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Ambulatory Clinic Exam Room Design with respect to Computing Devices: A Laboratory Simulation Study.

ABSTRACT: Background:Challenges persist regarding how to integrate computing effectively into the exam room, while maintaining patient-centered care. Purpose:Our objective was to evaluate a new exam room design with respect to the computing layout, which included a wall-mounted monitor for ease of (re)-positioning. Methods:In a lab-based experiment, 28 providers used prototypes of the new and older "legacy" outpatient exam room layouts in a within-subject comparison using simulated patient encounters. We measured efficiency, errors, workload, patient-centeredness (proportion of time the provider was focused on the patient), amount of screen sharing with the patient, workflow integration, and provider situation awareness. Results:There were no statistically significant differences between the exam room layouts for efficiency, errors, or time spent focused on the patient. However, when using the new layout providers spent 75% more time in screen sharing activities with the patient, had 31% lower workload, and gave higher ratings for situation awareness (14%) and workflow integration (17%). Conclusions:Providers seemed to be unwilling to compromise their focus on the patient when the computer was in a fixed position in the corner of the room and, as a result, experienced greater workload, lower situation awareness, and poorer workflow integration when using the old "legacy" layout. A thoughtful design of the exam room with respect to the computing may positively impact providers' workload, situation awareness, time spent in screen sharing activities, and workflow integration.

SUBMITTER: Weiler DT

PROVIDER: S-EPMC6448389 | biostudies-literature | 2018

REPOSITORIES: biostudies-literature

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Ambulatory Clinic Exam Room Design with respect to Computing Devices: A Laboratory Simulation Study.

Weiler Dustin T DT Satterly Tyler T Rehman Shakaib U SU Nussbaum Maury A MA Chumbler Neale R NR Fischer Gary M GM Saleem Jason J JJ

IISE transactions on occupational ergonomics and human factors 20180608 3-4

<h4>Background</h4>Challenges persist regarding how to integrate computing effectively into the exam room, while maintaining patient-centered care.<h4>Purpose</h4>Our objective was to evaluate a new exam room design with respect to the computing layout, which included a wall-mounted monitor for ease of (re)-positioning.<h4>Methods</h4>In a lab-based experiment, 28 providers used prototypes of the new and older "legacy" outpatient exam room layouts in a within-subject comparison using simulated p ...[more]

PMID: 30957056

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Ambulatory Clinic Exam Room Design with respect to Computing Devices: A Laboratory Simulation Study.

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Ambulatory Clinic Exam Room Design with respect to Computing Devices: A Laboratory Simulation Study.

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