Evidence map›Paper›PMID 41650191›Full record

ArticleJMIR human factors2026

Development of the ERATbi App, a Clinical Decision Support System for Early Recovery After Traumatic Brain Injury in the ICU: Usability Study.

Hsiao-Ching Yen, I-Hui Wu, Wei-Ling Hsiao, Sheng-Ru Lai, Chen-Hao Yang, Hsien-Chi Liao, Yin-Yi Han

Abstract read
In one paragraph

Article in JMIR human factors, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Hsiao-Ching Yen *Division of Physical Therapy, Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Taipei, Taiwan.ORCID 0000-0002-8718-9592
I-Hui Wu *Department of Traumatology, National Taiwan University Hospital, No. 7, Chung Shan South Road, Taipei, 100, Taiwan, +886 2 2312 3456.ORCID 0000-0003-4367-9108
Wei-Ling HsiaoDepartment of Nursing, National Taiwan University Hospital, Taipei, Taiwan.ORCID 0000-0001-6314-7577
Sheng-Ru LaiDepartment of Dietetics, National Taiwan University Hospital, Taipei, Taiwan.ORCID 0009-0008-1199-3016
Chen-Hao YangDivision of Respiratory Therapy, Department of Integrated Diagnostics & Therapeutics, National Taiwan University Hospital, Taipei, Taiwan.ORCID 0009-0009-2434-2180
Hsien-Chi LiaoDepartment of Traumatology, National Taiwan University Hospital, No. 7, Chung Shan South Road, Taipei, 100, Taiwan, +886 2 2312 3456.ORCID 0000-0001-7618-6559
Yin-Yi HanDepartment of Traumatology, National Taiwan University Hospital, No. 7, Chung Shan South Road, Taipei, 100, Taiwan, +886 2 2312 3456.ORCID 0000-0001-8831-7835

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Early rehabilitation in neurocritical care is often underutilized due to fragmented workflows, interdisciplinary coordination challenges, and the absence of structured digital decision support. Traditional clinical decision support systems (CDSS) often address single domains and lack adaptability to the dynamic, multiprofessional workflows of intensive care units (ICUs). Objective: To develop and evaluate the usability of the ERATbi App (Early Recovery After Traumatic Brain Injury App), a modular, tablet-based CDSS was designed to streamline early rehabilitation planning and strengthen interdisciplinary coordination for patients with moderate-to-severe traumatic brain injury (TBI) in intensive care settings. Methods: The ERATbi app integrates four functional modules-delirium risk management, precision nutrition, stepwise early mobilization, and respiratory care for rib fractures-into a unified interface. A simulation-based usability study was conducted with 18 ICU clinicians. Evaluation metrics included System Usability Scale (SUS) scores, task completion rates, error rates, and task durations. Additional user feedback was collected via a 5-point Likert satisfaction survey and semi-structured qualitative interviews. Results: The app demonstrated high usability (mean SUS score 83.6, SD 7.4), a 100% (18/18 participants) task completion rate, and a low error rate (4.2%). Average module completion time was 6.5 minutes, and user satisfaction was high (mean 4.7, SD 0.5). Users highlighted the value of the app's visual logic, real-time alerts, adaptive thresholds, and modular workflow integration for enhancing team coordination and decision consistency. Conclusions: The ERATbi app demonstrated excellent usability, high user satisfaction, and clinical relevance in simulated ICU workflows. Its logic-driven, workflow- integrated design may support scalable, interdisciplinary implementation of early rehabilitation in neurocritical care settings.

Indexed as

Brain Injuries, TraumaticDecision Support Systems, ClinicalIntensive Care UnitsMobile ApplicationsAdultFemaleHumansMaleUser-Computer Interfacebrain injuries, traumaticdecision support systemshuman engineeringintensive care unitsrehabilitation, earlyusability testing

Identifiers

PMID41650191
PMCPMC12880592

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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.