INSERM, CHU Lille, CIC-IT/Evalab 1403 - Centre d'Investigation Clinique, 59000, Lille, France.
Univ. Lille, CHU Lille, ULR 2694 - METRICS: Évaluation des Technologies de santé et des Pratiques médicales, 59000, Lille, France.
J Clin Monit Comput. 2021 May;35(3):617-626. doi: 10.1007/s10877-020-00522-x. Epub 2020 May 16.
Clinical dashboards summarize indicators of high-volume patient data in a concise, user-friendly visual format. There are few studies of the use of dashboards to improve professional practice in anesthesiology. The objective of the present study was to describe the user-centered development, implementation and preliminary evaluation of clinical dashboards dealing with anesthesia unit management and quality assessment in a French university medical center. User needs and technical requirements were identified in end user interviews and then synthesized. Several representations were then developed (according to good visualization practice) and submitted to end users for appraisal. Lastly, dashboards were implemented and made accessible for everyday use via the medical center's network. After a period of use, end user feedback on the dashboard platform was collected as a system usability score (range 0 to 100). Seventeen themes (corresponding to 29 questions and 42 indicators) were identified. After prioritization and feasibility assessment, 10 dashboards were ultimately implemented and deployed. The dashboards variously addressed the unit's overall activity, compliance with guidelines on intraoperative hemodynamics, ventilation and monitoring, and documentation of the anesthesia procedure. The mean (standard deviation) system usability score was 82.6 (11.5), which corresponded to excellent usability. We developed clinical dashboards for a university medical center's anesthesia units. The dashboards' deployment was well received by the center's anesthesiologists. The dashboards' impact on activity and practice after several months of use will now have to be assessed.
临床仪表盘以简洁、用户友好的可视化格式汇总了大量患者数据的指标。关于使用仪表盘来改善麻醉学专业实践的研究较少。本研究的目的是描述临床仪表盘在法国大学医疗中心的麻醉科管理和质量评估中的用户为中心的开发、实施和初步评估。在终端用户访谈中确定了用户需求和技术要求，并对其进行了综合分析。然后根据良好的可视化实践开发了几种表示形式，并提交给终端用户进行评估。最后，通过医疗中心的网络实施并提供日常使用的仪表盘。在使用一段时间后，收集了终端用户对仪表盘平台的反馈作为系统可用性得分（范围为 0 到 100）。确定了 17 个主题（对应 29 个问题和 42 个指标）。经过优先级排序和可行性评估，最终实施和部署了 10 个仪表盘。仪表盘分别针对科室的整体活动、术中血液动力学、通气和监测指南的遵守情况以及麻醉程序的记录进行了处理。系统可用性得分的平均值（标准差）为 82.6（11.5），这对应于极好的可用性。我们为大学医疗中心的麻醉科开发了临床仪表盘。该中心的麻醉师对仪表盘的部署反应良好。现在必须评估仪表盘在几个月的使用后对活动和实践的影响。
