University Of Tasmania
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User-centered design in clinical handover: exploring post-implementation outcomes for clinicians

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journal contribution
posted on 2023-05-17, 19:05 authored by Ming WongMing Wong, Elizabeth CummingsElizabeth Cummings, Paul TurnerPaul Turner
This paper examines the outcomes for clinicians from their involvement in the development of an electronic clinical handover tool developed using principles of user-centered design. Conventional e-health post-implementation evaluations tend to emphasize technology-related (mostly positive) outcomes. More recently, unintended (mostly negative) consequences arising from the implementation of e-health technologies have also been reported. There remains limited focus on the postimplementation outcomes for users, particularly those directly involved in e-health design processes. This paper presents detailed analysis and insights into the outcomes experienced post-implementation by a cohort of junior clinicians involved in developing an electronic clinical handover tool in Tasmania, Australia. The qualitative methods used included observations, semi-structured interviews and analysis of clinical handover notes. Significantly, a number of unanticipated flowon effects were identified that mitigated some of the challenges arising during the design and implementation of the tool. The paper concludes by highlighting the importance of identifying post-implementation user outcomes beyond conventional system adoption and use and also points to the need for more comprehensive evaluative frameworks to encapsulate these broader socio-technical user outcomes.


Publication title

Studies in Health Technology and Informatics








School of Information and Communication Technology


IOS Press

Place of publication


Rights statement

Copyright 2013 IMIA and IOS Press

Repository Status

  • Open

Socio-economic Objectives

Evaluation of health and support services not elsewhere classified