Feasibility of representing adherence to blood glucose monitoring through visualizations: A pilot survey study among healthcare workers.
Background: Measuring adherence to processes is one of the established ways to quantify the quality of healthcare. Providing timely feedback to healthcare workers on the level of adherence can improve process measures. However, it is challenging to present data on adherence to repetitive time-sensit...
| Publicado en: | International Journal of Medical Informatics Vol. 120; pp. 172 - 179 |
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| Autores principales: | , , , , , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Elsevier B.V.
Dec2018
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=132855337&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 132855337 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13865056 JR4 jtl: International Journal of Medical Informatics issn: 13865056 maglogo: N pubinfo: dt: Dec2018 vid: 120 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 132855337 132855337 NLM30409342 132855337 10.1016/j.ijmedinf.2018.09.006 NLM30409342 132855337 ppf: 172 ppct: 7 formats: tig: atl: Feasibility of representing adherence to blood glucose monitoring through visualizations: A pilot survey study among healthcare workers. aug: au: Chen, Ying Kao, Shih Ling Tan, Maudrene Ning, Yilin Salloway, Mark Wee, Hwee Lin Venkataraman, Kavita Khoo, Eric Yin Hao Chow, Yeow Leng Tai, E-Shyong Tan, Chuen Seng affil: Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore sug: subj: Diabetes Mellitus Physiopathology Guideline Adherence Standards Health Personnel Education Attitude of Health Personnel Blood Glucose Analysis Blood Glucose Self-Monitoring Standards Female Inpatients Statistics and Numerical Data Human Hospitals, Special Pilot Studies Adult Perception Diabetes Mellitus Blood Male Validation Studies Comparative Studies Evaluation Research Multicenter Studies Ferrans and Powers Quality of Life Index Ways of Coping Questionnaire Adult: 19-44 years Female Male ab: Background: Measuring adherence to processes is one of the established ways to quantify the quality of healthcare. Providing timely feedback to healthcare workers on the level of adherence can improve process measures. However, it is challenging to present data on adherence to repetitive time-sensitive tasks in a clear manner.Objectives: We used inpatient glucose monitoring as a test case to explore the feasibility of using visualizations to communicate adherence to repetitive scheduled tasks to healthcare workers.Methods: We selected four candidate plots that represented distribution across time: histogram, probability density function plot (pdf plot), violin plot and cumulative density function plot (cdf plot). Doctors and nurses involved in inpatient diabetes care in a tertiary hospital were invited to complete a self-administered questionnaire that measured self-reported baseline knowledge, performance, and perception towards the visualizations. Performance was assessed by determining if a participant was able to correctly identify visualizations representing protocol adherence. We also assessed the perception of usability of these visualizations for monitoring protocol adherence. Binomial regression models were used to identify factors associated with overall performance and perception. Logistic regression models with generalized estimating equation were used to compare performance and perception between visualizations, and identify effect modifiers.Results: A total of 57 doctors and nurses completed the questionnaire. Participants were most familiar with histogram (87.7%), followed by cdf plot (61.4%), pdf plot (40.4%), and violin plot (7%). However, the percentages of participants who identified non-adherence using these plots were generally lower, ranging from 29.8% to 40.4%. Participants' perception of usability ranged from 14% to 17.5% across these visualizations. More favorable perceptions were found among participants with baseline knowledge for two or more visualizations (adjusted odds ratio: 3.21; 95%CI: 1.29, 7.96; p-value: 0.012) and having identified two or more non-adherent visualizations (adjusted odds ratio: 4.23; 95%CI: 1.95, 9.16; p-value: < 0.001).Conclusions: Adherence to repetitive time-sensitive tasks can be presented in the form of visualizations. However, nurses' and doctors' knowledge and understanding of these visualizations are generally poor. This may influence their perception of usability of these plots. Therefore, these visualizations need to be implemented in tandem with training on their interpretation, to enhance the usefulness of these plots in motivating quality improvement. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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