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Some Usability Issues in Healthcare Interactive Systems Jean Vanderdonckt Université catholique de Louvain (UCL) Louvain School of Management (LSM) Information Systems Unit (ISYS) Belgian Laboratory of Computer-Human Interaction (BCHI) http://www.isys.ucl.ac.be/bchi
BCHI: Belgian Lab. of Computer-Human Interaction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Presentation outline ,[object Object],[object Object],[object Object],[object Object]
What is usability? (1/3) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What is usability? (2/3) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What is usability? (3/3) ,[object Object]
Case study #1: Abrumet web portal ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Case study #1: Abrumet web portal ,[object Object],AMPI Access control AAA Physician G B HOSPITAL A HOSPITAL Medical record of patient X in A Hospital A Hospital  Physicians B Hospital  Physician H Generalist Physician G Administration agent [Abrumet 2006] ABRUMET PORTAL ARF X Identif Admin SUMEHR ATRs Keys 2: Access granted ABRUMET OFFICE 1: Physician logging in 3: Physician logged in 4: Search patient X in AMPI 5: Patient X is in AMPI and has a medical record in A 7: Access the medical record of patient X in A 6: Request for accessing the medical record (breaking glass) 8:Medical record of patient X in A accessed by H 10:Notification of  breaking glass to ABruMeT 9:Notification of breaking glass by H
Browse AMD screen (1/6) Browse ABruMeT Medical Data (AMD) Home Search : EN –  Help FR – NL Advanced search Register Contact Site map Privacy policy – Terms and conditions – Date:  05/28/09 Welcome Dr. Jean Dupont Select a patient to browse her AMD or search a patient: Firstname: Lastname: City: Zip code: Create an ABruMeT References File (ARF) Update my profile Approval management Renew my approval Terminate my approval Patient management Insert an ABruMeT Therapeutic Relation (ATR) Delete an ABruMeT Therapeutic Relation (ATR) Enter a Breaking glass procedure Electronic mail Send an e-mail to a hospital Access e-mails Manage e-mail preferences Access an ABruMeT References File (ARF) Transfer patients momentarily Send an e-mail to an AAP Add an AAP in my group Renew an ABruMeT Therapeutic Relation (ATR) [Abrumet 2006] ABruMeT Portal
Browse AMD screen (2/6) Browse ABruMeT Medical Data (AMD) Home Search : EN –  Help FR – NL Advanced search Register Contact Site map Privacy policy – Terms and conditions – Date:  05/28/09 Welcome Dr. Jean Dupont AMD of Florence Rigo: Lastname: Legal address: Street: No: City: Zip code: Phone number: Mobile number: E-mail: Residence address: Street: No: City: Zip code: NISS number: SIS Card number: SIS Card validity: Contact person: Mutuality Affiliation: Mutuality ID: Mutuality period: Start date: End date: Create an ABruMeT References File (ARF) Update my profile Approval management Renew my approval Terminate my approval Patient management Insert an ABruMeT Therapeutic Relation (ATR) Delete an ABruMeT Therapeutic Relation (ATR) Enter a Breaking glass procedure Electronic mail Send an e-mail to a hospital Access e-mails Manage e-mail preferences Access an ABruMeT References File (ARF) Transfer patients momentarily Send an e-mail to an AAP Add an AAP in my group Renew an ABruMeT Therapeutic Relation (ATR) [Abrumet 2006] ABruMeT Portal
Browse AMD screen (3/6) Browse ABruMeT Medical Data (AMD) Home Search : EN –  Help FR – NL Advanced search Register Contact Site map Privacy policy – Terms and conditions – Date:  05/28/09 Welcome Dr. Jean Dupont AMD of Florence Rigo: Adverse drug reaction: Allergy: Social risk: Other risks: Global medical data manager: Not to be ressuscitated: Blood transfusion refusal: Vaccinations: Current medications: Other medical information: Antecedent information: Create an ABruMeT References File (ARF) Update my profile Approval management Renew my approval Terminate my approval Patient management Insert an ABruMeT Therapeutic Relation (ATR) Delete an ABruMeT Therapeutic Relation (ATR) Enter a Breaking glass procedure Electronic mail Send an e-mail to a hospital Access e-mails Manage e-mail preferences Access an ABruMeT References File (ARF) Transfer patients momentarily Send an e-mail to an AAP Add an AAP in my group Renew an ABruMeT Therapeutic Relation (ATR) [Abrumet 2006] ABruMeT Portal
Browse AMD History screen (4/6) Browse ABruMeT Medical Data (AMD) Home Search : EN –  Help FR – NL Advanced search Register Contact Site map Privacy policy – Terms and conditions – Date:  05/28/09 Welcome Dr. Jean Dupont AMD of Florence Rigo: Allergies: Create an ABruMeT References File (ARF) Update my profile Approval management Renew my approval Terminate my approval Patient management Insert an ABruMeT Therapeutic Relation (ATR) Delete an ABruMeT Therapeutic Relation (ATR) Enter a Breaking glass procedure Electronic mail Send an e-mail to a hospital Access e-mails Manage e-mail preferences Access an ABruMeT References File (ARF) Transfer patients momentarily Send an e-mail to an AAP Add an AAP in my group Renew an ABruMeT Therapeutic Relation (ATR) Event Pollen allergy revealed Heavy pollen reaction Acarian allergy Date 02/06/06 03/06/06 23/08/06 Service Emergency care Hospital A Emergency care Hospital A Radiology service Hospital B Physician Dr. Stamate Dr. Stamate Dr. Radio [Abrumet 2006] ABruMeT Portal
Browse AMD screen (5/6) Browse ABruMeT Medical Data (AMD) Home Search : EN –  Help FR – NL Advanced search Register Contact Site map Privacy policy – Terms and conditions – Date:  05/28/09 Welcome Dr. Jean Dupont AMD of Florence Rigo: Event Hospital admission Emergency care Echography Date 02/05/06 02/05/06 03/05/06 Service Emergency care Emergency care Radiology service Physician Dr. Stamate Dr. Stamate Dr. Radio Select link Create an ABruMeT References File (ARF) Update my profile Approval management Renew my approval Terminate my approval Patient management Insert an ABruMeT Therapeutic Relation (ATR) Delete an ABruMeT Therapeutic Relation (ATR) Enter a Breaking glass procedure Electronic mail Send an e-mail to a hospital Access e-mails Manage e-mail preferences Access an ABruMeT References File (ARF) Transfer patients momentarily Send an e-mail to an AAP Add an AAP in my group Renew an ABruMeT Therapeutic Relation (ATR) [Abrumet 2006] ABruMeT Portal
Browse AMD screen (6/6) Browse ABruMeT Medical Data (AMD) Home Search : EN –  Help FR – NL Advanced search Register Contact Site map Privacy policy – Terms and conditions – Date:  05/28/09 Welcome Dr. Jean Dupont AMD of Florence Rigo: Event Echography Date 03/05/06 Service Radiology service Physician Dr. Radio Attached documents: Create an ABruMeT References File (ARF) Update my profile Approval management Renew my approval Terminate my approval Patient management Insert an ABruMeT Therapeutic Relation (ATR) Delete an ABruMeT Therapeutic Relation (ATR) Enter a Breaking glass procedure Electronic mail Send an e-mail to a hospital Access e-mails Manage e-mail preferences Access an ABruMeT References File (ARF) Transfer patients momentarily Send an e-mail to an AAP Add an AAP in my group Renew an ABruMeT Therapeutic Relation (ATR) [Abrumet 2006] ABruMeT Portal
Documents attached to AMD Browse ABruMeT Medical Data (AMD) Home Search : EN –  Help FR – NL Advanced search Register Contact Site map Privacy policy – Terms and conditions – Date:  05/28/09 Welcome Dr. Jean Dupont AMD of Florence Rigo: Event Echography Date 03/05/06 Service Radiology service Physician Dr. Radio Attached document:  Plain radiographic image of the   abdomen revealing an appendicolith (arrow) Create an ABruMeT References File (ARF) Update my profile Approval management Renew my approval Terminate my approval Patient management Insert an ABruMeT Therapeutic Relation (ATR) Delete an ABruMeT Therapeutic Relation (ATR) Enter a Breaking glass procedure Electronic mail Send an e-mail to a hospital Access e-mails Manage e-mail preferences Access an ABruMeT References File (ARF) Transfer patients momentarily Send an e-mail to an AAP Add an AAP in my group Renew an ABruMeT Therapeutic Relation (ATR) [Abrumet 2006] ABruMeT Portal
Why is it usable? Browse ABruMeT Medical Data (AMD) Home Search : EN –  Help FR – NL Advanced search Register Contact Site map Privacy policy – Terms and conditions – Date:  05/28/09 Welcome Dr. Jean Dupont AMD of Florence Rigo: Event Echography Date 03/05/06 Service Radiology service Physician Dr. Radio Attached document:  Plain radiographic image of the   abdomen revealing an appendicolith (arrow) Create an ABruMeT References File (ARF) Update my profile Approval management Renew my approval Terminate my approval Patient management Insert an ABruMeT Therapeutic Relation (ATR) Delete an ABruMeT Therapeutic Relation (ATR) Enter a Breaking glass procedure Electronic mail Send an e-mail to a hospital Access e-mails Manage e-mail preferences Access an ABruMeT References File (ARF) Transfer patients momentarily Send an e-mail to an AAP Add an AAP in my group Renew an ABruMeT Therapeutic Relation (ATR) [Abrumet 2006] ABruMeT Portal
Usability decomposed by Linguistic level Task [Nielsen86] Supprimer un paragraphe de ma lettre Physic pression de la touche [Ctrl]+ [D] suivie de [6] Alphabetic D, 6 Lexical commande [DELETE], chiffre [6] Syntactic DELETE 6 Semantic Supprimer un certain nombre de lignes Pragmatic Supprimer les 6 lignes du texte édité formant le paragraphe
Why is it usable? Browse ABruMeT Medical Data (AMD) Home Search : EN –  Help FR – NL Advanced search Register Contact Site map Privacy policy – Terms and conditions – Date:  05/28/09 Welcome Dr. Jean Dupont AMD of Florence Rigo: Event Echography Date 03/05/06 Service Radiology service Physician Dr. Radio Attached document:  Plain radiographic image of the   abdomen revealing an appendicolith (arrow) Create an ABruMeT References File (ARF) Update my profile Approval management Renew my approval Terminate my approval Patient management Insert an ABruMeT Therapeutic Relation (ATR) Delete an ABruMeT Therapeutic Relation (ATR) Enter a Breaking glass procedure Electronic mail Send an e-mail to a hospital Access e-mails Manage e-mail preferences Access an ABruMeT References File (ARF) Transfer patients momentarily Send an e-mail to an AAP Add an AAP in my group Renew an ABruMeT Therapeutic Relation (ATR) Physical level Alphabetic level Lexical level Semantic level Pragmatic level ABruMeT Portal Syntactic level
Case study #2: ARTHUR ,[object Object],[object Object],[object Object]
Multi-platform for Emergency [Amouh et al.,2005]
Multi-platform for Emergency ,[object Object],[object Object],[object Object],[object Object]
Multi-platform for Emergency ,[object Object],[object Object],[object Object],[object Object],[object Object]
Graceful degradation [Florins & Vanderdonckt,2004]
Transformation rules
Transformation rules Add all >> Add > << Remove all < Remove >> > << < > < Group box Item 1 Item 2 Item 3 Item 4 Item 5 Item 6 Item 7 Item 8 Item 1 Item 2 Item 3 Item 4 Item 5 Item 6 Item 7 Item 1 Item 1 Item 2 Item 3 Item 4 Item 5 Item 6 Item 7
Transformation rules
Conclusion ,[object Object],[object Object],[object Object],[object Object],Source: J. Jacko et al., Framework for Usability: healthcare professionals and the Internet
Thank you very much for your attention For more information and downloading, http://www.isys.ucl.ac.be/bchi   http://www.usixml.org User Interface eXtensible Markup Language http://www.similar.cc European network on Multimodal UIs Special thanks to all members of the team!

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Some Usability Issues in Healthcare Interactive Systems

  • 1. Some Usability Issues in Healthcare Interactive Systems Jean Vanderdonckt Université catholique de Louvain (UCL) Louvain School of Management (LSM) Information Systems Unit (ISYS) Belgian Laboratory of Computer-Human Interaction (BCHI) http://www.isys.ucl.ac.be/bchi
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  • 9. Browse AMD screen (1/6) Browse ABruMeT Medical Data (AMD) Home Search : EN – Help FR – NL Advanced search Register Contact Site map Privacy policy – Terms and conditions – Date: 05/28/09 Welcome Dr. Jean Dupont Select a patient to browse her AMD or search a patient: Firstname: Lastname: City: Zip code: Create an ABruMeT References File (ARF) Update my profile Approval management Renew my approval Terminate my approval Patient management Insert an ABruMeT Therapeutic Relation (ATR) Delete an ABruMeT Therapeutic Relation (ATR) Enter a Breaking glass procedure Electronic mail Send an e-mail to a hospital Access e-mails Manage e-mail preferences Access an ABruMeT References File (ARF) Transfer patients momentarily Send an e-mail to an AAP Add an AAP in my group Renew an ABruMeT Therapeutic Relation (ATR) [Abrumet 2006] ABruMeT Portal
  • 10. Browse AMD screen (2/6) Browse ABruMeT Medical Data (AMD) Home Search : EN – Help FR – NL Advanced search Register Contact Site map Privacy policy – Terms and conditions – Date: 05/28/09 Welcome Dr. Jean Dupont AMD of Florence Rigo: Lastname: Legal address: Street: No: City: Zip code: Phone number: Mobile number: E-mail: Residence address: Street: No: City: Zip code: NISS number: SIS Card number: SIS Card validity: Contact person: Mutuality Affiliation: Mutuality ID: Mutuality period: Start date: End date: Create an ABruMeT References File (ARF) Update my profile Approval management Renew my approval Terminate my approval Patient management Insert an ABruMeT Therapeutic Relation (ATR) Delete an ABruMeT Therapeutic Relation (ATR) Enter a Breaking glass procedure Electronic mail Send an e-mail to a hospital Access e-mails Manage e-mail preferences Access an ABruMeT References File (ARF) Transfer patients momentarily Send an e-mail to an AAP Add an AAP in my group Renew an ABruMeT Therapeutic Relation (ATR) [Abrumet 2006] ABruMeT Portal
  • 11. Browse AMD screen (3/6) Browse ABruMeT Medical Data (AMD) Home Search : EN – Help FR – NL Advanced search Register Contact Site map Privacy policy – Terms and conditions – Date: 05/28/09 Welcome Dr. Jean Dupont AMD of Florence Rigo: Adverse drug reaction: Allergy: Social risk: Other risks: Global medical data manager: Not to be ressuscitated: Blood transfusion refusal: Vaccinations: Current medications: Other medical information: Antecedent information: Create an ABruMeT References File (ARF) Update my profile Approval management Renew my approval Terminate my approval Patient management Insert an ABruMeT Therapeutic Relation (ATR) Delete an ABruMeT Therapeutic Relation (ATR) Enter a Breaking glass procedure Electronic mail Send an e-mail to a hospital Access e-mails Manage e-mail preferences Access an ABruMeT References File (ARF) Transfer patients momentarily Send an e-mail to an AAP Add an AAP in my group Renew an ABruMeT Therapeutic Relation (ATR) [Abrumet 2006] ABruMeT Portal
  • 12. Browse AMD History screen (4/6) Browse ABruMeT Medical Data (AMD) Home Search : EN – Help FR – NL Advanced search Register Contact Site map Privacy policy – Terms and conditions – Date: 05/28/09 Welcome Dr. Jean Dupont AMD of Florence Rigo: Allergies: Create an ABruMeT References File (ARF) Update my profile Approval management Renew my approval Terminate my approval Patient management Insert an ABruMeT Therapeutic Relation (ATR) Delete an ABruMeT Therapeutic Relation (ATR) Enter a Breaking glass procedure Electronic mail Send an e-mail to a hospital Access e-mails Manage e-mail preferences Access an ABruMeT References File (ARF) Transfer patients momentarily Send an e-mail to an AAP Add an AAP in my group Renew an ABruMeT Therapeutic Relation (ATR) Event Pollen allergy revealed Heavy pollen reaction Acarian allergy Date 02/06/06 03/06/06 23/08/06 Service Emergency care Hospital A Emergency care Hospital A Radiology service Hospital B Physician Dr. Stamate Dr. Stamate Dr. Radio [Abrumet 2006] ABruMeT Portal
  • 13. Browse AMD screen (5/6) Browse ABruMeT Medical Data (AMD) Home Search : EN – Help FR – NL Advanced search Register Contact Site map Privacy policy – Terms and conditions – Date: 05/28/09 Welcome Dr. Jean Dupont AMD of Florence Rigo: Event Hospital admission Emergency care Echography Date 02/05/06 02/05/06 03/05/06 Service Emergency care Emergency care Radiology service Physician Dr. Stamate Dr. Stamate Dr. Radio Select link Create an ABruMeT References File (ARF) Update my profile Approval management Renew my approval Terminate my approval Patient management Insert an ABruMeT Therapeutic Relation (ATR) Delete an ABruMeT Therapeutic Relation (ATR) Enter a Breaking glass procedure Electronic mail Send an e-mail to a hospital Access e-mails Manage e-mail preferences Access an ABruMeT References File (ARF) Transfer patients momentarily Send an e-mail to an AAP Add an AAP in my group Renew an ABruMeT Therapeutic Relation (ATR) [Abrumet 2006] ABruMeT Portal
  • 14. Browse AMD screen (6/6) Browse ABruMeT Medical Data (AMD) Home Search : EN – Help FR – NL Advanced search Register Contact Site map Privacy policy – Terms and conditions – Date: 05/28/09 Welcome Dr. Jean Dupont AMD of Florence Rigo: Event Echography Date 03/05/06 Service Radiology service Physician Dr. Radio Attached documents: Create an ABruMeT References File (ARF) Update my profile Approval management Renew my approval Terminate my approval Patient management Insert an ABruMeT Therapeutic Relation (ATR) Delete an ABruMeT Therapeutic Relation (ATR) Enter a Breaking glass procedure Electronic mail Send an e-mail to a hospital Access e-mails Manage e-mail preferences Access an ABruMeT References File (ARF) Transfer patients momentarily Send an e-mail to an AAP Add an AAP in my group Renew an ABruMeT Therapeutic Relation (ATR) [Abrumet 2006] ABruMeT Portal
  • 15. Documents attached to AMD Browse ABruMeT Medical Data (AMD) Home Search : EN – Help FR – NL Advanced search Register Contact Site map Privacy policy – Terms and conditions – Date: 05/28/09 Welcome Dr. Jean Dupont AMD of Florence Rigo: Event Echography Date 03/05/06 Service Radiology service Physician Dr. Radio Attached document: Plain radiographic image of the abdomen revealing an appendicolith (arrow) Create an ABruMeT References File (ARF) Update my profile Approval management Renew my approval Terminate my approval Patient management Insert an ABruMeT Therapeutic Relation (ATR) Delete an ABruMeT Therapeutic Relation (ATR) Enter a Breaking glass procedure Electronic mail Send an e-mail to a hospital Access e-mails Manage e-mail preferences Access an ABruMeT References File (ARF) Transfer patients momentarily Send an e-mail to an AAP Add an AAP in my group Renew an ABruMeT Therapeutic Relation (ATR) [Abrumet 2006] ABruMeT Portal
  • 16. Why is it usable? Browse ABruMeT Medical Data (AMD) Home Search : EN – Help FR – NL Advanced search Register Contact Site map Privacy policy – Terms and conditions – Date: 05/28/09 Welcome Dr. Jean Dupont AMD of Florence Rigo: Event Echography Date 03/05/06 Service Radiology service Physician Dr. Radio Attached document: Plain radiographic image of the abdomen revealing an appendicolith (arrow) Create an ABruMeT References File (ARF) Update my profile Approval management Renew my approval Terminate my approval Patient management Insert an ABruMeT Therapeutic Relation (ATR) Delete an ABruMeT Therapeutic Relation (ATR) Enter a Breaking glass procedure Electronic mail Send an e-mail to a hospital Access e-mails Manage e-mail preferences Access an ABruMeT References File (ARF) Transfer patients momentarily Send an e-mail to an AAP Add an AAP in my group Renew an ABruMeT Therapeutic Relation (ATR) [Abrumet 2006] ABruMeT Portal
  • 17. Usability decomposed by Linguistic level Task [Nielsen86] Supprimer un paragraphe de ma lettre Physic pression de la touche [Ctrl]+ [D] suivie de [6] Alphabetic D, 6 Lexical commande [DELETE], chiffre [6] Syntactic DELETE 6 Semantic Supprimer un certain nombre de lignes Pragmatic Supprimer les 6 lignes du texte édité formant le paragraphe
  • 18. Why is it usable? Browse ABruMeT Medical Data (AMD) Home Search : EN – Help FR – NL Advanced search Register Contact Site map Privacy policy – Terms and conditions – Date: 05/28/09 Welcome Dr. Jean Dupont AMD of Florence Rigo: Event Echography Date 03/05/06 Service Radiology service Physician Dr. Radio Attached document: Plain radiographic image of the abdomen revealing an appendicolith (arrow) Create an ABruMeT References File (ARF) Update my profile Approval management Renew my approval Terminate my approval Patient management Insert an ABruMeT Therapeutic Relation (ATR) Delete an ABruMeT Therapeutic Relation (ATR) Enter a Breaking glass procedure Electronic mail Send an e-mail to a hospital Access e-mails Manage e-mail preferences Access an ABruMeT References File (ARF) Transfer patients momentarily Send an e-mail to an AAP Add an AAP in my group Renew an ABruMeT Therapeutic Relation (ATR) Physical level Alphabetic level Lexical level Semantic level Pragmatic level ABruMeT Portal Syntactic level
  • 19.
  • 20. Multi-platform for Emergency [Amouh et al.,2005]
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  • 23. Graceful degradation [Florins & Vanderdonckt,2004]
  • 25. Transformation rules Add all >> Add > << Remove all < Remove >> > << < > < Group box Item 1 Item 2 Item 3 Item 4 Item 5 Item 6 Item 7 Item 8 Item 1 Item 2 Item 3 Item 4 Item 5 Item 6 Item 7 Item 1 Item 1 Item 2 Item 3 Item 4 Item 5 Item 6 Item 7
  • 27.
  • 28. Thank you very much for your attention For more information and downloading, http://www.isys.ucl.ac.be/bchi http://www.usixml.org User Interface eXtensible Markup Language http://www.similar.cc European network on Multimodal UIs Special thanks to all members of the team!