User-centered design of central venous access device documentation
Objective Safe care of central venous access devices (CVAD) requires clinicians be able to identify key CVAD properties from insertion until safe removal. Our objective was to design and evaluate interfaces to improve CVAD documentation quality and information retrieval. Materials and Methods We app...
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| Veröffentlicht in: | JAMIA open 2022-04, Vol.5 (1), p.ooac011-ooac011 |
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| creator | Kandaswamy, Swaminathan Gill, Anne Wood, Shellie Mckay, Leah Hike, Jessica Popkin, Melissa Ray, Edwin Maude, Heather Johnston, Crawford White, Tenia Orenstein, Evan |
| description | Objective
Safe care of central venous access devices (CVAD) requires clinicians be able to identify key CVAD properties from insertion until safe removal. Our objective was to design and evaluate interfaces to improve CVAD documentation quality and information retrieval.
Materials and Methods
We applied user-centered design (UCD) to CVAD property documentation interfaces. We measured expert agreement and front-line clinician accuracy in retrieving key properties in CVADs documented pre- and postimplementation.
Results
The new approach (1) optimized searches for line types, (2) enabled discrete entry of key properties which propagated to the display name, and (3) facilitated error correction by experts. Expert agreement on key CVAD properties improved from 42% to 83% (P |
| doi_str_mv | 10.1093/jamiaopen/ooac011 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8903134</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A777499806</galeid><oup_id>10.1093/jamiaopen/ooac011</oup_id><sourcerecordid>A777499806</sourcerecordid><originalsourceid>FETCH-LOGICAL-c503t-536753afbd2d89cf0e77c4e26513d7f89cdb284727d3b0af4182ea3fa418b6b33</originalsourceid><addsrcrecordid>eNqNkU1LAzEQhoMotqg_wIssePHgar52s3sRqvgFghc9h2wyqZHdpG66Bf-9qa3FggfJIcPM877M8CJ0TPAFwTW7fFedU2EG_jIEpTEhO2hMC8FzWjCy-6seoaMY3zHGpK7rkuF9NGIFFRxX5Rhdv0bocw1-Dj2YzEB0U58Fmy1bvWqzBfgwxExpDTGm-cJpyEzQQ5cANXfBH6I9q9oIR-v_AL3e3b7cPORPz_ePN5OnXBeYzfOClaJgyjaGmqrWFoMQmgMtC8KMsKllGlpxQYVhDVaWk4qCYlaloikbxg7Q1cp3NjQdmPWCcta7TvWfMigntyfevclpWMiqxowwngzO1gZ9-BggzmXnooa2VR7SjZKWrBKE82_0dIVOVQvSeRuSo17iciKE4HVd4TJRF39Q6RnonA4erEv9LQFZCXQfYuzBbrYnWC5TlZtU5TrVpDn5ffZG8ZNhAs5XQBhm__D7AveqsMQ</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2638714434</pqid></control><display><type>article</type><title>User-centered design of central venous access device documentation</title><source>DOAJ Directory of Open Access Journals</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>Oxford Journals Open Access Collection</source><source>PubMed Central</source><creator>Kandaswamy, Swaminathan ; Gill, Anne ; Wood, Shellie ; Mckay, Leah ; Hike, Jessica ; Popkin, Melissa ; Ray, Edwin ; Maude, Heather ; Johnston, Crawford ; White, Tenia ; Orenstein, Evan</creator><creatorcontrib>Kandaswamy, Swaminathan ; Gill, Anne ; Wood, Shellie ; Mckay, Leah ; Hike, Jessica ; Popkin, Melissa ; Ray, Edwin ; Maude, Heather ; Johnston, Crawford ; White, Tenia ; Orenstein, Evan</creatorcontrib><description>Objective
Safe care of central venous access devices (CVAD) requires clinicians be able to identify key CVAD properties from insertion until safe removal. Our objective was to design and evaluate interfaces to improve CVAD documentation quality and information retrieval.
Materials and Methods
We applied user-centered design (UCD) to CVAD property documentation interfaces. We measured expert agreement and front-line clinician accuracy in retrieving key properties in CVADs documented pre- and postimplementation.
Results
The new approach (1) optimized searches for line types, (2) enabled discrete entry of key properties which propagated to the display name, and (3) facilitated error correction by experts. Expert agreement on key CVAD properties improved from 42% to 83% (P < 0.01). Frontline nurses’ perception of key CVAD properties improved from 31% to 86% (P < 0.01). Ease of use scores improved from 15/100 to 80/100 (P < 0.01).
Conclusions
UCD significantly improved data quality and nurse perception of CVAD properties to guide subsequent care.
Lay Summary
Central venous access devices (CVADs) are inserted into the deep central veins to enable safe administration of fluids, medications, and other therapies to the bloodstream. Safe care of CVAD requires clinicians be able to identify key CVAD properties. We report the design and implementation of a new interface for CVAD documentation in the electronic health record using a user-centered design (UCD) approach. The new design optimized search for line types, enabled discrete entry of key properties that propagated to display names, and facilitated error correction by experts. Our evaluation found that the new approach was efficient, easy to use, and it significantly improved the quality of CVAD documentation and provider awareness of CVAD properties.</description><identifier>ISSN: 2574-2531</identifier><identifier>EISSN: 2574-2531</identifier><identifier>DOI: 10.1093/jamiaopen/ooac011</identifier><identifier>PMID: 35274086</identifier><language>eng</language><publisher>United States: Oxford University Press</publisher><subject>Brief Communications ; Electronic records ; Information management ; Medical colleges ; Medical records ; Nurses ; Usability testing</subject><ispartof>JAMIA open, 2022-04, Vol.5 (1), p.ooac011-ooac011</ispartof><rights>The Author(s) 2022. Published by Oxford University Press on behalf of the American Medical Informatics Association. 2022</rights><rights>The Author(s) 2022. Published by Oxford University Press on behalf of the American Medical Informatics Association.</rights><rights>COPYRIGHT 2022 Oxford University Press</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c503t-536753afbd2d89cf0e77c4e26513d7f89cdb284727d3b0af4182ea3fa418b6b33</citedby><cites>FETCH-LOGICAL-c503t-536753afbd2d89cf0e77c4e26513d7f89cdb284727d3b0af4182ea3fa418b6b33</cites><orcidid>0000-0003-2109-5769</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8903134/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8903134/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,725,778,782,862,883,1601,27911,27912,53778,53780</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35274086$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kandaswamy, Swaminathan</creatorcontrib><creatorcontrib>Gill, Anne</creatorcontrib><creatorcontrib>Wood, Shellie</creatorcontrib><creatorcontrib>Mckay, Leah</creatorcontrib><creatorcontrib>Hike, Jessica</creatorcontrib><creatorcontrib>Popkin, Melissa</creatorcontrib><creatorcontrib>Ray, Edwin</creatorcontrib><creatorcontrib>Maude, Heather</creatorcontrib><creatorcontrib>Johnston, Crawford</creatorcontrib><creatorcontrib>White, Tenia</creatorcontrib><creatorcontrib>Orenstein, Evan</creatorcontrib><title>User-centered design of central venous access device documentation</title><title>JAMIA open</title><addtitle>JAMIA Open</addtitle><description>Objective
Safe care of central venous access devices (CVAD) requires clinicians be able to identify key CVAD properties from insertion until safe removal. Our objective was to design and evaluate interfaces to improve CVAD documentation quality and information retrieval.
Materials and Methods
We applied user-centered design (UCD) to CVAD property documentation interfaces. We measured expert agreement and front-line clinician accuracy in retrieving key properties in CVADs documented pre- and postimplementation.
Results
The new approach (1) optimized searches for line types, (2) enabled discrete entry of key properties which propagated to the display name, and (3) facilitated error correction by experts. Expert agreement on key CVAD properties improved from 42% to 83% (P < 0.01). Frontline nurses’ perception of key CVAD properties improved from 31% to 86% (P < 0.01). Ease of use scores improved from 15/100 to 80/100 (P < 0.01).
Conclusions
UCD significantly improved data quality and nurse perception of CVAD properties to guide subsequent care.
Lay Summary
Central venous access devices (CVADs) are inserted into the deep central veins to enable safe administration of fluids, medications, and other therapies to the bloodstream. Safe care of CVAD requires clinicians be able to identify key CVAD properties. We report the design and implementation of a new interface for CVAD documentation in the electronic health record using a user-centered design (UCD) approach. The new design optimized search for line types, enabled discrete entry of key properties that propagated to display names, and facilitated error correction by experts. Our evaluation found that the new approach was efficient, easy to use, and it significantly improved the quality of CVAD documentation and provider awareness of CVAD properties.</description><subject>Brief Communications</subject><subject>Electronic records</subject><subject>Information management</subject><subject>Medical colleges</subject><subject>Medical records</subject><subject>Nurses</subject><subject>Usability testing</subject><issn>2574-2531</issn><issn>2574-2531</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>TOX</sourceid><recordid>eNqNkU1LAzEQhoMotqg_wIssePHgar52s3sRqvgFghc9h2wyqZHdpG66Bf-9qa3FggfJIcPM877M8CJ0TPAFwTW7fFedU2EG_jIEpTEhO2hMC8FzWjCy-6seoaMY3zHGpK7rkuF9NGIFFRxX5Rhdv0bocw1-Dj2YzEB0U58Fmy1bvWqzBfgwxExpDTGm-cJpyEzQQ5cANXfBH6I9q9oIR-v_AL3e3b7cPORPz_ePN5OnXBeYzfOClaJgyjaGmqrWFoMQmgMtC8KMsKllGlpxQYVhDVaWk4qCYlaloikbxg7Q1cp3NjQdmPWCcta7TvWfMigntyfevclpWMiqxowwngzO1gZ9-BggzmXnooa2VR7SjZKWrBKE82_0dIVOVQvSeRuSo17iciKE4HVd4TJRF39Q6RnonA4erEv9LQFZCXQfYuzBbrYnWC5TlZtU5TrVpDn5ffZG8ZNhAs5XQBhm__D7AveqsMQ</recordid><startdate>20220401</startdate><enddate>20220401</enddate><creator>Kandaswamy, Swaminathan</creator><creator>Gill, Anne</creator><creator>Wood, Shellie</creator><creator>Mckay, Leah</creator><creator>Hike, Jessica</creator><creator>Popkin, Melissa</creator><creator>Ray, Edwin</creator><creator>Maude, Heather</creator><creator>Johnston, Crawford</creator><creator>White, Tenia</creator><creator>Orenstein, Evan</creator><general>Oxford University Press</general><scope>TOX</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-2109-5769</orcidid></search><sort><creationdate>20220401</creationdate><title>User-centered design of central venous access device documentation</title><author>Kandaswamy, Swaminathan ; Gill, Anne ; Wood, Shellie ; Mckay, Leah ; Hike, Jessica ; Popkin, Melissa ; Ray, Edwin ; Maude, Heather ; Johnston, Crawford ; White, Tenia ; Orenstein, Evan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c503t-536753afbd2d89cf0e77c4e26513d7f89cdb284727d3b0af4182ea3fa418b6b33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Brief Communications</topic><topic>Electronic records</topic><topic>Information management</topic><topic>Medical colleges</topic><topic>Medical records</topic><topic>Nurses</topic><topic>Usability testing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kandaswamy, Swaminathan</creatorcontrib><creatorcontrib>Gill, Anne</creatorcontrib><creatorcontrib>Wood, Shellie</creatorcontrib><creatorcontrib>Mckay, Leah</creatorcontrib><creatorcontrib>Hike, Jessica</creatorcontrib><creatorcontrib>Popkin, Melissa</creatorcontrib><creatorcontrib>Ray, Edwin</creatorcontrib><creatorcontrib>Maude, Heather</creatorcontrib><creatorcontrib>Johnston, Crawford</creatorcontrib><creatorcontrib>White, Tenia</creatorcontrib><creatorcontrib>Orenstein, Evan</creatorcontrib><collection>Oxford Journals Open Access Collection</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>JAMIA open</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kandaswamy, Swaminathan</au><au>Gill, Anne</au><au>Wood, Shellie</au><au>Mckay, Leah</au><au>Hike, Jessica</au><au>Popkin, Melissa</au><au>Ray, Edwin</au><au>Maude, Heather</au><au>Johnston, Crawford</au><au>White, Tenia</au><au>Orenstein, Evan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>User-centered design of central venous access device documentation</atitle><jtitle>JAMIA open</jtitle><addtitle>JAMIA Open</addtitle><date>2022-04-01</date><risdate>2022</risdate><volume>5</volume><issue>1</issue><spage>ooac011</spage><epage>ooac011</epage><pages>ooac011-ooac011</pages><issn>2574-2531</issn><eissn>2574-2531</eissn><abstract>Objective
Safe care of central venous access devices (CVAD) requires clinicians be able to identify key CVAD properties from insertion until safe removal. Our objective was to design and evaluate interfaces to improve CVAD documentation quality and information retrieval.
Materials and Methods
We applied user-centered design (UCD) to CVAD property documentation interfaces. We measured expert agreement and front-line clinician accuracy in retrieving key properties in CVADs documented pre- and postimplementation.
Results
The new approach (1) optimized searches for line types, (2) enabled discrete entry of key properties which propagated to the display name, and (3) facilitated error correction by experts. Expert agreement on key CVAD properties improved from 42% to 83% (P < 0.01). Frontline nurses’ perception of key CVAD properties improved from 31% to 86% (P < 0.01). Ease of use scores improved from 15/100 to 80/100 (P < 0.01).
Conclusions
UCD significantly improved data quality and nurse perception of CVAD properties to guide subsequent care.
Lay Summary
Central venous access devices (CVADs) are inserted into the deep central veins to enable safe administration of fluids, medications, and other therapies to the bloodstream. Safe care of CVAD requires clinicians be able to identify key CVAD properties. We report the design and implementation of a new interface for CVAD documentation in the electronic health record using a user-centered design (UCD) approach. The new design optimized search for line types, enabled discrete entry of key properties that propagated to display names, and facilitated error correction by experts. Our evaluation found that the new approach was efficient, easy to use, and it significantly improved the quality of CVAD documentation and provider awareness of CVAD properties.</abstract><cop>United States</cop><pub>Oxford University Press</pub><pmid>35274086</pmid><doi>10.1093/jamiaopen/ooac011</doi><orcidid>https://orcid.org/0000-0003-2109-5769</orcidid><oa>free_for_read</oa></addata></record> |
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| source | DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Oxford Journals Open Access Collection; PubMed Central |
| subjects | Brief Communications Electronic records Information management Medical colleges Medical records Nurses Usability testing |
| title | User-centered design of central venous access device documentation |
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