Realizing the Full Potential of Clinical Decision Support: Translating Usability Testing into Routine Practice in healthcare operations.

IF 2.1 2区医学 Q4 MEDICAL INFORMATICS

Applied Clinical Informatics Pub Date : 2024-08-27 DOI:10.1055/a-2404-2129

Swaminathan Kandaswamy, Herb Williams, Sarah A Thompson, Thomas Dawson, Naveen Muthu, Evan Orenstein

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Abstract

Background: Clinical Decision Support (CDS) tools have a mixed record of effectiveness, often due to inadequate alignment with clinical workflows and poor usability. While there's a consensus that usability testing methods address these issues, in practice, usability testing is generally only used for selected projects (such as funded research studies). There is a critical need for CDS operations to apply usability testing to all CDS implementations.

Objectives: In this State of the Art / Best Practice paper, we share challenges with scaling usability in healthcare operations and alternative methods and CDS governance structures to enable usability testing as a routine practice.

Methods: We coalesce our experience and results of applying guerilla in-situ usability testing to over 20 projects in 1 year period with the proposed solution.

Results: We demonstrate the feasibility of adopting "guerilla in-situ usability testing" in operations and their effectiveness in incorporating user feedback and improving design.

Conclusion: Although some methodological rigor was relaxed to accommodate operational speed, the benefits outweighed the limitations. Broader adoption of usability testing may transform CDS implementation and improve health outcomes.

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充分发挥临床决策支持的潜力：将可用性测试转化为医疗运营中的日常实践。

背景：临床决策支持（CDS）工具的有效性有好有坏，这通常是由于与临床工作流程不够协调和可用性差造成的。虽然大家都认为可用性测试方法可以解决这些问题，但在实践中，可用性测试一般只用于选定的项目（如受资助的研究项目）。因此，CDS 操作人员亟需在所有 CDS 实施中应用可用性测试：在这篇技术现状/最佳实践论文中，我们分享了在医疗保健业务中推广可用性所面临的挑战，以及将可用性测试作为常规做法的替代方法和 CDS 治理结构：方法：我们将一年内对 20 多个项目进行游击式现场可用性测试的经验和结果与建议的解决方案相结合：结果：我们证明了在运营中采用 "游击式现场可用性测试 "的可行性，以及其在采纳用户反馈和改进设计方面的有效性：结论：尽管为了适应业务速度，我们放松了一些方法上的严格要求，但其好处还是大于局限性。更广泛地采用可用性测试可能会改变 CDS 的实施并改善健康结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Applied Clinical Informatics MEDICAL INFORMATICS-

CiteScore

4.60

自引率

24.10%

发文量

132

期刊介绍： ACI is the third Schattauer journal dealing with biomedical and health informatics. It perfectly complements our other journals Öffnet internen Link im aktuellen FensterMethods of Information in Medicine and the Öffnet internen Link im aktuellen FensterYearbook of Medical Informatics. The Yearbook of Medical Informatics being the “Milestone” or state-of-the-art journal and Methods of Information in Medicine being the “Science and Research” journal of IMIA, ACI intends to be the “Practical” journal of IMIA.