Weldon Danielle L M, Kowalski Rebecca, Schubel Laura, Schuchardt Brett, Arnold Ryan, Capan Muge, Blumenthal Joseph, Franklin Ella, Catchpole Ken, Seagull F Jacob, Schwartz J Sanford, Miller Kristen
National Center for Human Factors in Healthcare, MedStar Health, Washington DC, USA.
Wake Forest School of Medicine, Winston-Salem NC, USA.
Proc Hum Factors Ergon Soc Annu Meet. 2018 Sep;62(1):615-619. doi: 10.1177/1541931218621140. Epub 2018 Sep 27.
Patient-based scenario-driven usability tests are routinely created for health information technology and clinical decision support evaluations. Due to low clinician awareness of sepsis, a study was undertaken to understand clinician performance and preference of different display types for sepsis clinical decision support through multi-centered usability testing. Patient-based clinical scenarios were created to mimic the environment in which providers would interact with clinical decision support. The data provided in the scenarios were drawn from real patient cases from two sepsis databases, including: demographics, visit/operational details, medical history (comorbidities, assessments, vital signs, laboratory values, clinician documentation), and patient disposition/outcomes. The purpose of this work is to inform electronic health record alert optimization and clinical practice workflow to support the effective and timely delivery of high quality sepsis care. This paper discusses the methodology, selection, and validation of patient-based cases used as the clinical scenarios in usability testing.
基于患者的情景驱动可用性测试通常用于健康信息技术和临床决策支持评估。由于临床医生对脓毒症的认识不足，因此开展了一项研究，通过多中心可用性测试来了解临床医生在脓毒症临床决策支持方面的表现以及对不同显示类型的偏好。创建了基于患者的临床情景，以模拟医疗服务提供者与临床决策支持系统交互的环境。情景中提供的数据取自两个脓毒症数据库的真实患者病例，包括：人口统计学信息、就诊/手术细节、病史（合并症、评估、生命体征、实验室值、临床医生记录）以及患者处置/结果。这项工作的目的是为电子健康记录警报优化和临床实践工作流程提供信息，以支持高质量脓毒症护理的有效及时提供。本文讨论了用作可用性测试临床情景的基于患者病例的方法、选择和验证。
