Formative evaluation of a patient-specific clinical knowledge summarization tool

Highlights • We designed and evaluated a clinical decision support tool ( Clinical Knowledge Summary ) that automatically summarizes patient-specific clinical evidence to help clinicians’ decision making. • We followed an iterative, user-centered design, guided by information foraging theory and inf...

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Bibliographic Details
Published in:International journal of medical informatics (Shannon, Ireland) Ireland), 2016-02, Vol.86, p.126-134
Main Authors: Del Fiol, Guilherme, Mostafa, Javed, Pu, Dongqiuye, Medlin, Richard, Slager, Stacey, Jonnalagadda, Siddhartha R, Weir, Charlene R
Format: Article
Language:English
Subjects:
Clinical decision support
Decision Support Systems, Clinical - statistics & numerical data
Humans
Information needs
Information seeking and retrieval
Internal Medicine
Knowledge Management - standards
Medical Record Linkage
Online information resources
Other
Patient-Specific Modeling
Pattern Recognition, Automated
Problem Solving
Systems Integration
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Summary:Highlights • We designed and evaluated a clinical decision support tool ( Clinical Knowledge Summary ) that automatically summarizes patient-specific clinical evidence to help clinicians’ decision making. • We followed an iterative, user-centered design, guided by information foraging theory and information visualization principles and informed by observations of target users interacting with high-fidelity prototypes. • The resulting tool consists of an interactive clinical evidence browser that presents users with a set of clinically actionable recommendations extracted from relevant documents in UpToDate and high quality clinical studies in PubMed. • Physicians successfully completed most of the usability tasks in a short period of time. • Physicians’ perceived decision quality was significantly higher with the Clinical Knowledge Summary compared with manual search, but no difference was found in information seeking time.
ISSN:1386-5056
1872-8243
DOI:10.1016/j.ijmedinf.2015.11.006