Keywords:
eHealth, Computer applications, Management, PACS, Computer Applications-General, Socio-economic issues, Economics, Education and training
Authors:
S. Barnard, S. Jamieson, T. Popham, F. Ngwenya, R. Malto, L. Maher; Auckland/NZ
DOI:
10.26044/ranzcr2019/R-0009
Methods and materials
This project used quality improvement and co-design methodology.
Co-design is an approach to design which actively involves all stakeholders in the design process to help ensure the result meets their needs [1]. Co-design, improvement and innovation tools were used to engage stakeholders, understand their views, test ideas and gather feedback and review. Radiologists, radiographers, nurses, booking staff, IT specialists and patients were involved in the project, which was facilitated by the CMDHB quality improvement team.
We included patients who regularly attended procedures (such as arteriovenous fistulograms) in addition to those who visited radiology infrequently. We also ensured that we had a wide range of ages and ethnicities, to ensure that we were including patients who were "digital natives" (typically younger patients) in addition to older patients who may not be so confident with digital content or who may not use a smartphone. Some examplese of the comments made by patients in workshops and interviews are shown in Figure 2.
Data used included routinely collected data sets from the radiology information system (RIS) and patient experience data gathered from patient surveys and focus groups.