From expert-driven to user-oriented communication of infection control guidelines

Verhoeven, Fenne; Steehouder, M.F.; Hendrix, Ron; Gemert-Pijnen, Julia E.W.C. van

doi:10.1016/j.ijhcs.2009.07.003

Cited by 19 publications

(22 citation statements)

References 39 publications

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“…It took nurses in our study an average of 153 seconds to complete a scenario successfully, which is relatively fast compared with Hersch’s finding that it takes a healthcare provider more than 30 minutes to search for answers on the MEDLINE search engine. Compared with paper‐based guidelines, searches were also relatively efficient (Verhoeven et al. 2009).…”

Section: Discussionmentioning

confidence: 99%

“…The scenarios (see Table 2) were used in earlier research (Van Gemert‐Pijnen et al. 2005, Verhoeven et al. 2009) and were validated by a Dutch medical microbiologist, who also defined the correct scenario outcomes and determined whether participants’ tacit knowledge was either correct or incorrect.…”

Section: The Studymentioning

confidence: 99%

“…2006). Previous research has shown that a website enables nurses to seek clinical guidelines more efficiently and effectively than paper‐based resources (Verhoeven et al. 2009).…”

Section: Introductionmentioning

confidence: 99%

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How nurses seek and evaluate clinical guidelines on the Internet

Verhoeven

Steehouder

Hendrix

et al. 2009

Journal of Advanced Nursing

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Nurses appeared to rely predominantly on tacit knowledge during the search process and while evaluating the retrieved guidelines. This is dangerous because nurses' reliance on inaccurate information might result in inadequate behaviour. It is therefore essential to expand nurses' current information base by tailoring both navigation structure and the guideline communication to dovetail with nurses' tacit knowledge.

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Section: Discussionmentioning

confidence: 99%

Section: The Studymentioning

confidence: 99%

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How nurses seek and evaluate clinical guidelines on the Internet

Verhoeven

Steehouder

Hendrix

et al. 2009

Journal of Advanced Nursing

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“…15 Similar results were obtained from a non-randomised study of user-tested infection control guidelines. 16 The only previous studies of medicines guidelines have shown that usertesting improves the retrieval and comprehension of information from documents such as SPCs 11 and the IMG used in this research. 12 Among the strengths of this study are its blinded, randomised design and the 'anonymisation' of the drug name in the IMG guidelines to prevent use of prior knowledge.…”

Section: Discussionmentioning

confidence: 89%

User-testing guidelines to improve the safety of intravenous medicines administration: a randomised in situ simulation study

et al. 2020

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BackgroundUser-testing and subsequent modification of clinical guidelines increases health professionals’ information retrieval and comprehension. No study has investigated whether this results in safer care.ObjectiveTo compare the frequency of medication errors when administering an intravenous medicine using the current National Health Service Injectable Medicines Guide (IMG) versus an IMG version revised with user-testing.MethodSingle-blind, randomised parallel group in situ simulation. Participants were on-duty nurses/midwives who regularly prepared intravenous medicines. Using a training manikin in their clinical area, participants administered a voriconazole infusion, a high-risk medicine requiring several steps to prepare. They were randomised to use current IMG guidelines or IMG guidelines revised with user-testing. Direct observation was used to time the simulation and identify errors. Participant confidence was measured using a validated instrument. The primary outcome was the percentage of simulations with at least one moderate-severe IMG-related error, with error severity classified by an expert panel.ResultsIn total, 133 participants were randomised to current guidelines and 140 to user-tested guidelines. Fewer moderate-severe IMG-related errors occurred with the user-tested guidelines (n=68, 49%) compared with current guidelines (n=79, 59%), but this difference was not statistically significant (risk ratio: 0.82; 95% CI 0.66 to 1.02). Significantly more simulations were completed without any IMG-related errors with the user-tested guidelines (n=67, 48%) compared with current guidelines (n=26, 20%) (risk ratio: 2.46; 95% CI 1.68 to 3.60). Median simulation completion time was 1.6 min (95% CI 0.2 to 3.0) less with the user-tested guidelines. Participants who used user-tested guidelines reported greater confidence.ConclusionUser-testing injectable medicines guidelines reduces the number of errors and the time taken to prepare and administer intravenous medicines, while increasing staff confidence.Trial registration numberresearchregistry5275.

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“…Studies have shown that the design of CDS systems using a user-centered approach may increase the usability of CPGs (Verhoeven, Steehouder, Hendrix, & Van Gemert-Pijnen, 2010;Kilsdonk, Peute, Riezebos, Kremer, & Jaspers, 2013). J.…”

Section: User-centered Designmentioning

confidence: 99%

Tuberculosis among HIV-infected patients in Stockholm, Sweden, 1987–2010: Treatment outcomes and adverse reactions

Wannheden

Norrby

Berggren

et al. 2014

Scandinavian Journal of Infectious Diseases

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Introduction: HIV and tuberculosis (TB) coinfection, which is a major challenge for healthcare systems worldwide, requires effective strategies to support care providers in applying best clinical evidence in making treatment decisions about the care of individual patients. Clinical decision support (CDS) systems have the potential to facilitate the implementation of evidence-based guidelines in clinical practice. Aim: The aim of this thesis was to explore how a CDS system could be designed to support the adoption of evidence-based guidelines in the treatment of HIV-related TB.

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From expert-driven to user-oriented communication of infection control guidelines

Cited by 19 publications

References 39 publications

How nurses seek and evaluate clinical guidelines on the Internet

How nurses seek and evaluate clinical guidelines on the Internet

User-testing guidelines to improve the safety of intravenous medicines administration: a randomised in situ simulation study

Tuberculosis among HIV-infected patients in Stockholm, Sweden, 1987–2010: Treatment outcomes and adverse reactions

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