User-centered design improves the usability of drug-drug interaction alerts: a validation study in the real scenario

"Decision support systems can alert physicians to the existence of drug interactions. The Hospital Italiano de Buenos Aires, Argentina, has an in-house electronic health record with computerized physician order entry and clinical decision support. It includes a drug-drug interaction alert syste...

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Detalles Bibliográficos
Autores principales: Luna, Daniel, Rizzato Lede, Daniel, Rubin, Luciana, Otero, Carlos, Ortiz, Juan M., García, Mónica G., Rapisarda, Romina P., Risk, Marcelo, González Bernaldo de Quirós, Fernán
Formato: acceptedVersion Ponencias en Congresos
Lenguaje:Inglés
Publicado: 2019
Materias:
INTERACCION DE DROGAS
ERRORES DE MEDICACION
PRESCRIPCION ELECTRONICA
INTERACCION PERSONA COMPUTADORA
TOMA DE DECISIONES
Acceso en línea:http://ri.itba.edu.ar/handle/123456789/1724
Aporte de:
Repositorio Institucional Instituto Tecnológico de Buenos Aires (ITBA) de Instituto Tecnológico de Buenos Aires (ITBA)
id I32-R138-123456789-1724
record_format dspace
spelling I32-R138-123456789-17242022-12-07T14:13:59Z User-centered design improves the usability of drug-drug interaction alerts: a validation study in the real scenario Luna, Daniel Rizzato Lede, Daniel Rubin, Luciana Otero, Carlos Ortiz, Juan M. García, Mónica G. Rapisarda, Romina P. Risk, Marcelo González Bernaldo de Quirós, Fernán INTERACCION DE DROGAS ERRORES DE MEDICACION PRESCRIPCION ELECTRONICA INTERACCION PERSONA COMPUTADORA TOMA DE DECISIONES "Decision support systems can alert physicians to the existence of drug interactions. The Hospital Italiano de Buenos Aires, Argentina, has an in-house electronic health record with computerized physician order entry and clinical decision support. It includes a drug-drug interaction alert system, initially developed under traditional engineering techniques. As we detected a high alert override rate, we rebuilt the knowledge database and redesigned the alert interface with User-Centered Design techniques. A laboratory crossover study using clinical vignettes showed that new alerts were more usable than traditional ones. This paper aimed to validate these results through a controlled and randomized experimental study with two branches (old vs. new design) in a real setting. We analyzed, quantitatively, every fired alert between April 2015 and September 2016. Finally, we performed user surveys and qualitative interviews to inquire about their satisfaction and perceptions. In real scenarios, user-centered design alerts were more usable, being more effective and satisfactory, but less efficient than traditional alerts. "Safe omission", as a new concept, emerged from our stratified analyses and interviews." 2019-08-21T15:42:15Z 2019-08-21T15:42:15Z 2017-08 info:eu-repo/semantics/acceptedVersion Ponencias en Congresos 978-1614-99-829-7 http://ri.itba.edu.ar/handle/123456789/1724 en info:eu-repo/semantics/altIdentifier/doi/10.3233/978-1-61499-830-3-1085 application/pdf
institution Instituto Tecnológico de Buenos Aires (ITBA)
institution_str I-32
repository_str R-138
collection Repositorio Institucional Instituto Tecnológico de Buenos Aires (ITBA)
language Inglés
topic INTERACCION DE DROGAS
ERRORES DE MEDICACION
PRESCRIPCION ELECTRONICA
INTERACCION PERSONA COMPUTADORA
TOMA DE DECISIONES
spellingShingle INTERACCION DE DROGAS
ERRORES DE MEDICACION
PRESCRIPCION ELECTRONICA
INTERACCION PERSONA COMPUTADORA
TOMA DE DECISIONES
Luna, Daniel
Rizzato Lede, Daniel
Rubin, Luciana
Otero, Carlos
Ortiz, Juan M.
García, Mónica G.
Rapisarda, Romina P.
Risk, Marcelo
González Bernaldo de Quirós, Fernán
User-centered design improves the usability of drug-drug interaction alerts: a validation study in the real scenario
topic_facet INTERACCION DE DROGAS
ERRORES DE MEDICACION
PRESCRIPCION ELECTRONICA
INTERACCION PERSONA COMPUTADORA
TOMA DE DECISIONES
description "Decision support systems can alert physicians to the existence of drug interactions. The Hospital Italiano de Buenos Aires, Argentina, has an in-house electronic health record with computerized physician order entry and clinical decision support. It includes a drug-drug interaction alert system, initially developed under traditional engineering techniques. As we detected a high alert override rate, we rebuilt the knowledge database and redesigned the alert interface with User-Centered Design techniques. A laboratory crossover study using clinical vignettes showed that new alerts were more usable than traditional ones. This paper aimed to validate these results through a controlled and randomized experimental study with two branches (old vs. new design) in a real setting. We analyzed, quantitatively, every fired alert between April 2015 and September 2016. Finally, we performed user surveys and qualitative interviews to inquire about their satisfaction and perceptions. In real scenarios, user-centered design alerts were more usable, being more effective and satisfactory, but less efficient than traditional alerts. "Safe omission", as a new concept, emerged from our stratified analyses and interviews."
format acceptedVersion
Ponencias en Congresos
author Luna, Daniel
Rizzato Lede, Daniel
Rubin, Luciana
Otero, Carlos
Ortiz, Juan M.
García, Mónica G.
Rapisarda, Romina P.
Risk, Marcelo
González Bernaldo de Quirós, Fernán
author_facet Luna, Daniel
Rizzato Lede, Daniel
Rubin, Luciana
Otero, Carlos
Ortiz, Juan M.
García, Mónica G.
Rapisarda, Romina P.
Risk, Marcelo
González Bernaldo de Quirós, Fernán
author_sort Luna, Daniel
title User-centered design improves the usability of drug-drug interaction alerts: a validation study in the real scenario
title_short User-centered design improves the usability of drug-drug interaction alerts: a validation study in the real scenario
title_full User-centered design improves the usability of drug-drug interaction alerts: a validation study in the real scenario
title_fullStr User-centered design improves the usability of drug-drug interaction alerts: a validation study in the real scenario
title_full_unstemmed User-centered design improves the usability of drug-drug interaction alerts: a validation study in the real scenario
title_sort user-centered design improves the usability of drug-drug interaction alerts: a validation study in the real scenario
publishDate 2019
url http://ri.itba.edu.ar/handle/123456789/1724
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