Participatory heuristic evaluation of a tablet computer system for clinical microbiology.

MultiplexBCT is a molecular-based diagnostic test for rapid identification of microorganisms in positive blood cultures. A MultiplexBCT Android tablet computer application is being developed as an accessory to the diagnostic test. The aim of the application is to facility the end user's workflow by supporting data entry and communication of the MultiplexBCT test results in a hospital environment. This paper reports the results and benefit of a participatory heuristic evaluation conducted on the MultiplexBCT application. The design is an extension of heuristic evaluation that includes end users as work-domain experts to complement usability experts for inspection of a user interface. The user interface assessment identified 86 heuristic violations, which consisted of both product- and domain-related issues. These results will be used to guide further development of the MultiplexBCT application to ensure that the system will fully support the workflow of the end users when using the MultiplexBCT diagnostic test.

Exploring end users' system requirements for a handheld computer supporting both sepsis test workflow and current IT solutions.

Sepsis is a systemic response associated with very high mortality. Early initiation of the correct antimicrobial therapy remains a cornerstone in the treatment of sepsis. Currently, a new microbiological test is under development, which aims to detect major, prevalent pathogens in positive blood cultures within an hour. Concurrently, a tablet-based data entry and reporting system will be developed to facilitate the workflow of the test. This study investigated the system requirements for the tablet-based data entry and reporting system in order to support the clinical workflow. By observing the workflow of the blood culture analysis and through interviews with medical laboratory technicians, four main system requirements were identified. The system requirements are; the ability to receive and send data to the laboratory information system, support for the use of barcodes, the ability to access a browser based instruction system, and communication of results between medical laboratory technicians and physicians. These system requirements will be used as a basis in the future development of the tablet-based data entry and reporting system.