Design and Development of a Mobile Decision Support System: Guiding Clinicians Regarding Law in the Practice of Psychiatry in Emergency Department

Soudabeh Khodambashi, J. Gulla, P. Abrahamsson, Florentin Moser
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引用次数: 8

Abstract

Decision-making in an emergency department needs to be efficient. It does not allow observation of the patient for a prolonged period of time, especially if the patients harm themselves or others, or refuses treatment. This includes suicidal, violent, intentional self-inflicted or non-consenting to treatments patient. Clinicians have to quickly decide whether to call the police, admit the patient to the psychiatric ward, according to recommended, predefined procedures. Since, for different situations different laws are applicable, clinicians need to follow certain procedures and consider specific legal issues while also handling challenging patients at the emergency department. Finding the right information quickly and following the recommended procedure is essential since the repercussions for a doctor acting incorrectly could be severe. This paper presents a mobile decision support system (DSS) prototype designed for healthcare providers to identify and follow the correct procedure based on applicable laws to mitigate the chance of incorrect actions being taken, along with the associated risks and preserve both the patients and their own rights. We explored healthcare providers requirements and alternatives for visualizing information by conducting observation, semi structured interviews and a total of four co-design workshops. The resulting mobile DSS enables clinicians to quickly access the correct information regarding their power and authority while also protecting the safety and welfare of the patient. Usability evaluation of the prototype showed that the average time spent to complete a given task was about 12 seconds by a total of six medical interns. Participants of the evaluation described the system easy to use, intuitive and highly useful for everyday use.
移动决策支持系统的设计与开发:指导临床医生在急诊科精神病学实践中的法律
急诊科的决策需要高效。它不允许长时间观察患者,特别是如果患者伤害自己或他人,或拒绝治疗。这包括自杀、暴力、故意自我伤害或不同意治疗的病人。临床医生必须迅速决定是否报警,是否根据推荐的、预先确定的程序让病人住进精神科病房。由于不同的情况适用不同的法律,临床医生需要遵循一定的程序,考虑具体的法律问题,同时也要处理急诊科有挑战性的病人。快速找到正确的信息并遵循推荐的程序是至关重要的,因为医生的错误行为可能会造成严重的后果。本文提出了一个移动决策支持系统(DSS)原型,旨在为医疗保健提供者识别和遵循基于适用法律的正确程序,以减少采取错误行动的机会,以及相关风险,并保护患者和他们自己的权利。我们通过观察、半结构化访谈和总共四次共同设计研讨会,探讨了医疗保健提供者对可视化信息的需求和替代方案。由此产生的移动DSS使临床医生能够快速访问有关其权力和权限的正确信息,同时也保护了患者的安全和福利。对原型的可用性评估表明,完成给定任务的平均时间约为12秒,总共有6名医学实习生。评估参与者描述了该系统易于使用,直观,对日常使用非常有用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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