BMC Med Inform Decis Mak - Redesign of a computerized clinical reminder for colorectal cancer screening: a human-computer interaction evaluation.

Tópicos

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Resumo

CKGROUND: Based on barriers to the use of computerized clinical decision support (CDS) learned in an earlier field study, we prototyped design enhancements to the Veterans Health Administration's (VHA's) colorectal cancer (CRC) screening clinical reminder to compare against the VHA's current CRC reminder.METHODS: In a controlled simulation experiment, 12 primary care providers (PCPs) used prototypes of the current and redesigned CRC screening reminder in a within-subject comparison. Quantitative measurements were based on a usability survey, workload assessment instrument, and workflow integration survey. We also collected qualitative data on both designs.RESULTS: Design enhancements to the VHA's existing CRC screening clinical reminder positively impacted aspects of usability and workflow integration but not workload. The qualitative analysis revealed broad support across participants for the design enhancements with specific suggestions for improving the reminder further.CONCLUSIONS: This study demonstrates the value of a human-computer interaction evaluation in informing the redesign of information tools to foster uptake, integration into workflow, and use in clinical practice.

Resumo Limpo

ckground base barrier use computer clinic decis support cds learn earlier field studi prototyp design enhanc veteran health administr vhas colorect cancer crc screen clinic remind compar vhas current crc remindermethod control simul experi primari care provid pcps use prototyp current redesign crc screen remind withinsubject comparison quantit measur base usabl survey workload assess instrument workflow integr survey also collect qualit data designsresult design enhanc vhas exist crc screen clinic remind posit impact aspect usabl workflow integr workload qualit analysi reveal broad support across particip design enhanc specif suggest improv remind furtherconclus studi demonstr valu humancomput interact evalu inform redesign inform tool foster uptak integr workflow use clinic practic

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