The Impact of Visualization Dashboards on Quality of Care and Clinician Satisfaction: Integrative Literature Review.
The Impact of Visualization Dashboards on Quality of Care and Clinician Satisfaction: Integrative Literature Review.
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DOI：
10.2196/humanfactors.9328
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发表时间：
2018-05-31
影响因子：
2.7
通讯作者：
Carson, Shannon S
中科院分区：
文献类型：
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作者：
Khairat, Saif Sherif;Dukkipati, Aniesha;Carson, Shannon S
背景：美国重症监护病房（ICU）每年收治超过570万人。ICU级别的护理帮助患有危及生命的疾病或受伤的人，并由受过专门培训的医疗保健提供者团队密切关注。病情发作和实施必要干预措施之间的延迟可能会极大地影响具有危及生命诊断的患者的预后。证据支持信息过载和医疗差错之间的联系。改善关键临床信息的显示和检索的工具具有极大的潜力，可以使患者的结局受益。本次审查的目的是综合研究使用可视化仪表板在health care.Objective：进行此文献综述的目的是综合以前的研究使用仪表板可视化电子健康记录信息的医疗保健提供者。对这一主题的现有文献进行回顾，可以用来确定以前研究中的差距，并为这一主题的进一步研究工作提供信息。最终，这一证据可以用来指导开发，测试和实施一个新的解决方案，以优化临床信息的可视化，减少临床医生的认知超载，并改善患者outcomes.METHODS：文章包括，如果他们解决的开发，测试，实施，或使用一个可视化仪表板解决方案在医疗保健环境。仅在重症监护室环境中对仪表板上的文献进行了初步检索，但发现符合纳入标准的文章不多。进行了二次随访检索，以将结果扩大到任何医疗保健环境。初始和后续检索共返回了17篇文章，并对这些文章进行了分析。结果：可视化仪表板解决方案减少了数据收集所花费的时间、数据收集过程的难度、认知负荷、任务完成时间、错误，并提高了态势感知、符合循证安全指南、可用性和导航。研究人员可以在此文献综述中确定的工作的发现，优势和局限性的基础上，加强新的可视化仪表板解决方案的开发，测试和实施。由于在这一领域进行的研究相对较少，研究人员有足够的空间来测试他们的解决方案，并显着增加对这一主题的知识领域。
BACKGROUND: Intensive Care Units (ICUs) in the United States admit more than 5.7 million people each year. The ICU level of care helps people with life-threatening illness or injuries and involves close, constant attention by a team of specially-trained health care providers. Delay between condition onset and implementation of necessary interventions can dramatically impact the prognosis of patients with life-threatening diagnoses. Evidence supports a connection between information overload and medical errors. A tool that improves display and retrieval of key clinical information has great potential to benefit patient outcomes. The purpose of this review is to synthesize research on the use of visualization dashboards in health care.OBJECTIVE: The purpose of conducting this literature review is to synthesize previous research on the use of dashboards visualizing electronic health record information for health care providers. A review of the existing literature on this subject can be used to identify gaps in prior research and to inform further research efforts on this topic. Ultimately, this evidence can be used to guide the development, testing, and implementation of a new solution to optimize the visualization of clinical information, reduce clinician cognitive overload, and improve patient outcomes.METHODS: Articles were included if they addressed the development, testing, implementation, or use of a visualization dashboard solution in a health care setting. An initial search was conducted of literature on dashboards only in the intensive care unit setting, but there were not many articles found that met the inclusion criteria. A secondary follow-up search was conducted to broaden the results to any health care setting. The initial and follow-up searches returned a total of 17 articles that were analyzed for this literature review.RESULTS: Visualization dashboard solutions decrease time spent on data gathering, difficulty of data gathering process, cognitive load, time to task completion, errors, and improve situation awareness, compliance with evidence-based safety guidelines, usability, and navigation.CONCLUSIONS: Researchers can build on the findings, strengths, and limitations of the work identified in this literature review to bolster development, testing, and implementation of novel visualization dashboard solutions. Due to the relatively few studies conducted in this area, there is plenty of room for researchers to test their solutions and add significantly to the field of knowledge on this subject.