Redesign of a computerized clinical reminder for colorectal cancer screening

A human-computer interaction evaluation

Jason J. Saleem, David Haggstrom, Laura G. Militello, Mindy Flanagan, Chris L. Kiess, Nicole Arbuckle, Bradley N. Doebbeling

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Background: Based on barriers to the use of computerized clinical decision support (CDS) learned in an earlier field study, we prototyped design enhancements to the Veterans Health Administration's (VHA's) colorectal cancer (CRC) screening clinical reminder to compare against the VHA's current CRC reminder. Methods. In a controlled simulation experiment, 12 primary care providers (PCPs) used prototypes of the current and redesigned CRC screening reminder in a within-subject comparison. Quantitative measurements were based on a usability survey, workload assessment instrument, and workflow integration survey. We also collected qualitative data on both designs. Results: Design enhancements to the VHA's existing CRC screening clinical reminder positively impacted aspects of usability and workflow integration but not workload. The qualitative analysis revealed broad support across participants for the design enhancements with specific suggestions for improving the reminder further. Conclusions: This study demonstrates the value of a human-computer interaction evaluation in informing the redesign of information tools to foster uptake, integration into workflow, and use in clinical practice.

Original languageEnglish
Article number74
JournalBMC Medical Informatics and Decision Making
Volume11
Issue number1
DOIs
StatePublished - 2011

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Veterans Health
Early Detection of Cancer
United States Department of Veterans Affairs
Workflow
Colorectal Neoplasms
Workload
Clinical Decision Support Systems
Primary Health Care
Surveys and Questionnaires

ASJC Scopus subject areas

  • Health Informatics
  • Health Policy

Cite this

Redesign of a computerized clinical reminder for colorectal cancer screening : A human-computer interaction evaluation. / Saleem, Jason J.; Haggstrom, David; Militello, Laura G.; Flanagan, Mindy; Kiess, Chris L.; Arbuckle, Nicole; Doebbeling, Bradley N.

In: BMC Medical Informatics and Decision Making, Vol. 11, No. 1, 74, 2011.

Research output: Contribution to journalArticle

Saleem, Jason J. ; Haggstrom, David ; Militello, Laura G. ; Flanagan, Mindy ; Kiess, Chris L. ; Arbuckle, Nicole ; Doebbeling, Bradley N. / Redesign of a computerized clinical reminder for colorectal cancer screening : A human-computer interaction evaluation. In: BMC Medical Informatics and Decision Making. 2011 ; Vol. 11, No. 1.
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