TY - GEN
T1 - Usability of implementing a tablet-based decision support and integrated record-keeping (DESIRE) tool in the nurse management of hypertension in rural Kenya
AU - Blank, Evan
AU - Tuikong, Nelly
AU - Misoi, Lawrence
AU - Kamano, Jemima
AU - Hutchinson, Claire
AU - Kimaiyo, Sylvester
AU - Fustera, Valentin
AU - Were, Martin
AU - Vedanthan, Rajesh
PY - 2013
Y1 - 2013
N2 - In sub-Saharan Africa (SSA), cardiovascular disease (CVD) is the leading cause of death among individuals over the age of 30. Hypertension, a major risk factor for CVD, contributes significantly to the CVD burden in SSA. In order to address the human resource challenge of managing hypertension in low- and middle-income countries (LMICs), task-shifting hypertension care from physicians to nurses has been proposed. To support this task-shifting strategy, the Academic Partnership Providing Access to Healthcare (AMPATH) has developed an Android tablet-based electronic Decision Support and Integrated Record-Keeping (DESIRE) tool to record patient data and assist with clinical decision-making. We investigated the usability of the DESIRE tool in the setting of nurse management of hypertension in rural western Kenya through the use of 'mock patient' encounters and 'think aloud' exercises. Fiftyseven critical incidents were identified and twenty-three design changes were suggested. Optimization of the tool has the potential to broadly impact treatment of non-communicable diseases in LMICs by providing a model of electronic decision-support in task shifting.
AB - In sub-Saharan Africa (SSA), cardiovascular disease (CVD) is the leading cause of death among individuals over the age of 30. Hypertension, a major risk factor for CVD, contributes significantly to the CVD burden in SSA. In order to address the human resource challenge of managing hypertension in low- and middle-income countries (LMICs), task-shifting hypertension care from physicians to nurses has been proposed. To support this task-shifting strategy, the Academic Partnership Providing Access to Healthcare (AMPATH) has developed an Android tablet-based electronic Decision Support and Integrated Record-Keeping (DESIRE) tool to record patient data and assist with clinical decision-making. We investigated the usability of the DESIRE tool in the setting of nurse management of hypertension in rural western Kenya through the use of 'mock patient' encounters and 'think aloud' exercises. Fiftyseven critical incidents were identified and twenty-three design changes were suggested. Optimization of the tool has the potential to broadly impact treatment of non-communicable diseases in LMICs by providing a model of electronic decision-support in task shifting.
KW - Clinical
KW - Decision Support Systems
KW - Electronic Health Records
KW - Root Cause Analysis
KW - User-Computer Interface
UR - http://www.scopus.com/inward/record.url?scp=84894292414&partnerID=8YFLogxK
U2 - 10.3233/978-1-61499-289-9-1002
DO - 10.3233/978-1-61499-289-9-1002
M3 - Conference contribution
C2 - 23920776
AN - SCOPUS:84894292414
SN - 9781614992882
T3 - Studies in Health Technology and Informatics
SP - 1002
BT - MEDINFO 2013 - Proceedings of the 14th World Congress on Medical and Health Informatics
PB - IOS Press
T2 - 14th World Congress on Medical and Health Informatics, MEDINFO 2013
Y2 - 20 August 2013 through 23 August 2013
ER -