Toward a More Robust and Efficient Usability Testing Method of Clinical Decision Support for Nurses Derived From Nursing Electronic Health Record Data
Toward a More Robust and Efficient Usability Testing Method of Clinical Decision Support for Nurses Derived From Nursing Electronic Health Record Data
复制标题
DOI：
10.1111/2047-3095.12146
复制
发表时间：
2017-10-01
影响因子：
1.4
通讯作者：
Keenan, Gail
中科院分区：
文献类型：
--
作者：
Lopez, Karen Dunn;Febretti, Alessandro;Keenan, Gail
目的：开发多种临床决策支持（CDS）特征的快速、同步设计、测试和管理方法，以帮助护士决策。方法：采用定额抽样、有声思考和认知访谈，对同步音视频数据和档案库进行演绎和归纳编码。研究结果：我们的方法和组织工具使我们能够在执业护士的可推广样本中迅速提高CDS的可用性、可理解性和有用性。结论：概述的方法允许基于护理术语的电子健康记录数据快速整合到日常工作流程中，并具有改善患者预后的强大潜力。对护理实践的启示：开发多种CDS系统特征的方法和组织工具可用于将知识转化为实践。
PURPOSE: To develop methods for rapid and simultaneous design, testing, and management of multiple clinical decision support (CDS) features to aid nurse decision-making.METHODS: We used quota sampling, think-aloud and cognitive interviews, and deductive and inductive coding of synchronized audio video data and archival libraries.FINDINGS: Our methods and organizational tools allowed us to rapidly improve the usability, understandability, and usefulness of CDS in a generalizable sample of practicing nurses.CONCLUSIONS: The method outlined allows the rapid integration of nursing terminology based electronic health record data into routine workflow and holds strong potential for improving patient outcomes.IMPLICATIONS FOR NURSING PRACTICE: The methods and organizational tools for development of multiple CDS system features can be used to translate knowledge into practice.