Pietrobon R, Shah A, Kuo P, Harker M, McCready M, Butler C, Martins H, Moorman CT, and Jacobs DO
BMC medical informatics and decision making [BMC Med Inform Decis Mak] 2006 Jul 27; Vol. 6, pp. 32. Date of Electronic Publication: 2006 Jul 27.
Academic Medical Centers economics, Biomedical Research economics, Clinical Protocols, Database Management Systems, Ethics Committees, Research, Government Regulation, Hospital Costs, Humans, Internet, North Carolina, Organizational Case Studies, Programming Languages, Surgery Department, Hospital legislation jurisprudence, Academic Medical Centers legislation jurisprudence, Biomedical Research legislation jurisprudence, Guideline Adherence economics, and Integrated Advanced Information Management Systems
Background: Although regulatory compliance in academic research is enforced by law to ensure high quality and safety to participants, its implementation is frequently hindered by cost and logistical barriers. In order to decrease these barriers, we have developed a Web-based application, Duke Surgery Research Central (DSRC), to monitor and streamline the regulatory research process. Results: The main objective of DSRC is to streamline regulatory research processes. The application was built using a combination of paper prototyping for system requirements and Java as the primary language for the application, in conjunction with the Model-View-Controller design model. The researcher interface was designed for simplicity so that it could be used by individuals with different computer literacy levels. Analogously, the administrator interface was designed with functionality as its primary goal. DSRC facilitates the exchange of regulatory documents between researchers and research administrators, allowing for tasks to be tracked and documents to be stored in a Web environment accessible from an Intranet. Usability was evaluated using formal usability tests and field observations. Formal usability results demonstrated that DSRC presented good speed, was easy to learn and use, had a functionality that was easily understandable, and a navigation that was intuitive. Additional features implemented upon request by initial users included: extensive variable categorization (in contrast with data capture using free text), searching capabilities to improve how research administrators could search an extensive number of researcher names, warning messages before critical tasks were performed (such as deleting a task), and confirmatory e-mails for critical tasks (such as completing a regulatory task). Conclusion: The current version of DSRC was shown to have excellent overall usability properties in handling research regulatory issues. It is hoped that its release as an open-source application will promote improved and streamlined regulatory processes for individual academic centers as well as larger research networks.
Hammond JE, Berger RG, Carey TS, Rutledge R, Cleveland TJ, Kichak JP, and Ayscue CF
Proceedings. Symposium on Computer Applications in Medical Care [Proc Annu Symp Comput Appl Med Care] 1991, pp. 970-2.
Hospital Information Systems, Microcomputers, North Carolina, Software, Computer Communication Networks, Information Systems, Medical Records Systems, Computerized, and User-Computer Interface
Many hospitals today have implemented widely disparate information systems on mainframe and mini-computer hardware. The advent of network technology in hospitals has made it possible to access information in these systems. Unfortunately, the user interfaces to applications on these system are unique and difficult to learn, which makes them unsuitable for use by clinical services. In this paper we describe the development using rapid prototyping object-oriented programming tools of a Physician's Workstation which integrates information from five different applications running on three separate computer systems.