Human-centred design processes for clinical decision support: A pulmonary embolism case study.
Background: Clinical Decision Support Systems (CDSS) can make patient care more efficient, cost-effective, and guideline-concordant. Many are created by clinicians who understand the challenges, but may publish concepts before considering subtle but important design details. Human-Centred Design (HC...
| Publicado en: | International Journal of Medical Informatics Vol. 142 |
|---|---|
| Autores principales: | , , , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Elsevier B.V.
Oct2020
|
| 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=146537354&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 146537354 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13865056 JR4 jtl: International Journal of Medical Informatics issn: 13865056 maglogo: N pubinfo: dt: Oct2020 vid: 142 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 146537354 146537354 NLM32947115 146537354 10.1016/j.ijmedinf.2020.104196 NLM32947115 146537354 ppct: 1 formats: tig: atl: Human-centred design processes for clinical decision support: A pulmonary embolism case study. aug: au: Babione, Julie N. Ocampo, Wrechelle Haubrich, Sydney Yang, Connie Zuk, Torre Kaufman, Jaime Carpendale, Sheelagh Ghali, William Altabbaa, Ghazwan affil: W21C Research and Innovation Centre, GD01, TRW Building, 3280 Hospital Drive NW, Calgary, AB T2N 4Z6, Canada sug: subj: Decision Support Systems, Clinical Pulmonary Embolism Diagnosis Systems Analysis Retrospective Design Pilot Studies Human Validation Studies Comparative Studies Evaluation Research Multicenter Studies Scales ab: Background: Clinical Decision Support Systems (CDSS) can make patient care more efficient, cost-effective, and guideline-concordant. Many are created by clinicians who understand the challenges, but may publish concepts before considering subtle but important design details. Human-Centred Design (HCD) approaches provide necessary methods ensuring solid CDSS design. This article highlights HCD approaches in a pulmonary embolism CDSS case study context.Methods: This pulmonary embolism CDSS results from collaborative work between computer science, psychology, and medicine. HCD methods used include: evaluations of pre-clinical prototype recordings, iterative usability expert reviews with software refinement, formative usability testing, and (separately-published) clinical pilot study.Results: HCD methods were instrumental in iteratively creating an easy to use and functionally-sound CDSS. Retrospective evaluations revealed that participants spent considerable time on items that were out of order from natural cognitive diagnostic workflows. Features missing between original and study version were noted, confusing interface elements reworked, and currently-active decision tree branches were visually emphasized. From iterative usability reviews, positioning of information within the decision tree was radically reworked, information separated into levels of support for different user groups, and supportive versus directive language issues addressed. Formative studies identified issues such as interface adjustments and hospital workflow integration.Conclusions: Human-centred design approaches provide methods for integrating the skills and knowledge of many disciplines, illustrated by example in this pulmonary embolism CDSS creation. Advantages of leveraging many design guidelines as well as revealing new design considerations that would otherwise have remained hidden are described. The findings reported here support future CDSS design through HCD inclusion. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|