Two of the most important yet often overlooked aspects of a medical device are its usability and accessibility. This is important not only for health care providers, but also for older patients and users with disabilities or activity limitations. "Medical Instrumentation: Accessibility and Usability Considerations" focuses on how lack of usability and accessibility pose problems for designers and users of medical devices, and how to overcome these limitations.Divided into five broad sections, the book first addresses the nature and extent of the problem by identifying access barriers, human factors, and policy issues focused on the existing infrastructure. The subsequent sections examine responses to the problem, beginning with tools for usability and accessibility analysis and principles of design for medical instrumentation.Building on this foundation, the third section focuses on recommendations for design guidelines while the fourth section explores emerging trends and future technologies for improving medical device usability.
The final section outlines key challenges, knowledge gaps, and recommendations from accomplished experts in the field presented at the recent Workshop on Accessible Interfaces for Medical Instrumentation. Integrating expert perspectives from a wide array of disciplines, "Medical Instrumentation" traces a clear roadmap for improving accessibility and usability for a variety of stakeholders and provides the tools necessary to follow it.
Background: The Problem, Existing Infrastructure, and Possible Solutions The Patient's Perspective on Access to Medical Equipment; June Isaacson Kailes Results of a National Survey on Accessibility of Medical Instrumentation for Consumers; Jill M. Winters, Molly Follette Story, Kris Barnekow, June Isaacson Kailes, Brenda Premo, Erin Schwier, Sarma Danturthi, and Jack M. Winters Emerging Human Factors and Ergonomics Issues for Health Care Professionals; Molly Follette Story Toward a New Health Care Policy: Accessible Medical Equipment and Instrumentation; June Isaacson Kailes, Brenda Premo, and Curtis Richards Role of Tax Law in the Development and Use of Accessible Medical Instrumentation; Steven Mendelsohn Tools for Usability and Accessibility Analysis Applying the Principles of Universal Design to Medical Devices; Molly Follette Story Using Ethnographic Research to Develop Inclusive Products; Stephen B. Wilcox Educating Engineers in Universal and Accessible Design; Robert Erlandson, John Enderle, and Jack Winters Assistive Technology Devices and Universal Design Assessments: Theoretical Relationships and Implications on Measurement; Roger O. Smith, Kathy Longenecker Rust, and Stephanie Siegler Tools for Sensor-Based Performance Assessment and Hands-Free Control; Gerald E. Miller Ergonomic Evaluation and Design of Handheld Medical Devices; David Rempel, Tom Armstrong, and Ira Janowitz Usability Testing by Multimedia Video Task Analysis; Thomas Y. Yen and Robert G. Radwin The Mobile Usability Lab Tool for Accessibility Analysis of Medical Devices: Design Strategy and Use Experiences; Jack Winters, David Rempel, Molly Story, Melissa Lemke, Alan Barr, Sean Campbell, and Sarma Danturthi Comparison of Accessibility Tools for Biomechanical Analysis of Medical Devices: What Experts Think; Melissa R. Lemke and Jack M. Winters Considerations in Design Guideline Development Accessibility Standards and their Application to Medical Device Accessibility; Daryle Gardner-Bonneau Human Factors Standards for Medical Devices Promote Accessibility; Michael E. Wiklund Designing Accessible Medical Devices; Ron Kaye and Jay Crowley Letting User Ability Define Usability; James Mueller Macroergonomic and Implementation Issues of Guidelines for Accessible Medical Devices; Pascale Carayon, Anne-Sophie Grenier, and Carla Alvarado Reducing Error and Enhancing Access to Home Use of Medical Devices: Designing from the Perspective of the Home Care Provider; Marilyn Sue Bogner Use of Problem-Solving Tools of TRIZ to Address Equipment Design for Home Care; John Gosbee Development of the Medical Equipment Device Accessibility and Universal Design Information Tool; Roger O. Smith, Kris Barnekow, Melissa R. Lemke, Rochelle Mendonca, Melinda Winter, Todd Schwanke, and Jack M. Winters Access to Medical Instrumentation: The Role of Web Accessibility; Judy Brewer Considerations in Emerging Trends and Technologies Technology for Full Citizenship: Challenges for the Research Community; Katherine D. Seelman Future Possibilities for Interface Technologies that Enhance Universal Access to Health Care Devices and Services; Jack M. Winters Trends to Watch: Trends in Information and Communications Technology That May Influence Developments in Access to Medical Instrumentation; Alfred S. Gilman Emerging Personalized Home Rehabilitation: Integrating Service with Interface; Xin Feng and Jack Winters Progress in Using the Universal Remote Console Standard to Create User-Customized Interfaces for Future Medical Devices; R. Sarma Danturthi, Pawan Shroff, and Jack M. Winters Usability and Access Issues in Telerehabilitation; Linda van Roosmalen Applications and Issues with Wireless Technology in Medical Care; John Peifer and Michael Jones Outputs of the Workshop: Key Knowledge Gaps, Barriers, Recommendations Report of the Workshop on Accessible Interfaces for Medical Instrumentation: Draft Guidelines and Future Directions; Jack M. Winters and Molly Follette Story Appendix 1 Chairs' Perspectives on Workshop Breakout Theme C (Interfaces for Home Health Care Devices); Daryle Gardner-Bonneau and Binh Q. Tran Appendix 2 Commentary on Distinguishing Accessibility from Accommodation; David Baquis Appendix 3 Commentary on Data, Models, and Procedures for Design of Accessible Medical Instrumentation; Thomas J. Armstrong Appendix 4 Commentary on What Is Accessibility? And What Does It Have to Do with Medical Device Design? Ron Kaye and Jay Crowley Appendix 5 Commentary on the Difference between "Usability" and "Accessibility" May Be the End Users; Molly Follette Story Glossary of Terms