Evidence map›Paper›PMID 31423485›Full record

ArticleJournal of biomedical informatics: X2019

Critical care information display approaches and design frameworks: A systematic review and meta-analysis.

Melanie C Wright, Damian Borbolla, Rosalie G Waller, Guilherme Del Fiol, Thomas Reese, Paige Nesbitt, Noa Segall

Abstract read
In one paragraph

Article in Journal of biomedical informatics: X, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

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  13. Impact of integrated graphical display on expert and novice diagnostic performance in critical care.Journal of the American Medical Informatics Association : JAMIA · 2020
    Article
  14. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Melanie C WrightTrinity Health, Livonia, MI, USA.
Damian BorbollaBiomedical Informatics, University of Utah, Salt Lake City, UT, USA.
Rosalie G WallerBiomedical Informatics, University of Utah, Salt Lake City, UT, USA.
Guilherme Del FiolBiomedical Informatics, University of Utah, Salt Lake City, UT, USA.
Thomas ReeseBiomedical Informatics, University of Utah, Salt Lake City, UT, USA.
Paige NesbittSaint Alphonsus Regional Medical Center, Boise, ID, USA.
Noa SegallAnesthesiology, Duke University, Durham, NC, USA.

Funding

UNIVERSITY OF UTAH MEDICAL INFORMATICS TRAININGT15LM007124 · NLM · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI Karen Louise Eilbeck · 1997 to 2026
$22.0M
Right Place, Right Time: Information Design to Support Decisions in Acute CareR56LM011925 · NLM · SAINT ALPHONSUS REGIONAL MEDICAL CENTER · PI WRIGHT, MELANIE C · 2015 to 2016
$544k
NLM NIH HHS R56 LM011925NLM NIH HHS T15 LM007124
6 · The paper itself

Abstract

objectiveTo systematically review original user evaluations of patient information displays relevant to critical care and understand the impact of design frameworks and information presentation approaches on decision-making, efficiency, workload, and preferences of clinicians.

methodsWe included studies that evaluated information displays designed to support real-time care decisions in critical care or anesthesiology using simulated tasks. We searched PubMed and IEEExplore from 1/1/1990 to 6/30/2018. The search strategy was developed iteratively with calibration against known references. Inclusion screening was completed independently by two authors. Extraction of display features, design processes, and evaluation method was completed by one and verified by a second author.

resultsFifty-six manuscripts evaluating 32 critical care and 22 anesthesia displays were included. Primary outcome metrics included clinician accuracy and efficiency in recognizing, diagnosing, and treating problems. Implementing user-centered design (UCD) processes, especially iterative evaluation and redesign, resulted in positive impact in outcomes such as accuracy and efficiency. Innovative display approaches that led to improved human-system performance in critical care included: (1) improving the integration and organization of information, (2) improving the representation of trend information, and (3) implementing graphical approaches to make relationships between data visible.

conclusionOur review affirms the value of key principles of UCD. Improved information presentation can facilitate faster information interpretation and more accurate diagnoses and treatment. Improvements to information organization and support for rapid interpretation of time-based relationships between related quantitative data is warranted. Designers and developers are encouraged to involve users in formal iterative design and evaluation activities in the design of electronic health records (EHRs), clinical informatics applications, and clinical devices.

Indexed as

Clinical decision supportCritical care (6 allowed)Electronic medical recordInformation displayUser-centered designUser-computer interface

Identifiers

PMID31423485
PMCPMC6696941

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.