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Clinical guideline representation in a CDS: A human information processing method

  • Ellen Kilsdonk
  • , Rinke Riezebos
  • , Leontien Kremer
  • , Linda Peute
  • , Monique Jaspers

Research output: Chapter in Book/Report/Conference proceedingConference contributionpeer-review

2 Citations (Scopus)

Abstract

The Dutch Childhood Oncology Group (DCOG) has developed evidence-based guidelines for screening childhood cancer survivors for possible late complications of treatment. These paper-based guidelines appeared to not suit clinicians' information retrieval strategies; it was thus decided to communicate the guidelines through a Computerized Decision Support (CDS) tool. To ensure high usability of this tool, an analysis of clinicians' cognitive strategies in retrieving information from the paper-based guidelines was used as requirements elicitation method. An information processing model was developed through an analysis of think aloud protocols and used as input for the design of the CDS user interface. Usability analysis of the user interface showed that the navigational structure of the CDS tool fitted well with the clinicians' mental strategies employed in deciding on survivors screening protocols. Clinicians were more efficient and more complete in deciding on patient-tailored screening procedures when supported by the CDS tool than by the paper-based guideline booklet. The thinkaloud method provided detailed insight into users' clinical work patterns that supported the design of a highly usable CDS system.

Original languageEnglish
Title of host publicationQuality of Life Through Quality of Information - Proceedings of MIE 2012
PublisherIOS Press
Pages427-431
Number of pages5
ISBN (Print)9781614991007
DOIs
Publication statusPublished - 2012
Externally publishedYes
Event24th Medical Informatics in Europe Conference, MIE 2012 - Pisa, Italy
Duration: 26 Aug 201229 Aug 2012

Publication series

NameStudies in Health Technology and Informatics
Volume180
ISSN (Print)0926-9630
ISSN (Electronic)1879-8365

Conference

Conference24th Medical Informatics in Europe Conference, MIE 2012
Country/TerritoryItaly
CityPisa
Period26/08/1229/08/12

Keywords

  • Childhood Cancer Survivors
  • Clinical Decision Support System
  • Screening guidelines
  • Usability

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