Evidence map›Paper›PMID 33087337›Full record

ArticleBMJ health & care informatics2020

Atrial fibrillation dashboard evaluation using the think aloud protocol.

Simon de Lusignan, Harshana Liyanage, Julian Sherlock, Filipa Ferreira, Neil Munro, Michael Feher, Richard Hobbs

Open access · goldAbstract read
In one paragraph

Article in BMJ health & care informatics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 28% of its field
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

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
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 at 1 institution in 1 country.

Simon de LusignanNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK simon.delusignan@phc.ox.ac.uk.
Harshana LiyanageNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.ORCID http://orcid.org/0000-0001-9738-6349
Julian SherlockNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Filipa FerreiraNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Neil MunroNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Michael FeherNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Richard HobbsNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
University of Oxford · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAtrial fibrillation (AF) is a common cardiac arrhythmia which is a major risk factor for stroke, transient ischaemic attacks and increased mortality. Primary care management of AF can significantly reduce these risks. We carried out an evaluation to asses the usability of an AF dashboard developed to improve data quality and the quality of care.

methodWe developed an online dashboard about the quality of AF management for general practices of the Oxford Royal College of General Practitioners Research and Surveillance Centre network. The dashboard displays (1) case ascertainment, (2) a calculation of stroke and haemorrhage risk to assess whether the benefits of anticogulants outweigh their risk, (3) prescriptions of different types of anticoagulant and (4) if prescribed anticoagulant is at the correct dose. We conducted the think aloud evaluation, involving 24 dashboard users to improve its usability.

resultsAnalysis of 24 transcripts received produced 120 individual feedback items (ie, verbalised tasks) that were mapped across five usability problem classes. We enhanced the dashboard based on evaluation feedback to encourage adoption by general practices participating in the sentinel network.

conclusionsThe think aloud evaluation provided useful insights into important usability issues that require further development. Our enhanced AF dashboard was acceptable to clinicians and its impact on data quality and care should be assessed in a formal study.

Indexed as

AnticoagulantsAtrial FibrillationPractice Patterns, Physicians'HumansRisk FactorsStrokeAnticoagulantsmedical informaticsprimary health care

Identifiers

PMID33087337
PMCPMC7580041
OpenAlexW3094376568

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.