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Setting the Course and Keeping It. Reflections on User-Orientation and Systems Acquisition in IT Systems in Swedish Health Care Josef Conning. Introduction. Vast number of users need to access/enter critical patient data, sometimes in critical situations Many serious usability problems.
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Setting the Course and Keeping It Reflections on User-Orientation and Systems Acquisition in IT Systems in Swedish Health Care Josef Conning
Introduction • Vast number of users need to access/enter critical patient data, sometimes in critical situations • Many serious usability problems
Lack of usability focus 1 (2) • Multiple windows (affecting one another in unclear ways) • Patient data presented in long unstructured lists • Lack of standards in information presentation • Incompatible systems must be used in parallel • Example
Lack of usability focus 2 (2) • Consequences include increase in: • the risk of making errors • the time needed to perform tasks • overtime hours • stress-related symptoms • Possible reasons • Inadequate knowledge about how to procure usable IT systems • Insufficient IT governance • Insufficient project execution
Problems regarding the procurement process • Procurers often have medical background • Not the adequate competence for • Evaluating existing IT systems • Form requirements for new IT systems • Example • Poor judgement or prestige • Example
Problems regarding IT governance • Business and user goals are not considered • Example • Lack of transparency in decision-making processes • Established who is responsible for a decision, what the decision is and why the decision was made • Often irrational factors behind decisions (such decisions seldom explained) • Unspecified decision-maker
Problems regarding project execution • New ideas, questions, possibilities and alternate routes • Sometimes bad decisions can be hard to avoid • Sometimes they can easily be avoided, but are not due to poor judgement or prestige
Using business and user goals • Setting the course… • Identify business and user goals • Form requirements based on these goals • … and keeping it • Use these goals as means of steering the project through the development phase • These goals are easily distributed within or between organizations, thus, they help solve the transparency problem
Identifying business and user goals Why? What? How? Who? Lorem ipsum dolor sit amet. Lorem ipsum dolor sit amet. Lorem ipsum dolor sit amet. Business goals GUI Design Requirement specification Analysis User goals Evaluation Evaluated prototype Lorem ipsum dolor sit amet. Lorem ipsum. Lorem ipsum dolor sit amet. Lorem ipsum. Business goal overview Personas Scenarios
Persona hypothesis Perform user research Identify behavioural variables Identify clusters personas Convert behavioural variables to descriptions Identify goals using variables and raw data User goals - Personas
Suggestion • Means to acquire usable IT systems • Avoid making bad or irrational decisions when developing them • Further investigations needed • Help create more useable IT systems for the health care area
Thank You. josef.conning@antrop.se