Usability and Acceptability of the QDACT-PC, an Electronic Point-of-Care System for Standardized Quality Monitoring in Palliative Care
Usability and Acceptability of the QDACT-PC, an Electronic Point-of-Care System for Standardized Quality Monitoring in Palliative Care
复制标题
DOI：
10.1016/j.jpainsymman.2015.05.013
复制
发表时间：
2015-11-01
影响因子：
4.7
通讯作者：
Abernethy, Amy P.
中科院分区：
文献类型：
--
作者：
Kamal, Arif H.;Kavalieratos, Dio;Abernethy, Amy P.
上下文很少有资源支持姑息治疗的协作质量监测。这些工具，如果通过技术支持的方法证明是有效的，可能会开始在通常的姑息治疗提供质量的数据收集。可用性测试是评估用户与新开发的工具交互的容易程度和有效程度的常用方法。我们对姑息治疗质量数据收集工具（QDACT-PC）进行了可用性测试，QDACT-PC是一种用于姑息治疗的新型床旁质量监测工具。我们使用混合方法来评估社区姑息治疗临床医生对五个可用性领域的评价。这些方法包括记录模拟患者数据后的临床医生调查，以评估满意度;输入数据的准确性和完成时间的审查;以及“大声思考”协议的主题审查，以确定电子系统的问题，障碍和优势。我们招募了14名姑息治疗临床医生进行研究。测试电子系统与纸质方法显示出相似的错误率和完成时间。总体而言，68%的参与者认为电子界面在日常临床活动中不会造成中度或重大负担，65%的人认为它会改善他们提供的护理。专题分析揭示了基于纸张的方法的重大问题，以及未来参与者使用支持QDACT-PC的新技术的培训需求。QDACT-PC是一种可用于姑息治疗质量监测的电子系统。测试表明，在数据收集时间方面与纸质方法等效，但在其他可用性领域，电子方法的总体负担更轻。(C)2015年美国临终关怀和姑息医学学会。爱思唯尔公司出版All rights reserved.
Context. Few resources exist to support collaborative quality monitoring in palliative care. These tools, if proven efficient through technology-enabled methods, may begin to routinize data collection on quality during usual palliative care delivery. Usability testing is a common approach to assess how easily and effectively users can interact with a newly developed tool.Objectives. We performed usability testing of the Quality Data Collection Tool for Palliative Care (QDACT-PC) a novel, point-of-care quality monitoring tool for palliative care.Methods. We used a mixed methods approach to assess community palliative care clinicians' evaluations of five domains of usability. These approaches included clinician surveys after recording mock patient data to assess satisfaction; review of entered data for accuracy and time to completion; and thematic review of "think aloud" protocols to determine issues, barriers, and advantages to the electronic system.Results. We enrolled 14 palliative care clinicians for the study. Testing the electronic system vs. paper-based methods demonstrated similar error rates and time to completion. Overall, 68% of the participants believed that the electronic interface would not pose a moderate or major burden during usual clinical activities, and 65% thought it would improve the care they provided. Thematic analysis revealed significant issues with paper-based methods alongside training needs for future participants on using novel technologies that support the QDACT-PC.Conclusion. The QDACT-PC is a usable electronic system for quality monitoring in palliative care. Testing reveals equivalence with paper for data collection time, but with less burden overall for electronic methods across other domains of usability. (C) 2015 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.