Development of Digital Dashboard System for Medical Practice: Maximizing Efficiency ... media, animation, 2D and 3D graphics in the Windows appli- ... This article is published online with Open Access by IOS Press and distributed under the ...
MEDINFO 2013 C.U. Lehmann et al. (Eds.) © 2013 IMIA and IOS Press. This article is published online with Open Access by IOS Press and distributed under the terms of the Creative Commons Attribution Non-Commercial License. doi:10.3233/978-1-61499-289-9-1091
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Development of Digital Dashboard System for Medical Practice: Maximizing Efficiency of Medical Information Retrieval and Communication Kee Hyuck Lee a, Sooyoung Yoo a, HoGyun Shina , Rong-Min Baekb, Chin Youb Chungc, Hee Hwanga,d a b
Center for Medical Informatics, Seoul National University Bundang Hospital, Sungnam city, Republic of Korea Department of Plastic Surgery, Seoul National University Bundang Hospital, Sungnam city, Republic of Korea c Department of Orthopedics, Seoul National University Bundang Hospital, Sungnam city, Republic of Korea d Department of Pediatrics, Seoul National University Bundang Hospital, Sungnam city, Republic of Korea
Abstract and Objectives
Results
It is reported that digital dashboard systems in hospitals provide a user interface (UI) that can centrally manage and retrieve various information related to patients in a single screen, support the decision-making of medical professionals on a real time basis by integrating the scattered medical information systems and core work flows, enhance the competence and decision-making ability of medical professionals, and reduce the probability of misdiagnosis. However, the digital dashboard systems of hospitals reported to date have some limitations when medical professionals use them to generally treat inpatients, because those were limitedly used for the work process of certain departments or developed to improve specific disease-related indicators. Seoul National University Bundang Hospital developed a new concept of EMR system to overcome such limitations. The system allows medical professionals to easily access all information on inpatients and effectively retrieve important information from any part of the hospital by displaying inpatient information in the form of digital dashboard. In this study, we would like to introduce the structure, development methodology and the usage of our new concept.
As for the interface of BESTBoard, we developed three different versions, considering the unique settings of wards, ICUs and ER. In addition, we developed detailed patient information screens, in which users can check medical information on patients, such as medical records and exam results. We designed the unique UI to enhance the accessibility to the medical information and usability. If a user touches an item, the detailed information on the item can be checked from the center of the screen without any pop-up windows. A total of 24 BESTBoards were installed in ER, operating rooms, ICUs and wards of our hospital, and are being used in the actual medical settings. The state of use was analyzed employing the login data by user for 4 months from June to September 2012. The number of average monthly login by all participants was 1,572, consistent over time.
Keywords: Digital dashboard, Electronic medical record, User interface, Decision support, Hospital information systems, Large display.
Methods Ten attending physicians and 7 head nurses participated in the development process. A survey on requests was conducted and the system was designed for 6 months, followed by another 3 months of implementation. To meet the user requests, which are intuitive data visualization and a good user experience, we selected a 55 inch LED touch screen as the standard display device, RFID sensor for user identification and Windows Presentation Foundation (WPF) as a platform to develop the software. WPF is a technology to maximize user experience by enabling the provision of abundant visual contents, such as media, animation, 2D and 3D graphics in the Windows application. In March 2012, the system was installed and used in all wards, ICUs and ER under the name of Bundang Excellent & Smart Touch Board (BESTBoard).
Conclusions The present study is a hospital-based case using a dashboard system for the effective display of information and communication. In previous studies, systems display certain processes or processed information necessary only for the patients in some departments on a large monitor. In present study, however, a system that allows searching for all medical information on patients through large touch-based monitors with the size over 50 inches was installed in the entire wards, which has never been tried at both home and abroad. With the application of dashboard, medical professionals now can search EMR information, which was checked through a mobile monitor or computer in the past, from a large monitor optimized to inpatients in a quick and integrative manner. The system also enhanced convenience in sharing and communicating patient information for round visits under the team structure, not just for individual visits. We believe that, eventually, this would be closely associated with the improvement of medical quality.
Acknowledgments This work was supported by the Industrial Strategic Technology Development Program, 10038690, Global Healthcare Software Framework Development) funded by the Ministry of Knowledge Economy (MKE, Korea).