Dowding Dawn, Merrill Jacqueline, Russell David
The University of Manchester, Manchester, UK.
Columbia University School of Nursing, New York, NY.
AMIA Annu Symp Proc. 2018 Dec 5;2018:395-403. eCollection 2018.
The provision of feedback to clinicians and organizations on the quality of care they provide is thought to influence clinician and organizational behavior leading to care improvements. Clinical Dashboards use data visualization techniques to provide feedback to individuals on their performance compared to quality metrics. In this paper we outline a theoretical approach to the design of a clinical dashboard; Feedback Intervention Theory (FIT). Priorities for feedback were identified using focus groups with home care nurses (n=61). Individual variation in graph literacy and numeracy among nurses and their ability to comprehend visualized data displays were evaluated using an online survey. The results from the focus group and survey were used to inform a prototype dashboard which was evaluated for usability with a separate sample of home care nurses. FIT provided a theoretical base for the dashboard design to ensure feedback that should positively impact clinician behavior.
向临床医生和组织提供有关他们所提供医疗服务质量的反馈，被认为会影响临床医生和组织的行为，从而带来医疗服务的改善。临床仪表盘使用数据可视化技术，根据质量指标向个人提供有关其表现的反馈。在本文中，我们概述了一种设计临床仪表盘的理论方法；反馈干预理论（FIT）。通过与家庭护理护士（n = 61）进行焦点小组讨论，确定了反馈的优先级。通过在线调查评估了护士在图表读写能力和计算能力方面的个体差异，以及他们理解可视化数据显示的能力。焦点小组讨论和调查的结果被用于设计一个原型仪表盘，并使用另一组家庭护理护士样本对其可用性进行评估。反馈干预理论为仪表盘设计提供了理论基础，以确保反馈能对临床医生的行为产生积极影响。
