Involving users in the design and usability evaluation of a clinical decision support system

Carroll, Craig; Marsden, Phil; Soden, P. M.; Naylor, E.; New, John P.; Dornan, Tim

doi:10.1016/s0169-2607(02)00036-6

Cited by 59 publications

(50 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Unfortunately, CDSS systems are commonly designed without a clear strategy for understanding the needs of end-users and their working conditions (3,9). Designing a CDSS without considering the user perspective fails to provide interest, and can raise resistance to their use in daily practice (7,(9)(10)(11). The benefits of CDSS systems are ensured if they have a specific purpose, are "easy to use" and are adapted to the workflow at the healthcare facility (3,6,7,12,13).…”

Section: Introductionmentioning

confidence: 99%

Opportunities and obstacles using a clinical decision support system for maternal care in Burkina Faso

Zakane

Gustafsson

Sié

et al. 2017

OJPHI

View full text Add to dashboard Cite

Objective: Maternal and neonatal mortality is high in sub-Saharan Africa. To support Healthcare Workers (HCWs), a computerized decision support system (CDSS) was piloted at six rural maternal care units in Burkina Faso. During the two years of the study period, it was apparent from reports that the CDSS was not used regularly in clinical practice. This study aimed to explore the reasons why HCWs failed to use the CDSS.Methods: A workshop, organized as group discussions and a plenary session, was performed with 13 participants to understand their experience with the CDSS and suggest improvements if pertinent. Workshop transcripts were analyzed thematically. Socio-demographic and usage patterns of the CDSS were examined by a questionnaire and analyzed descriptively.Results: The participants reported that the contextual basic conditions for using the CDSS were not fulfilled. These included unreliable power supply, none user-friendly partograph, the CDSS was not integrated with workflow and staff lacked motivational incentives. Despite these limitations, the HCWs reported learning benefits from guidance and alerts in the CDSS. Using the CDSS enabled them to discover problems earlier as they learned to focus on symptoms to prevent harmful situations.Opportunities and obstacles using a clinical decision support system for maternal care in Burkina Faso

show abstract

Section: Introductionmentioning

confidence: 99%

Opportunities and obstacles using a clinical decision support system for maternal care in Burkina Faso

Zakane

Gustafsson

Sié

et al. 2017

OJPHI

View full text Add to dashboard Cite

show abstract

“…[3][4][5] Ahearn and Kerr acknowledged that there is little information available about the attitudes of Australian general practitioners (GPs) to decision support software. 6 In their qualitative study of 22 GPs, they identified that doctors need to remain sensitive to their patients' needs and expectations.…”

Section: Introductionmentioning

confidence: 99%

“…Patients and clinicians were reported as being enthusiastic about clinical decision support systems, finding confidence with the systems after short training periods. 3 Decision aids were considered to be useful, with benefits for healthcare providers, patients and software designers. 3,6,9 In their validation of a clinical model and program, Liaw et al found additional benefits included an emphasis on safety and effectiveness in the provision of medical care, a focus on user-centredness, privacy and the application of logic in decision making.…”

Section: Introductionmentioning

confidence: 99%

Investigating patients' and general practitioners' views of computerised decision support software for the assessment and management of cardiovascular risk

Wilson¹,

Duszynski²,

Turnbull³

et al. 2007

Journal of Innovation in Health Informatics

View full text Add to dashboard Cite

Purpose This paper reports an evaluation of the usability and acceptability of a computer-based decision support program (EMPOWER TM ) for cardiovascular risk from the perspectives of both general practitioners (GPs) and consumers. Methods A qualitative research design utilised semi-structured telephone interviews to assess the program from participants' perspectives. Qualitative approaches included the use of purposeful sampling, the collection of open-ended data, and the analysis of text and personal interpretation of findings. The theoretical foundations for the methods chosen are explained. Results Consumers enjoyed being involved in the study and thought the program had benefits for encouraging confidence in seeking health care. Consumers reported feeling reassured about the processes followed during consultation. GPs found the application of the software program increased demands on their time but admired several features of the program, especially its educational advantages. Participants were of the opinion that the program would be of particular benefit to inexperienced GPs and newly diagnosed patients. Conclusion Computer decision support programs are becoming more prevalent, but little is known about their usability and acceptability to both health professionals and consumers. The complexities of cardiovascular risk assessment and management can be adequately managed with such programs. As a contemporary report this study contributes to the growing knowledge required for developers of medical software and decision support systems to better understand the needs of endusers.

show abstract

“…The testing involving target users however is still an important part of the enquiry [8], [9], [10]. Two examples are the use of design mock-ups and the use of walkthroughs.…”

Section: Methods For Usability Evaluation and Testingmentioning

confidence: 99%

Usability Evaluation in Task Orientated Collaborative Environments

Urmetzer¹,

Alexandrov²

2007

Computational Science – ICCS 2007

View full text Add to dashboard Cite

Abstract. An evaluation of the usability is often neglected in the software development cycle, even that it was shown in the past that a careful look at the usability of a software product has impact on its adoption. With the recent arising of software supporting collaboration between multiple users, it is obvious that usability testing will get more complex because of the multiplication of user interfaces and their physical distribution. The need for new usability testing methodologies and tools for their support under these circumstances is one consequence. This paper widens the methodologies of usability evaluation to computing systems supporting the solving of a collaborative work task. Additionally details of a distributed screen recording tool are described that can be used to support usability evaluation in a collaborative context.

show abstract

Involving users in the design and usability evaluation of a clinical decision support system

Cited by 59 publications

References 25 publications

Opportunities and obstacles using a clinical decision support system for maternal care in Burkina Faso

Opportunities and obstacles using a clinical decision support system for maternal care in Burkina Faso

Investigating patients' and general practitioners' views of computerised decision support software for the assessment and management of cardiovascular risk

Usability Evaluation in Task Orientated Collaborative Environments

Contact Info

Product

Resources

About