TY - JOUR
T1 - Redesign of a computerized clinical reminder for colorectal cancer screening
T2 - A human-computer interaction evaluation
AU - Saleem, Jason J.
AU - Haggstrom, David A.
AU - Militello, Laura G.
AU - Flanagan, Mindy
AU - Kiess, Chris L.
AU - Arbuckle, Nicole
AU - Doebbeling, Bradley N.
N1 - Funding Information:
This research was supported under contract number HHSA 290-06-00013-3 from the Agency for Healthcare Research and Quality (AHRQ), U.S. Department of Health and Human Services. Dr. Saleem is supported by a VA HSR&D Career Development Award (CDA 09-024-1). Dr. Haggstrom is also supported by a VA HSR&D Career Development Award (CD207016-2). The views expressed in this article are those of the authors and do not reflect the official position of AHRQ, U.S. Department of Health and Human Services, or the Department of Veterans Affairs.
PY - 2011
Y1 - 2011
N2 - Background: 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.
AB - Background: 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.
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U2 - 10.1186/1472-6947-11-74
DO - 10.1186/1472-6947-11-74
M3 - Article
C2 - 22126324
AN - SCOPUS:82255179820
SN - 1472-6947
VL - 11
JO - BMC Medical Informatics and Decision Making
JF - BMC Medical Informatics and Decision Making
IS - 1
M1 - 74
ER -