دورية أكاديمية
Usability of a perioperative medication-related clinical decision support software application: a randomized controlled trial.
| العنوان: | Usability of a perioperative medication-related clinical decision support software application: a randomized controlled trial. |
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| المؤلفون: | Nanji KC; Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.; Harvard Medical School, Boston, Massachusetts, USA.; Mass General Brigham, Inc., Somerville, Massachusetts, USA., Garabedian PM; Mass General Brigham, Inc., Somerville, Massachusetts, USA., Langlieb ME; Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA., Rui A; Mass General Brigham, Inc., Somerville, Massachusetts, USA., Tabayoyong LL; Department of Pharmacy, Massachusetts General Hospital, Boston, Massachusetts, USA., Sampson M; Learning Laboratory, Massachusetts General Hospital, Boston, Massachusetts, USA., Deng H; Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA., Boxwala A; Elimu Informatics, Inc., La Jolla, California, USA., Minehart RD; Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.; Harvard Medical School, Boston, Massachusetts, USA.; Mass General Brigham, Inc., Somerville, Massachusetts, USA.; Learning Laboratory, Massachusetts General Hospital, Boston, Massachusetts, USA., Bates DW; Harvard Medical School, Boston, Massachusetts, USA.; Mass General Brigham, Inc., Somerville, Massachusetts, USA.; Division of General Internal Medicine, Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA.; Department of Health Policy and Management, Harvard School of Public Health, Boston, Massachusetts, USA. |
| المصدر: | Journal of the American Medical Informatics Association : JAMIA [J Am Med Inform Assoc] 2022 Jul 12; Vol. 29 (8), pp. 1416-1424. |
| نوع المنشور: | Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S. |
| اللغة: | English |
| بيانات الدورية: | Publisher: Oxford University Press Country of Publication: England NLM ID: 9430800 Publication Model: Print Cited Medium: Internet ISSN: 1527-974X (Electronic) Linking ISSN: 10675027 NLM ISO Abbreviation: J Am Med Inform Assoc Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2015- : Oxford : Oxford University Press Original Publication: Philadelphia, PA : Hanley & Belfus, c1993- |
| مواضيع طبية MeSH: | Decision Support Systems, Clinical*, Documentation ; Electronic Health Records ; Humans ; Retrospective Studies ; Software |
| مستخلص: | Objective: We developed a comprehensive, medication-related clinical decision support (CDS) software prototype for use in the operating room. The purpose of this study was to compare the usability of the CDS software to the current standard electronic health record (EHR) medication administration and documentation workflow. Materials and Methods: The primary outcome was the time taken to complete all simulation tasks. Secondary outcomes were the total number of mouse clicks and the total distance traveled on the screen in pixels. Forty participants were randomized and assigned to complete 7 simulation tasks in 1 of 2 groups: (1) the CDS group (n = 20), who completed tasks using the CDS and (2) the Control group (n = 20), who completed tasks using the standard medication workflow with retrospective manual documentation in our anesthesia information management system. Blinding was not possible. We video- and audio-recorded the participants to capture quantitative data (time on task, mouse clicks, and pixels traveled on the screen) and qualitative data (think-aloud verbalization). Results: The CDS group mean total task time (402.2 ± 85.9 s) was less than the Control group (509.8 ± 103.6 s), with a mean difference of 107.6 s (95% confidence interval [CI], 60.5-179.5 s, P < .001). The CDS group used fewer mouse clicks (26.4 ± 4.5 clicks) than the Control group (56.0 ± 15.0 clicks) with a mean difference of 29.6 clicks (95% CI, 23.2-37.6, P < .001). The CDS group had fewer pixels traveled on the computer monitor (59.5 ± 20.0 thousand pixels) than the Control group (109.3 ± 40.8 thousand pixels) with a mean difference of 49.8 thousand pixels (95% CI, 33.0-73.7, P < .001). Conclusions: The perioperative medication-related CDS software prototype substantially outperformed standard EHR workflow by decreasing task time and improving efficiency and quality of care in a simulation setting. (© The Author(s) 2022. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For permissions, please email: journals.permissions@oup.com.) |
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| معلومات مُعتمدة: | K08 HS024764 United States HS AHRQ HHS; 2018093 Doris Duke Charitable Foundation (DDCF; #2018093 United States DDCF Doris Duke Charitable Foundation |
| فهرسة مساهمة: | Keywords: anesthesia; clinical decision support systems; drug safety; randomized controlled trial; usability testing |
| تواريخ الأحداث: | Date Created: 20220516 Date Completed: 20220714 Latest Revision: 20230517 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC9277651 |
| DOI: | 10.1093/jamia/ocac035 |
| PMID: | 35575780 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1527-974X |
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| DOI: | 10.1093/jamia/ocac035 |