Applying heuristic evaluation to observation chart design to improve the detection of patient deterioration

Preece, Megan H. W., Hill, Andrew, Horswill, Mark S., Karamatic, Rozemary, Hewett, David G. and Watson, Marcus O. (2013) Applying heuristic evaluation to observation chart design to improve the detection of patient deterioration. Applied Ergonomics, 44 4: 544-556. doi:10.1016/j.apergo.2012.11.003

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Author Preece, Megan H. W.
Hill, Andrew
Horswill, Mark S.
Karamatic, Rozemary
Hewett, David G.
Watson, Marcus O.
Title Applying heuristic evaluation to observation chart design to improve the detection of patient deterioration
Journal name Applied Ergonomics   Check publisher's open access policy
ISSN 0003-6870
1872-9126
Publication date 2013-07-01
Year available 2012
Sub-type Article (original research)
DOI 10.1016/j.apergo.2012.11.003
Open Access Status DOI
Volume 44
Issue 4
Start page 544
End page 556
Total pages 13
Place of publication Oxford, United Kingdom
Publisher Pergamon
Language eng
Subject 3307 Human Factors and Ergonomics
3612 Physical Therapy, Sports Therapy and Rehabilitation
Abstract A key goal for patient safety is to improve the early recognition and management of patients whose conditions deteriorate whilst in hospital. Paper-based observation charts are the main means of recording and monitoring patients' physiological stability, yet observations (e.g., blood pressure, heart rate, and respiratory rate) are not always correctly recorded or appropriately acted upon. No prior published study has applied usability heuristics to systematically compare the usability of multiple observation chart designs. In this study, five evaluators with human factors, applied psychology, or medical expertise inspected 25 observation charts for usability problems. Every chart was found to have substantial usability problems, potentially affecting the ability of hospital staff to accurately record observations or recognize patient deterioration. We proposed a new observation chart design, which avoids many of the previously observed usability problems.
Keyword Usability inspection
Patient safety
Clinical deterioration
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Available online: 8 December 2012.

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2013 Collection
School of Medicine Publications
School of Psychology Publications
 
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Created: Tue, 11 Dec 2012, 20:06:50 EST by Mr Andrew Hill on behalf of School of Psychology