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A web application to involve patients in the medication reconciliation process: a user-centered usability and
Sophie Marien1,2,3, Delphine Legrand1, Ravi Ramdoyal4
1Louvain Drug Research Institute, Clinical Pharmacy Research Group, Université catholique de Louvain, Brussels, Belgium.
Journal of the American Medical Informatics Association : JAMIA
|August 24, 2018
Summary
The SEAMPAT patient app shows promise for improving medication reconciliation, with high reported usefulness. However, challenges in medication list completeness and accuracy indicate a need for further optimization to fully enhance patient safety.
Area of Science:
- Health Informatics
- Patient Safety
- Human-Computer Interaction
Background:
- Medication reconciliation (MedRec) is crucial for patient safety, aiming to resolve medication discrepancies.
- Information technology (IT) and patient engagement are key strategies for optimizing MedRec processes.
- The SEAMPAT project developed a MedRec IT platform, including a patient-facing application.
Purpose of the Study:
- To evaluate the usability (efficiency, satisfaction, effectiveness) and usefulness of the SEAMPAT patient app.
- To assess the app's performance in generating complete and accurate medication lists.
Main Methods:
- A four-month user-centered observational study involving 42 patients.
- Collected quantitative data via System Usability Scale (SUS) and usefulness questionnaires.
- Assessed effectiveness by measuring medication list completeness and accuracy; qualitative data from interviews and observations.
Main Results:
- 69% of patients found the app acceptable (SUS Score ≥ 70) with high perceived usefulness.
- Medication list completeness was 25% (7/28), and discrepancies affected 21.7% of medications (21/97).
- Qualitative data identified barriers to usability and usefulness related to functional and non-functional aspects.
Conclusions:
- User-centered usability testing in real-world conditions is vital for patient applications.
- The app must meet patient needs and efficiently improve MedRec quality for successful adoption and sustained use.
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