Prototype updates after round one
Expanding our prototype
Our first prototype only had a few pages, and was put together very quickly. For our second round we’ve concentrated on filling out some the service, and expanding on the mammography sections.
We worked on these areas:
- Putting the focus on the appointment rather than the participant
- Adding screening history
- Adding historic clinics
- Adding a ‘workflow’ for mammographers
- Adding an image capture page
- Adding an exit page
Thinking about how we collect medical information
In screening, mammographers only have 5 to 8 minutes to screen each woman – this is very little time to assess, take medical history, and take the mammograms. In our first round of usability testing mammographers expressed concern about the potentially lengthy form and their ability to complete it in time.
For most of the medical history questions, we only need detail where the answer is affirmative. For example, if there is no history of breast cancer in the woman’s family, we don’t need to ask more about it. But if there is, then we need to capture detail about the history.
Similarly, if a pre-appointment questionnaire was sent to the woman – if she answered no to all questions, ideally there would be no further questions. Only where she answers yes would the mammographer follow up.
We want to explore how we can show all the questions that need to be asked, but in a way that quick to complete for the common case. Only where the answer is ‘yes’ for a question should we prompt further. As a first attempt, we’ve tried a summary list where each item starts off incomplete – but with a single button that can answer all remaining items in one go. This attempts to optimise for fewest clicks where no further information is needed.
Changing how mammogram information is captured
In the current National Breast Screening Service (NBSS), admin staff need to record the number of images taken, which views they were, if any were repeats, and the reason for the repeat. The mammogram machines know much of this information and it’s recorded in the metadata, but it’s not available to NBSS.
We’d like to explore extracting this information from the metadata so that the task for the mammographer would be to confirm everything is correct, and mark any repeats. They wouldn’t need to record the number of images or which view they were because we already know that.
For this prototype, we’ve started by simulating images loading one by one, each with some placeholder information.
Clinic list
Clinic list now shows ‘special appointments’
Clinic appointment
Appointment view now shows screening history and adds a pre-screening question
Medical information
Medical information complete
Imaging / mammography
Screening complete
Once screening is complete, medical information and images are added as tabs to the appointment
Clinics attended not screened reason
