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. 2020 Mar;26(1):642-651.
doi: 10.1177/1460458219839623. Epub 2019 May 13.

Informatics and interaction: Applying human factors principles to optimize the design of clinical decision support for sepsis

Laura Schubel  1   1 , Danielle L Mosby  2   1 , Joseph Blumenthal  1   1 , Muge Capan  3   1 , Ryan Arnold  4   1 , Rebecca Kowalski  1   1 , F Jacob Seagull  5   1 , Ken Catchpole  6   1 , J Sanford Schwartz  7   1 , Ella Franklin  1 , Robin Littlejohn  1 , Kristen E Miller  1
Affiliations

Informatics and interaction: Applying human factors principles to optimize the design of clinical decision support for sepsis

Laura Schubel et al. Health Informatics J. 2020 Mar.

Abstract

In caring for patients with sepsis, the current structure of electronic health record systems allows clinical providers access to raw patient data without imputation of its significance. There are a wide range of sepsis alerts in clinical care that act as clinical decision support tools to assist in early recognition of sepsis; however, there are serious shortcomings in existing health information technology for alerting providers in a meaningful way. Little work has been done to evaluate and assess existing alerts using implementation and process outcomes associated with health information technology displays, specifically evaluating clinician preference and performance. We developed graphical model displays of two popular sepsis scoring systems, quick Sepsis Related Organ Failure Assessment and Predisposition, Infection, Response, Organ Failure, using human factors principles grounded in user-centered and interaction design. Models will be evaluated in a larger research effort to optimize alert design to improve the collective awareness of high-risk populations and develop a relevant point-of-care clinical decision support system for sepsis.

Keywords: clinical decision support; human factors; sepsis; usability; user-centered design.

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Conflict of interest statement

Declaration of conflicting interests

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1
Figure 1
(a) PIRO text display and (b) qSOFA text display.
Figure 2
Figure 2
(a) PIRO figure display and (b) qSOFA figure display.
See this image and copyright information in PMC

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