Redesign of a computerized clinical reminder for colorectal cancer screening: a human-computer interaction evaluation

BMC Medical Informatics and Decision Making

Research Article

Laura G Militello¹  Mindy Flanagan²  Chris L Kiess³  Nicole Arbuckle⁴  Jason J Saleem⁵  Bradley N Doebbeling⁶  David A Haggstrom⁶ 

[1] Applied Decision Science, 1776 Mentor Ave., Suite 424, MB#118, 45212, Cincinnati, OH, USA;Center for Health Services & Outcomes Research, Indiana University (IU), 410 West Tenth St, Suite 2000, 46202, Indianapolis, IN, USA;Center for Health Services Research, Regenstrief Institute, Inc., 410 West Tenth St, Suite 2000, 46202, Indianapolis, IN, USA;University of Dayton Research Institute, University of Dayton, 300 College Park, 45469, Dayton, OH, USA;VA HSR&D Center of Excellence on Implementing Evidenced-Based Practice (CIEBP), Richard L. Roudebush VA Medical Center (11-H), 1481 West Tenth St, 46202, Indianapolis, IN, USA;Center for Health Services Research, Regenstrief Institute, Inc., 410 West Tenth St, Suite 2000, 46202, Indianapolis, IN, USA;Center for Health Services & Outcomes Research, Indiana University (IU), 410 West Tenth St, Suite 2000, 46202, Indianapolis, IN, USA;Department of Electrical & Computer Engineering, School of Engineering and Technology, 723 West Michigan Street, SL 160, Indiana University-Purdue University at Indianapolis (IUPUI), 46202, Indianapolis, IN, USA;VA HSR&D Center of Excellence on Implementing Evidenced-Based Practice (CIEBP), Richard L. Roudebush VA Medical Center (11-H), 1481 West Tenth St, 46202, Indianapolis, IN, USA;Center for Health Services Research, Regenstrief Institute, Inc., 410 West Tenth St, Suite 2000, 46202, Indianapolis, IN, USA;Center for Health Services & Outcomes Research, Indiana University (IU), 410 West Tenth St, Suite 2000, 46202, Indianapolis, IN, USA;Department of Medicine, Indiana University (IU) School of Medicine, 545 Barnhill Drive, EH 317, 46202, Indianapolis, IN, USA;

关键词: Veteran Affair;    Clinical Reminder;    Clinical Decision Support;    Usability Survey;    Computerize Clinical Decision Support;   

DOI  :  10.1186/1472-6947-11-74

 received in 2011-08-10, accepted in 2011-11-29,  发布年份 2011

来源: Springer

【 摘 要 】

BackgroundBased on barriers to the use of computerized clinical decision support (CDS) learned in an earlier field study, we prototyped design enhancements to the Veterans Health Administration's (VHA's) colorectal cancer (CRC) screening clinical reminder to compare against the VHA's current CRC reminder.MethodsIn a controlled simulation experiment, 12 primary care providers (PCPs) used prototypes of the current and redesigned CRC screening reminder in a within-subject comparison. Quantitative measurements were based on a usability survey, workload assessment instrument, and workflow integration survey. We also collected qualitative data on both designs.ResultsDesign enhancements to the VHA's existing CRC screening clinical reminder positively impacted aspects of usability and workflow integration but not workload. The qualitative analysis revealed broad support across participants for the design enhancements with specific suggestions for improving the reminder further.ConclusionsThis study demonstrates the value of a human-computer interaction evaluation in informing the redesign of information tools to foster uptake, integration into workflow, and use in clinical practice.

【 授权许可】

CC BY   
© Saleem et al; licensee BioMed Central Ltd. 2011