Informatics and interaction: Applying human factors principles to optimize the design of clinical decision support for sepsis.

MedStar author(s):
Citation: Health Informatics Journal. 26(1):642-651, 2020 03.PMID: 31081460Institution: MedStar Health Research Institute | MedStar Institute for InnovationDepartment: National Center for Human Factors in HealthcareForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Decision Support Systems, Clinical | *Sepsis | Humans | Sepsis/di [Diagnosis] | Sepsis/th [Therapy]Year: 2020ISSN:
  • 1460-4582
Name of journal: Health informatics journalAbstract: In caring for patients with sepsis, the current structure of electronic health record systems allows clinical providers access to raw patient data without imputation of its significance. There are a wide range of sepsis alerts in clinical care that act as clinical decision support tools to assist in early recognition of sepsis; however, there are serious shortcomings in existing health information technology for alerting providers in a meaningful way. Little work has been done to evaluate and assess existing alerts using implementation and process outcomes associated with health information technology displays, specifically evaluating clinician preference and performance. We developed graphical model displays of two popular sepsis scoring systems, quick Sepsis Related Organ Failure Assessment and Predisposition, Infection, Response, Organ Failure, using human factors principles grounded in user-centered and interaction design. Models will be evaluated in a larger research effort to optimize alert design to improve the collective awareness of high-risk populations and develop a relevant point-of-care clinical decision support system for sepsis.All authors: Arnold R, Blumenthal J, Capan M, Catchpole K, Franklin E, Kowalski R, Littlejohn R, Miller KE, Mosby DL, Schubel L, Schwartz JS, Seagull FJOriginally published: Health Informatics Journal. :1460458219839623, 2019 May 13Fiscal year: FY2020Digital Object Identifier: Date added to catalog: 2019-05-21
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Journal Article MedStar Authors Catalog Article 31081460 Available 31081460

In caring for patients with sepsis, the current structure of electronic health record systems allows clinical providers access to raw patient data without imputation of its significance. There are a wide range of sepsis alerts in clinical care that act as clinical decision support tools to assist in early recognition of sepsis; however, there are serious shortcomings in existing health information technology for alerting providers in a meaningful way. Little work has been done to evaluate and assess existing alerts using implementation and process outcomes associated with health information technology displays, specifically evaluating clinician preference and performance. We developed graphical model displays of two popular sepsis scoring systems, quick Sepsis Related Organ Failure Assessment and Predisposition, Infection, Response, Organ Failure, using human factors principles grounded in user-centered and interaction design. Models will be evaluated in a larger research effort to optimize alert design to improve the collective awareness of high-risk populations and develop a relevant point-of-care clinical decision support system for sepsis.

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