10th EAI International Conference on Pervasive Computing Technologies for Healthcare

Research Article

Design Challenges in Converting a Paper Checklist to Digital Format for Dynamic Medical Settings

  • @INPROCEEDINGS{10.4108/eai.16-5-2016.2263335,
        author={Aleksandra Sarcevic and Brett Rosen and Leah Kulp and Ivan Marsic and Randall Burd},
        title={Design Challenges in Converting a Paper Checklist to Digital Format for Dynamic Medical Settings},
        proceedings={10th EAI International Conference on Pervasive Computing Technologies for Healthcare},
        publisher={ACM},
        proceedings_a={PERVASIVEHEALTH},
        year={2016},
        month={6},
        keywords={medical checklist user-centered design paper forms electronic health record (ehr) emergency medicine trauma resuscitation},
        doi={10.4108/eai.16-5-2016.2263335}
    }
    
  • Aleksandra Sarcevic
    Brett Rosen
    Leah Kulp
    Ivan Marsic
    Randall Burd
    Year: 2016
    Design Challenges in Converting a Paper Checklist to Digital Format for Dynamic Medical Settings
    PERVASIVEHEALTH
    EAI
    DOI: 10.4108/eai.16-5-2016.2263335
Aleksandra Sarcevic1,*, Brett Rosen1, Leah Kulp1, Ivan Marsic2, Randall Burd3
  • 1: Drexel University
  • 2: Rutgers University
  • 3: Children's National Medical Center
*Contact email: aleksarc@drexel.edu

Abstract

We describe a mobile digital checklist that we designed and developed for trauma resuscitation—a dynamic, fast-paced medical process of treating severely injured patients. The checklist design was informed by our analysis of user interactions with a paper checklist that was introduced to improve team performance during resuscitations. The design process followed an iterative approach and involved several medical experts. We discuss design challenges in converting a paper checklist to its digital counterpart, as well as our approaches for addressing those challenges. While we show that using a digital checklist during a fast-paced medical event is feasible, we also recognize several design constraints, including limited display size, difficulties in entering notes about the medical process and patient, and difficulties in replicating user experience with paper checklists.