The fit to the workflow is an important requirement for the acceptance of clinical decision support systems in practice. Clinical systems that do not satisfy this requirement are likely to be rejected by their users despite their functionality. Disruptions and deviations from the workflow may be avoided by the appropriate and careftil design of interactions between the system and its users. In this paper we focus on mobile clinical decision support systems that can be used directly at the point of care for the emergency triage. We discuss the interaction design methodologies used to develop the MET (Mobile Emergency Triage) system that facilitates emergency triage of patients with various acute pain conditions. We use a scenario-based design methodology to encapsulate the user's mental representations of tasks to accomplish, and an Object-Action-Interface model combined with the Eight Golden Rules of Interface Design to design the input and the output components of an interaction framework. We also demonstrate how we have implemented these theoretical solutions.
In the paper the concept, main design problems, applied solutions and some implementation details of a hospital information system based on handheld computers are presented. Increasing power and low prices of handheld computers make it very convenient tool for mobile information systems in medicine and health care. Permanent availability of patients data to nursing personnel and physicians at the patient’s bed make medical decision making easier, more accurate, reduces the risk of mistakes, eliminates unnecessary paper works and provides more up-to-date information. The purpose of the system being described here is to utilize all these advantages of mobile computing at the relatively low costs of hardware and software.
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