing (TCC) depends on response time consistency, not just length.
Area of Science:
- Medical Informatics
- Human-Computer Interaction
Background:
- Healthcare facilities are rapidly adopting computerized patient records (CPR) over traditional paper-based systems.
- Standard input devices like keyboards and mice may not fully meet healthcare professionals' needs for electronic patient records (EPR).
- Pen-tablet systems (PTS) are increasingly used as digital pen interfaces for EPR.
Purpose of the Study:
- To investigate the usability of pen-tablet systems (PTS) within thin-client computing (TCC) environments.
- To identify key factors influencing PTS usability in TCC, specifically focusing on response time delays.
- To provide empirical data for optimizing PTS integration into EPR systems utilizing TCC.
Main Methods:
- Analysis of the relationship between response time delay length and its scattering for PTS in TCC.
- Quantitative assessment of how delay characteristics impact user experience and system usability.
- Focus on the variability (scattering) of response time as a critical usability metric.
Main Results:
- Response time delay scattering significantly impacts PTS usability in TCC environments.
- The length of the delay is less critical than the consistency (scattering) of the delay.
- Optimal usability for PTS with TCC is achieved when delay scattering is maintained within approximately 35 milliseconds.
Conclusions:
- Delay scattering is a more crucial indicator for PTS usability in TCC than average delay length.
- Maintaining low response time delay scattering is essential for effective EPR implementation with PTS and TCC.
- This research offers valuable metrics for evaluating and enhancing PTS usability in modern healthcare IT infrastructures.

