ArticleJournal of the American Medical Informatics Association : JAMIA2014
Comparison of two kinds of interface, based on guided navigation or usability principles, for improving the adoption of computerized decision support systems: application to the prescription of antibiotics.
Article in Journal of the American Medical Informatics Association : JAMIA, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Identifying the data elements and functionalities of clinical decision support systems to administer medication for neonates and pediatrics: a systematic literature review.BMC medical informatics and decision making · 2023Pooled it
- Usability Flaws in Medication Alerting Systems: Impact on Usage and Work System.Yearbook of medical informatics · 2015Pooled it
- Usability and Perceived Usefulness of a Web-Based Clinical Decision Support System for Managing Periapical Radiolucencies in Root-Filled Teeth.Journal of dental education · 2026Article
- Encouraging Behavior Changes and Preventing Cardiovascular Diseases Using the Prevent Connect Mobile Health App: Conception and Evaluation of App Quality.Journal of medical Internet research · 2022Article
- An Intelligent Individualized Cardiovascular App for Risk Elimination (iCARE) for Individuals With Coronary Heart Disease: Development and Usability Testing Analysis.JMIR mHealth and uHealth · 2021Article
- Article
- A Web Interface for Antibiotic Prescription Recommendations in Primary Care: User-Centered Design Approach.Journal of medical Internet research · 2021Article
- Informatics and interaction: Applying human factors principles to optimize the design of clinical decision support for sepsis.Health informatics journal · 2020Article
- What rationale do GPs use to choose a particular antibiotic for a specific clinical situation?BMC family practice · 2019Article
- Helping GPs to extrapolate guideline recommendations to patients for whom there are no explicit recommendations, through the visualization of drug properties. The example of AntibioHelp® in bacterial diseases.Journal of the American Medical Informatics Association : JAMIA · 2019Article
- A usability study to improve a clinical decision support system for the prescription of antibiotic drugs.PloS one · 2019Article
- A web application to involve patients in the medication reconciliation process: a user-centered usability and usefulness study.Journal of the American Medical Informatics Association : JAMIA · 2018Observational
- The design of decisions: Matching clinical decision support recommendations to Nielsen's design heuristics.International journal of medical informatics · 2018Review
- Clinical pathways for primary care: current use, interest and perceived usability.Journal of the American Medical Informatics Association : JAMIA · 2018Article
- Higher accuracy of complex medication reconciliation through improved design of electronic tools.Journal of the American Medical Informatics Association : JAMIA · 2018Article
- Interface, information, interaction: a narrative review of design and functional requirements for clinical decision support.Journal of the American Medical Informatics Association : JAMIA · 2018Review
- Quality of Decision Support in Computerized Provider Order Entry: Systematic Literature Review.JMIR medical informatics · 2018Review
- Clinical Decision Support Tool for Parental Tobacco Treatment in Hospitalized Children.Applied clinical informatics · 2016Article
- An Algorithm Using Twelve Properties of Antibiotics to Find the Recommended Antibiotics, as in CPGs.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2014Article
- Clinical decision support for intervention reduction in neonatal patients: A usability assessment.Digital healthArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
contextIt is important to consider the way in which information is presented by the interfaces of clinical decision support systems, to favor the adoption of these systems by physicians. Interface design can focus on decision processes (guided navigation) or usability principles.
objectiveThe aim of this study was to compare these two approaches in terms of perceived usability, accuracy rate, and confidence in the system. MATERIALS AND
methodsWe displayed clinical practice guidelines for antibiotic treatment via two types of interface, which we compared in a crossover design. General practitioners were asked to provide responses for 10 clinical cases and the System Usability Scale (SUS) for each interface. We assessed SUS scores, the number of correct responses, and the confidence level for each interface.
resultsSUS score and percentage confidence were significantly higher for the interface designed according to usability principles (81 vs 51, p=0.00004, and 88.8% vs 80.7%, p=0.004). The percentage of correct responses was similar for the two interfaces. DISCUSSION/
conclusionThe interface designed according to usability principles was perceived to be more usable and inspired greater confidence among physicians than the guided navigation interface. Consideration of usability principles in the construction of an interface--in particular 'effective information presentation', 'consistency', 'efficient interactions', 'effective use of language', and 'minimizing cognitive load'--seemed to improve perceived usability and confidence in the system.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.