Adaptation and Evolution of Decision Support Systems—A Typological Survey

Lourdusamy, Ravi; Mattam, Xavierlal J.

doi:10.1007/978-3-030-68291-0_8

Cited by 1 publication

(2 citation statements)

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“…CDS have been implemented in a range of areas, including transfusion decision‐making, where they have shown in the non‐MT context to improve patient outcomes and reduce wastage 9 . CDS can also be applied to group or team‐based decision‐making, such as oncology care, with multiparticipant/group decision support systems that provide a structured approach to group decision processes by removing communication barriers, enhancing participation, and facilitating prioritization 10–12 . We have previously surveyed anesthetists across Australia and New Zealand on their attitudes toward MT and views on CDS for MT, which demonstrated potential design features and barriers to implementation that we have incorporated into the design of this study 13 .…”

Section: Introductionmentioning

confidence: 99%

“…9 CDS can also be applied to group or team-based decision-making, such as oncology care, with multiparticipant/group decision support systems that provide a structured approach to group decision processes by removing communication barriers, enhancing participation, and facilitating prioritization. [10][11][12] We have previously surveyed anesthetists across Australia and New Zealand on their attitudes toward MT and views on CDS for MT, which demonstrated potential design features and barriers to implementation that we have incorporated into the design of this study. 13 Patients receiving MT are prominently represented in both blood product utilization and wastage, with one study finding that 1.3% of patients were issued 10% of blood products, so the potential of CDS applied to MT is substantial.…”

Section: Introductionmentioning

confidence: 99%

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Multicenter, multidisciplinary user‐centered design of a clinical decision‐support and simulation system for massive transfusion

et al. 2023

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Background: Managing critical bleeding with massive transfusion (MT) requires a multidisciplinary team, often physically separated, to perform several simultaneous tasks at short notice. This places a significant cognitive load on team members, who must maintain situational awareness in rapidly changing scenarios.Similar resuscitation scenarios have benefited from the use of clinical decision support (CDS) tools. Study Design and Methods: A multicenter, multidisciplinary, user-centered design (UCD) study was conducted to design a computerized CDS for MT. This study included analysis of the problem context with a cognitive walkthrough, development of a user requirement statement, and co-design with users of prototypes for testing. The final prototype was evaluated using qualitative assessment and the System Usability Scale (SUS).Results: Eighteen participants were recruited across four institutions. The first UCD cycle resulted in the development of four prototype interfaces that addressed the user requirements and context of implementation. Of these, the preferred interface was further developed in the second UCD cycle to create a high-fidelity web-based CDS for MT. This prototype was evaluated by 15 participants using a simulated bleeding scenario and demonstrated an average SUS of 69.3 (above average, SD 16) and a clear interface with easy-to-follow blood product tracking.Discussion: We used a UCD process to explore a highly complex clinical scenario and develop a prototype CDS for MT that incorporates distributive situational awareness, supports multiple user roles, and allows simulated MT training. Evaluation of the impact of this prototype on the efficacy and efficiency of managing MT is currently underway.

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Section: Introductionmentioning

confidence: 99%