chore: add feature description for ward round documentation - #120
chore: add feature description for ward round documentation#120sophiafe wants to merge 3 commits into
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please review the new feature description "2024-07-20_new feature_ward round documentation.md" @aegis301 @00100200345 @yeahmoin |
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Feedback and possible risks and issues
- Challenges of conventional ward round documentation nicely pinned down to the main ones!
- automating repetitive tasks how far does this automatisation go? Especially regarding auto-populate or auto-fill - as they are really convenient, but should be marked / highlighted in some way in order to be approved?
- What are the regulatory and legal requirements for documentation? What happens if there's not enough time to meet all requirements? Can documentation happen without them being met?
- Love the Integration with other systems! But again, I think they should be highlighted with the need to be approved / they've been seen, etc.
- Really helpful “one-click” documentation of relevant scores! I'd really love other scores as well, that use the latest lab-results and you only add physical examination results? Another just a nice to have: "one-key-press" on the keyboard? E.g. GCS "3-5-6" instead of clicking?
- templates evolve along with the disease process how do we / the hospital avoid liability, if we offer templates, etc?
Really like how you analysed the feature, did market research on ward round documentation. Especially the link between different systems and information sources to have one place where information on a patients situation is presented in a condensed and clean way as well as creating further tasks for other healthcare professionals and its follow-up :)
| - Incomplete or Inaccurate Information: Lack of access to up-to-date patient records or missing information cause harm to the patient assessment. | ||
| - Coordination and logistics: Essential multidisciplinary team members might not be available at the time of ward rounds. | ||
| - Follow-up actions: Ensuring that all agreed-upon actions are tracked and followed up can be challenging. | ||
| - Technology limitations: Manually searching for relevant data points can be hindered by slow, unreliable, or difficult to use systems. |
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Would add a short comment on how this is relevant -> Research and quality assurance for hospitals
| - Interruptions and distractions: In case of interruptions, it is not easily comprehensible what tasks still need to be fulfilled | ||
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| **Purpose of ward round documentation software:** | ||
| - Efficient record-keeping and time savings: Manual note-taking or repetitive documentation is not required and automating repetitive tasks reduces the time needed for documentation. |
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suggestion to add a line for our sandbox approach -> Enable clinicians to structure their own documentation as they see fit without the need for lengthy cycles with their it.
| - Interface design | ||
| - Modular design with automated optimized arrangement | ||
| - Possibility to drag and drop boxes with certain information or tools | ||
| - A fixed box for the ward round documentation itself should be located on the left (?) side of the screen |
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don't get too specific. This will be UXs job.
| - Objective: Current findings (physical examination, laboratory results, imaging, consultations etc.). | ||
| - Assessment: Brief assessment of the current problems. | ||
| - Procedure: Numerical list of current decisions regarding the diagnosis and treatment. | ||
| - Possibility to define ward-/hospital-specific templates (e.g. FAST HUGS for ICU) with semi-automated step-by-step assessment with the relevant information provided at each step |
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maybe keep in mind that there might be different levels of documentation. I don't think we will try to keep users from defining templates, yet there will be "organizational templates" e.g. drafted by attendings that residents should be using. So we need an ownership/accountability/restriction system here.
| - Procedure: Numerical list of current decisions regarding the diagnosis and treatment. | ||
| - Possibility to define ward-/hospital-specific templates (e.g. FAST HUGS for ICU) with semi-automated step-by-step assessment with the relevant information provided at each step | ||
| - Possibility to create personalized text modules that can be inserted via short-cuts | ||
| - Current findings from last 1-3 days at a glance (possibly each type in a separate box that can be navigated and adjusted individually, i.e. to see full history) |
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Maybe we shouldn't pre define the time window. Again, don't get too specific. Think about what you would want: Users might need the ability to see findings from the patients history in a flexible way. Graphs from labs, reports of any kind etc. UX will help us find a way to display it. We're just describing needs here.
| 1. Doctors daily round on each patient in their ward. Ward Rounds usually include all junior doctors that are assigned to the ward as well as some senior doctors. It is common that nurses join the ward round only for those patients that they are responsible for, so that they can give additional information if needed. | ||
| 2. Nurses usually round on patients at the beginning of their shift to pass on relevant information between from one shift to the next. The relevant information differs from the doctor ward rounds. Usually there are no decisions to be made regarding diagnostics and therapy. | ||
| 3. Interdisciplinary ward rounds take place in settings such as ICU (intensive care unit) and IMC (intermediate care unit). This might include the following employee groups: doctors, nurses, physiotherapist, speech therapist, patient management team (admin), etc. | ||
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add some examples for patient's visits in ambulatory settings. Generals practiciners appointment, echo appointment at the cardiologist etc. we want to expand the use case here.
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| ## 5. User Flow | ||
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| - A graph that describes the flow of the user throughout the feature should be drawn. Where does the user access the feature? What can he or she do with it? What are possible actions within the process? Exact definitions of the views are not (yet) needed. |
| - Ward Round Documentation interface: | ||
| - challenge: designing the ward round documentation interface in a way, that the relevant information can be seen without having to perform further actions but also not overcrowding the view | ||
| - Main view with prioritized information arranged in boxes (no scrolling!) | ||
| - Additional information (e.g. appointments, scores and scales, extensive lab results and not only abnormal values) |
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again don't get too specific on the UX outlines, we have external teams for that. Focus on what you want to do during a round visit. Maybe shift some text from the upper part: Keep records about findings, access and review former findings, former reports etc. You want to be able to save the document, to edit it again, to delete it if necessary, to attend other documents, maybe files like pictures. Think about these functional requirements
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| **Main user story:** | ||
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| - > As a physician, I want to see a summary of all relevant information at a glance, with an emphasis on the latest developments, so that I do not miss important facts. I want to be able to present a complete picture of the patient's current situation so that the medical team can agree on the next steps to ensure that the patient receives the best possible medical care. |
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Provide more content, actually describe a ward visit and step by step what you are doing. What are you discussing, what are you viewing, what are you documenting.
| - Only physicians that are involved in the patient’s treatment have access to the full range of data | ||
| - Digital documentation ensures that patient data does not leave the IT-system, e.g. by printing a patient list and not disposing it in data sensitive trash | ||
| - Performance | ||
| - All data points should always be up to date (e.g. automatic refresh every 5 minutes and the possibility to refresh manually) |
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ditch technical details, tech-team's domain. Focus on the need
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| - Ward round documented for 100% of assigned patients each day | ||
| - 20% (?) reduction in time spent searching for relevant information during ward rounds, resulting in increased time spent with patient interaction | ||
| - Decrease in error rates due to missed information (difficult to measure) |
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increase data availability for research and quality assurance
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Which issues does this pull request close?
closes #119