Schall Mark Christopher, Cullen Laura, Pennathur Priyadarshini, Chen Howard, Burrell Keith, Matthews Grace
Author Affiliations: Department of Industrial and Systems Engineering, Auburn University, Alabama (Dr Schall); Department of Nursing Services and Patient Care, University of Iowa Hospitals and Clinics (Dr Cullen); Departments of Mechanical and Industrial Engineering (Dr Pennathur) and Occupational and Environmental Health (Mr Chen), University of Iowa; and Health Care Information Systems (Mr Burrell) and Department of Nursing Services and Patient Care (Ms Matthews), University of Iowa Hospitals and Clinics, Iowa City.
Comput Inform Nurs. 2017 Jun;35(6):281-288. doi: 10.1097/CIN.0000000000000325.
Health information technology dashboards that integrate evidence-based quality indicators can efficiently and accurately display patient risk information to promote early intervention and improve overall quality of patient care. We describe the process of developing, evaluating, and implementing a dashboard designed to promote quality care through display of evidence-based quality indicators within an electronic health record. Clinician feedback was sought throughout the process. Usability evaluations were provided by three nurse pairs and one physician from medical-surgical areas. Task completion times, error rates, and ratings of system usability were collected to compare the use of quality indicators displayed on the dashboard to the indicators displayed in a conventional electronic health record across eight experimental scenarios. Participants rated the dashboard as "highly usable" following System Usability Scale (mean, 87.5 [SD, 9.6]) and Poststudy System Usability Questionnaire (mean, 1.7 [SD, 0.5]) criteria. Use of the dashboard led to reduced task completion times and error rates in comparison to the conventional electronic health record for quality indicator-related tasks. Clinician responses to the dashboard display capabilities were positive, and a multifaceted implementation plan has been used. Results suggest application of the dashboard in the care environment may lead to improved patient care.
整合基于证据的质量指标的健康信息技术仪表板能够高效且准确地展示患者风险信息，以促进早期干预并提高患者护理的整体质量。我们描述了一个仪表板的开发、评估和实施过程，该仪表板旨在通过在电子健康记录中展示基于证据的质量指标来促进优质护理。在整个过程中征求了临床医生的反馈意见。来自内科和外科领域的三对护士和一名医生进行了可用性评估。收集了任务完成时间、错误率和系统可用性评级，以比较在八个实验场景中仪表板上显示的质量指标与传统电子健康记录中显示的指标的使用情况。根据系统可用性量表（平均值为87.5[标准差为9.6]）和研究后系统可用性问卷（平均值为1.7[标准差为0.5]）的标准，参与者将该仪表板评为“高度可用”。与传统电子健康记录相比，使用该仪表板可减少与质量指标相关任务的任务完成时间和错误率。临床医生对仪表板显示功能的反应是积极的，并且已经采用了多方面的实施计划。结果表明，在护理环境中应用该仪表板可能会改善患者护理。
