ArticleHuman factors2024
Usability of a Human Factors-based Clinical Decision Support in the Emergency Department: Lessons Learned for Design and Implementation.
Article in Human factors, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.
- Emergency Department Programs to Support Medication Safety in Older Adults: A Systematic Review and Meta-Analysis.JAMA network open · 2025Pooled it
- Article
- Workflow analysis and evaluation of a next-generation phenotyping tool: A qualitative study of Face2Gene.European journal of human genetics : EJHG · 2025Article
- "I worry we'll blow right by it:" Barriers to Uptake of the STRATIFY-CDS for Acute Heart Failure.Applied clinical informatics · 2025Article
- Opportunities and Challenges Associated with the Pilot Implementation of Clinical Decision Support Systems in a Rural Hospital: A Qualitative Study.Applied clinical informatics · 2025Article
- A systematic review of clinicians' acceptance and use of clinical decision support systems over time.NPJ digital medicine · 2025Article
- EMR usability and patient safety: a national survey of physicians.NPJ digital medicine · 2025Article
- Development of a Human Factors-Based Guideline to Support the Design, Evaluation, and Continuous Improvement of Clinical Decision Support.Mayo Clinic proceedings. Digital health · 2025Article
- Usability assessments in clinical decision support systems.Northern clinics of Istanbul · 2025Article
- The social experience of uncertainty: a qualitative analysis of emergency department care for suspected pneumonia for the design of decision support.BMC medical informatics and decision making · 2024Article
- How to co-design a prototype of a clinical practice tool: a framework with practical guidance and a case study.BMJ quality & safety · 2024Article
- Retrospective analysis of the human-centered design process used to develop a clinical decision support in the emergency department: PE Dx Study Part 2.Human factors in healthcare · 2023Article
- Post-implementation usability evaluation of a human factors-based clinical decision support for pulmonary embolism (PE) diagnosis (Dx): PE Dx Study Part 1.Human factors in healthcare · 2023Article
- Physicians' Perceptions of Clinical Decision Support to Treat Patients With Heart Failure in the ED.JAMA network open · 2023Article
- Usability and Utility of Human Immunodeficiency Virus Pre-exposure Prophylaxis Clinical Decision Support to Increase Knowledge and Pre-exposure Prophylaxis Initiations among Pediatric Providers.Applied clinical informatics · 2022Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
Abstract
objectiveTo evaluate the usability and use of human factors (HF)-based clinical decision support (CDS) implemented in the emergency department (ED).
backgroundClinical decision support can improve patient safety; however, the acceptance and use of CDS has faced challenges. Following a human-centered design process, we designed a CDS to support pulmonary embolism (PE) diagnosis in the ED. We demonstrated high usability of the CDS during scenario-based usability testing. We implemented the HF-based CDS in one ED in December 2018.
methodWe conducted a survey of ED physicians to evaluate the usability and use of the HF-based CDS. We distributed the survey via Qualtrics, a web-based survey platform. We compared the computer system usability questionnaire scores of the CDS between those collected in the usability testing to use of the CDS in the real environment. We asked physicians about their acceptance and use of the CDS, barriers to using the CDS, and areas for improvement.
resultsForty-seven physicians (56%) completed the survey. Physicians agreed that diagnosing PE is a major problem and risk scores can support the PE diagnostic process. Usability of the CDS was reported as high, both in the experimental setting and the real clinical setting. However, use of the CDS was low. We identified several barriers to the CDS use in the clinical environment, in particular a lack of workflow integration.
conclusionDesign of CDS should be a continuous process and focus on the technology's usability in the context of the broad work system and clinician workflow.
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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.