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Designing Health Care Provider-Centered Emergency Department Interventions: Participatory Design Study.

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Emergency department (ED) providers need better technological tools to improve diagnosis. This study identified key needs like information integration and communication to guide the design of effective, provider-centered interventions for enhanced patient safety.

Keywords:
artificial intelligenceemergency departmentshealth care providersinterventionsparticipatory designtechnology

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Area of Science:

  • Health Informatics
  • Human-Computer Interaction
  • Emergency Medicine

Background:

  • Emergency departments (EDs) face high pressure, leading to diagnostic challenges and patient safety risks.
  • Existing technological interventions may not align with ED providers' current practices.
  • Understanding ED provider needs is crucial for designing effective, user-centered technological solutions.

Purpose of the Study:

  • To identify emergency department (ED) providers' needs in the diagnostic process.
  • To propose design guidelines for provider-centered technological interventions.
  • To support decision-making and reduce diagnostic errors in the ED.

Main Methods:

  • Participatory design study involving 17 ED frontline providers across 6 sessions.
  • Utilized storyboards of 9 technological intervention ideas for needs validation.
  • Co-design activities and analysis of session transcripts, field notes, and sketches.

Main Results:

  • Identified 4 key needs: information integration, patient prioritization, provider-patient communication, and care coordination.
  • Derived design implications for technological interventions in communication, technology integration, and AI.
  • Provided evidence-based suggestions for improving ED diagnostic processes.

Conclusions:

  • Participatory design yields unique insights into ED diagnostic processes.
  • Co-designing technological interventions with ED providers ensures alignment with their needs.
  • Novel interventions can enhance diagnostic safety and efficiency in the ED.