TY - GEN
T1 - Clinical guideline representation in a CDS
T2 - 24th Medical Informatics in Europe Conference, MIE 2012
AU - Kilsdonk, Ellen
AU - Riezebos, Rinke
AU - Kremer, Leontien
AU - Peute, Linda
AU - Jaspers, Monique
PY - 2012
Y1 - 2012
N2 - 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.
AB - 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.
KW - Childhood Cancer Survivors
KW - Clinical Decision Support System
KW - Screening guidelines
KW - Usability
UR - http://www.scopus.com/inward/record.url?scp=84872572616&partnerID=8YFLogxK
U2 - 10.3233/978-1-61499-101-4-427
DO - 10.3233/978-1-61499-101-4-427
M3 - Conference contribution
C2 - 22874226
AN - SCOPUS:84872572616
SN - 9781614991007
T3 - Studies in Health Technology and Informatics
SP - 427
EP - 431
BT - Quality of Life Through Quality of Information - Proceedings of MIE 2012
PB - IOS Press
Y2 - 26 August 2012 through 29 August 2012
ER -