Kandaswamy Swaminathan, Gill Anne, Wood Shellie, Mckay Leah, Hike Jessica, Popkin Melissa, Ray Edwin, Maude Heather, Johnston Crawford, White Tenia, Orenstein Evan
Department of Pediatrics, Emory University, Atlanta, Georgia, USA.
Department of Radiology and Imaging Sciences, Emory University, Atlanta, Georgia, USA.
JAMIA Open. 2022 Mar 4;5(1):ooac011. doi: 10.1093/jamiaopen/ooac011. eCollection 2022 Apr.
Safe care of central venous access devices (CVAD) requires clinicians be able to identify key CVAD properties from insertion until safe removal. Our objective was to design and evaluate interfaces to improve CVAD documentation quality and information retrieval.
We applied user-centered design (UCD) to CVAD property documentation interfaces. We measured expert agreement and front-line clinician accuracy in retrieving key properties in CVADs documented pre- and postimplementation.
The new approach (1) optimized searches for line types, (2) enabled discrete entry of key properties which propagated to the display name, and (3) facilitated error correction by experts. Expert agreement on key CVAD properties improved from 42% to 83% ( < 0.01). Frontline nurses' perception of key CVAD properties improved from 31% to 86% ( < 0.01). Ease of use scores improved from 15/100 to 80/100 ( < 0.01).
UCD significantly improved data quality and nurse perception of CVAD properties to guide subsequent care.
安全护理中心静脉通路装置（CVAD）要求临床医生能够识别从置入到安全拔除期间CVAD的关键特性。我们的目标是设计并评估界面，以提高CVAD文档质量和信息检索能力。
我们将以用户为中心的设计（UCD）应用于CVAD特性文档界面。我们测量了专家共识以及一线临床医生在检索实施前后记录的CVAD关键特性时的准确性。
新方法（1）优化了对管路类型的搜索，（2）允许离散输入关键特性，并将其传播到显示名称，（3）便于专家进行纠错。专家对CVAD关键特性的共识从42%提高到83%（P<0.01）。一线护士对CVAD关键特性的认知从31%提高到86%（P<0.01）。易用性评分从15/100提高到80/100（P<0.01）。
UCD显著提高了数据质量以及护士对CVAD特性的认知，从而指导后续护理。
