Search

Your search keyword '"Rapisarda, Romina P."' showing total 2 results
Start Over Author "Rapisarda, Romina P."
2 results on '"Rapisarda, Romina P."'

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

Author

Luna, Daniel R., Rizzato Lede, Daniel A., Rubin, Luciana, Otero, Carlos M., Ortiz, Juan M., García, Mónica G., Rapisarda, Romina P., Risk, Marcelo, and González Bernaldo De Quirós, Fernán

Subjects
purl.org/becyt/ford/3.3 [https], CIENCIAS MÉDICAS Y DE LA SALUD, Drogadicción, Ciencias de la Salud, purl.org/becyt/ford/3 [https], DRUG INTERACTIONS, SOFTWARE DESIGN, EXPERT SYSTEMS
Abstract

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. Fil: Luna, Daniel R.. Instituto Tecnológico de Buenos Aires; Argentina. Hospital Italiano. Instituto Universitario. Escuela de Medicina; Argentina Fil: Rizzato Lede, Daniel A.. Hospital Italiano. Instituto Universitario. Escuela de Medicina; Argentina Fil: Rubin, Luciana. Hospital Italiano. Instituto Universitario. Escuela de Medicina; Argentina Fil: Otero, Carlos M.. Hospital Italiano. Instituto Universitario. Escuela de Medicina; Argentina Fil: Ortiz, Juan M.. Hospital Italiano. Instituto Universitario. Escuela de Medicina; Argentina Fil: García, Mónica G.. Hospital Italiano. Instituto Universitario. Escuela de Medicina; Argentina Fil: Rapisarda, Romina P.. Hospital Italiano. Instituto Universitario. Escuela de Medicina; Argentina Fil: Risk, Marcelo. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Instituto Tecnológico de Buenos Aires; Argentina. Hospital Italiano. Instituto Universitario. Escuela de Medicina; Argentina Fil: González Bernaldo De Quirós, Fernán. Hospital Italiano. Instituto Universitario. Escuela de Medicina; Argentina

Published
2017

2. User-Centered Design Improves the Usability of Drug-Drug Interaction Alerts: A Validation Study in the Real Scenario.

Author

Luna DR, Rizzato Lede DA, Rubin L, Otero CM, Ortiz JM, García MG, Rapisarda RP, Risk MR, and González Bernaldo de Quirós F

Subjects
Argentina, Cross-Over Studies, Decision Support Systems, Clinical, Humans, User-Computer Interface, Drug Interactions, Medical Order Entry Systems, Medication Errors
Abstract

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.

Published
2017

Catalog

Books, media, physical & digital resources
See catalog results