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Nurturing the digital baby: Open innovation for development and optimization.

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This study optimized electronic health record (EHR) summary pages for newborn healthcare using action research. The approach improved patient care by involving multidisciplinary teams in design, enhancing healthcare information systems.

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Area of Science:

  • Health Informatics
  • Human-Computer Interaction
  • Action Research

Background:

  • Electronic health records (EHRs) are crucial for patient care and population health.
  • Optimizing EHR design, particularly summary pages, is essential for effective healthcare delivery.
  • Existing EHR designs may not fully meet the needs of multidisciplinary healthcare teams.

Purpose of the Study:

  • To design and evaluate an action research approach for optimizing an EHR summary page artefact for newborn healthcare.
  • To improve the usability and effectiveness of EHRs through participatory design.
  • To enhance the development of practical knowledge and solutions in healthcare information systems.

Main Methods:

  • An action research methodology was employed, emphasizing a participatory and democratic process.
  • Collaborative workshops were conducted with a 'bottom-up' approach, facilitated by an independent graphic facilitator.
  • Multidisciplinary healthcare team members were involved in self-selected, motivated groups to co-design the summary page artefact.

Main Results:

  • The action research approach facilitated the acquisition of knowledge and understanding regarding the design problem and its solution.
  • An optimized summary page artefact for newborn healthcare within the EHR was successfully developed.
  • Insights from behavioral and design science paradigms validated the effectiveness of the approach.

Conclusions:

  • Action design research offers an agile and lean methodology for optimizing and implementing healthcare information systems.
  • This approach fosters collaboration and practical knowledge development, leading to improved EHR design.
  • Successful information system development in healthcare necessitates a focus on the 'how' and 'why' of processes, not just the 'what'.