Otra idea más para solucionar ‘Radar Covid’

Cuando lees el impacto que una simple notificación en el móvil puede tener en los usuarios, hace que te plantees muchos aspectos del diseño de un producto. Especialmente si ese producto está destinado a ayudarnos a gestionar el riesgo de una pandemia global.

Con este artículo me gustaría tratar abordar una idea diferente replanteando el problema que pretende solucionar Radar Covid.

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Prueba de diseño en Cinefilica

Así de chulo me está quedando el nuevo diseño de Cinefílica, pero tengo mis dudas sobre si publicarlo. El layout responsivo funciona pero me está dando muchos quebraderos de cabeza para encajar ciertas cosas.

Quitarme de un plumazo la navegación es un decisión muy radical. Si bien podría confiar en la página de inicio como distribuidor de contenido y potenciar el buscador (y sus resultados) para darle al usuario todo lo que necesita explorar, me quito la posibilidad de extender en algún momento el sitio web a algo más que el catálogo.

Otra cosa que hago desaparecer es el pie, creo que debería incluirlo aunque muchísimo más discreto que lo que hay ahora. Eso sí, los géneros debería hacerlos más visibles en la página de inicio, a fin de cuentas, están recibiendo visitas.

No sé si acabaré publicando estos cambios, en cualquier caso aquí los comparto.

Innovar buscando la perfección

Como mucha gente sabe hace más de 60 años el atleta estadounidense Dick Fosbury revolucionó la técnica de salto de altura haciendo algo que nunca antes nadie había hecho: pasar por encima del listón de espaldas.

Esta idea original le hizo ganar unos juegos olímpicos estableciendo un nuevo récord mundial en los 2m 24cm. Él sabía que, a pesar de no ser el atleta mejor dotado de su generación y de las mofas de sus compañeros de instituto, su técnica innovadora le podía llevar al éxito.

Fosbury, quien no se sentía cómodo afrontando el listón de frente y no terminaba de adaptarse a las técnicas clásicas, tuvo no sólo que crear una nueva idea transgesora sino que pasó meses y meses poniéndola en práctica y mejorándola totalmente en solitario hasta que pudo demostrarle al mundo, en una competición de máximo nivel, que efectivamente había mejorado todas las marcas.

Mientras Fosbury practicaba sólo, los más cercanos a él sabían de sus intenciones de probar suerte en el campeonato que le dio su primer oro. Hoy en día nadie duda de que la suya es la mejor técnica de salto de altura para competición. Lo curioso es que las técnicas anteriores tales como rodillo ventral aún se usan aún durante los entrenamientos para entender la mecánica del cuerpo y la clave más importante del salto: la necesidad de levantar la cadera.

Para el atleta, su triunfo no venía por ganar muchos oros en los subsiguientes campeonatos, seguramente porque sabía, entre otras cosas, que su físico no era el más talentoso y que pronto otros atletas más potentes le copiarían su nueva técnica. Sin embargo sabía que su objetivo primordial era el de conseguir el mejor salto posible.

Toda esta suma de cosas, toda esta historia que parece desconexa me ha hecho siempre reflexionar sobre la necesidades personales de innovación y especialización.

En el caso de este gran saltador de altura innovar le llevó a sentar un precedente, a ser el mejor (por un tiempo) pero sobre todo a demostrar que no era necesario afrontar la barrera como todo el mundo solía hacerlo para superarla de forma más óptima.

Por otra parte cuando por fin la asumió como una idea posible fue cuando decidió llevarla a la perfección buscando el máximo rendimiento, optimizando el giro de su cuerpo, el arco de su espalda, el levantamiento de los brazos y todo aquel gesto que contribuía a la superación del listón.

La necesidad de una alternativa a causa de una limitación propia disparó la idea creativa. La práctica resultó necesaria para convertir su idea  en innovadora. Y de ésta se sentó una base para el desarrollo de una nueva técnica.

Albert Einstein dijo

La creatividad nace de la angustia, como el día nace de la noche oscura… En tiempos de crisis la creatividad, supera el conocimiento.

Ésto es algo que bien sabe Fosbury y que a modo de tópico escuchamos mucho aunque no queramos oírlo. La crisis personales, que no tienen por qué ser la económicas, ponen a prueba el tipo de ser innovador que somos.

Mi pregunta es ¿estamos dispuestos a reconocernos como tales o queremos seguir dejando que todas las barreras nos parezcan inalcanzables?

Y si encontramos una idea mejor ¿tenemos miedo a no ser los más talentosos para sacarle el máximo rendimiento? ¿A caso importa esto para innovar?

Nota final: otro pequeño gran detalle que contribuyó a este atrevimiento fue el de colocar un colchón tras el listón en lugar de un montón de arena. Lo que demostraba que era valiente, pero no un loco, lo último que un atleta busca es una lesión que le aparte de su objetivo. Hagan ustedes la sobrelectura del simil.

Facebook-like EMR (Part II)

Facebook-like EMR Hi-Fi

In my previous post, I published a simple mock-up to introduce the idea of an Electronic Medical Record looking like Facebook social network.

We initially saw how taking advantage of this website could help to contribute for a better tool for doctors, nurses, and patients.

In this second part of the exercise, we can see as well the hi-fi prototype where the visual design will allow us to make new musings.

Top Bar

Notifications will lead the activity of users under specific contexts.This space would be used in a similar way, so we would expect to see there:

  • New patient admissions
  • New results
  • Prescription modifications
  • Activity of another physicians on my patient’s profile
  • Events notifications
  • Automatic clinical alerts

The search box will index patients, activities and tasks. This way, finiding a patient grouped under a particular list or jumping to the a functional module will be quick and simple.

Patient Banner

The patient banner is now taking a considerable amount of space: Is is really needed? Well, If we follow the idea of having patients accessing to their own profiles, it would be nice to have this personlizable. This way, patients would create a human connection between them and their clinical staff. I think the balance between the clarity of a customizable banner and the used space make of this a valuable area.

Thumbnail area will show the teaser of each content type (clinical domains). This way the patient banner won’t be only an area to ensure the patient identification but to highñight a meaninful set of content related with the latest activity of the patient.

What about the ‘Like’ buttton?

What would ‘Like’ mean in a clinical context? It might be pretty controversial saying ‘Like’ under a patient diagnosis. However, there are other social actions which could provide a helpful support to the care activity.

  • Notify
  • Comments
  • Share

Notifications could be triggered automatically by events or due to a professional opinion. A notification doesn’t express an emotion, but a objective idea. It’s not a bad idea having a mechanism to communicate subjective feelings but here we shouldn’t make an error by this Facebook ‘positive-thinking’.

About the prototype

The opinions, ideas and suggestions shared in this article and in the ‘Facebook-like EMR (Part I)’ one only represent me (Carmel Hassan).

This prototype has been made adapting the icons of Jigsoar. The shown data is fake and the girl in the picture is me! I know I know…

Facebook-like EMR (Part I)

Facebook-like EMR (Part II)

In 2008, Bob Watcher wrote an article called “Why the medical record needs to become more like Facebook” where lay down the idea of having the social network as the mirror for a new Electronic Medical Record (EMR) User Experience (UX). A collaboration and social framework to provide better care to patients while keeping useful information between physicians and nurses.

He was not the only one; already in 2007, Robert Nadler established a high-level model remarking out the core functionalities that it could have EMR software. However, it was not intended to get only a Facebook-like UI but a real social site to connect Patients and Doctors.

The idea is not new; many authors – doctors and software engineers – have continued talking about this idea with no final proposal.

After the latest Facebook re-design I don’t know if those authors would still maintain the same opinion about this topic, anyway I do think it’s a very very interesting approach even assuming any usability issue that Facebook could have. So here are my two cents.

A Design Proposal

Users & Profiles

If a clinical solution would need to completely work like Facebook, every user (physician, nurse, etc.) would have their own user porfile. However, the analysis of having a EMR looking like Facebook timeline suggests that the profile page is planned to show only patient data. Why would we need to see a nurse profile, then?

Following this idea, the Home page would be reserved for (primary) users and the Profile pages for showing the electronic medical records of patients (secondary users).

A possible extension would be allowing the access to the EMRz by Patients, so they could also check their own EMR online by themselves. In this case, we could consider them as secondary users not as part of the network community, but just to contribute to their own medical history and keep a direct communication between them and they’re care providers.

Social network

Social activity will be generated by clinicians considering patient-centred documentation based on Profiles. As suggested before, there are two main social groups: the one created by clinical staff only, and the one where patients and clinicians would interact.

Social interaction is the key point of this proposal and it underpins the main usaibility goals:

Profiles: Patient Timeline

Facebook profile pages have been re-design to look more like a real timeline where any important event is chronologically displayed. In this example, right side will be used to show a summary of the most important event types associated to the patient medical history like Health issues, Allergies, Diagnosis, Requests and Results, Progress Notes, Prescriptions and any other clinical subject. On the left side, any user (doctor, nurse and the patient) could add comments anytime.

Privacy

Privacy should have a strong presence here, since having restricted-access data is a valuable feature that doctors, nurses and patients. They all will need to control the visibility of the data they entered in a fashionable way. Although setting permission in Facebook is pretty hard and unclear to get control about which type of users see which type of patient data or personal comments is still a requirement. This could be done seeing users by their role, applications as domains, and groups as teams. Still, patients are a special kind of user which will have direct access to his own record.

Utility

There’s a weak line which separates the Facebook familiarity advantage into the most confusing UI for a productivity tool and it’s called “enjoyment”. The idea of this Facebook-like EMR was to promote some typical behavioural patter of users when interacting with a social network like:

  • Safe Exploration
  • Microbreaks
  • Habituation
  • News Stream
  • Other people’s advice
  • Personal Recommendations

However, there are some other existing activities that the clinical staff usually does and this UI is not oriented to

  • Changes in Midstream
  • Keyboard only
  • Streamlined repetition activities

Nevertheless, the app integration approach of Facebook suggest me to become a good exercise to imitate outside the UX field.

Content

The content is not about what people think or feels, but what physicians and nurses make, diagnose, treat or provide to patients. The language of the user interface should be adapted to the purpose in order to ease the kind of content expected to be entered.

Data entry is one of the most challenging features in healthcare apps. The smarter the application, the quicker the data is entered. The whole phylosiphy of Facebook puttin atention into every single details should be adopted also to create content such as vital signs, prescriptions, a soap note, or a discharge letter. As an example, below there’s a list of content with different natures which depends on the context of use, the user role and the business model.

  • Task Oriented
    • Notifications
    • Lists of patients
    • Lists of tasks
    • Scheduled activities
    • Events
  • Content Oriented
    • Patient history summary
    • Patient evolution
    • Patient current health status and diagnosis
    • Clinical decisions
    • Procedures
  • Process Oriented
    • Treatments
    • Protocol based care planning
    • Admissions and discharge
    • Scheduling
    • Follow-up

What’s next

This is only the first part of the exercise. For the second part I’ll try more mock-ups and the high-fidelity prototype adding more details also in the content used in this sketch to get a better idea about how crazy (or not) is the proposal of being inspired by Facebook to create an electronic medical record.

There’s also an important gap where Facebook has no direct answer: clinical safety and episode-related information. We’ll talk about it also for the next post.

By now, how realistic do you think it is?

Clinical Risks and Design Decisions – How usability can save lifes

Information technology has made possible to improve healthcare services by increasing productivity, getting more accessible services, and automating daily care activities – among others. However, the software itself allows getting a better patient care at the same time that it opens a door to clinical risks. It is a responsability for designers to avoid hazards as… Continue reading