User-centered design of discharge warnings tool for colorectal surgery patients

被引：12

作者：

Naik, Aanand D. ^{[1
,2
,3
]}

Horstman, Molly J. ^{[1
,2
,3
]}

Li, Linda T. ^{[4
,5
]}

Paasche-Orlow, Michael K. ^{[6
]}

Campbell, Bryan ^{[1
]}

Mills, Whitney L. ^{[1
,2
]}

Herman, Levi I. ^{[1
,7
]}

Anaya, Daniel A. ^{[8
]}

Trautner, Barbara W. ^{[1
,2
,4
]}

Beger, David H. ^{[1
,4
]}

机构：

[1] Michael E DeBakey VA Med Ctr, Ctr Innovat Qual Effectiveness & Safety IQuESt, Houston, TX USA

[2] Baylor Coll Med, Dept Med, Houston, TX 77030 USA

[3] Michael E DeBakey VA Med Ctr, VA Qual Scholars Coordinating Ctr, Houston, TX USA

[4] Baylor Coll Med, Michael E DeBakey Dept Surg, Houston, TX 77030 USA

[5] Columbia Univ Coll Phys & Surg, Dept Gen Surg, 630 W 168th St, New York, NY 10032 USA

[6] Boston Univ, Sch Med, Dept Med, Boston, MA 02118 USA

[7] Rice Univ, Jesse H Jones Grad Sch Business, Houston, TX USA

[8] H Lee Moffitt Canc Ctr & Res Inst, Dept Gastrointestinal Oncol, Sect Hepatobiliary Tumors & Hlth Outcomes & Behav, Tampa, FL USA

来源：

JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION | 2017年 / 24卷 / 05期

关键词：

readmissions; colorectal surgery; usability testing; health literacy; discharge instructions; HEALTH-CARE; READMISSIONS; EXPERIENCES; TRIAL;

D O I：

10.1093/jamia/ocx018

中图分类号：

TP [自动化技术、计算机技术];

学科分类号：

0812 ;

摘要：

Objectives: Readmission following colorectal surgery, typically due to surgery-related complications, is common. Patient-centered discharge warnings may guide recognition of early complication signs after colorectal surgery. Materials and Methods: User-centered design of a discharge warnings tool consisted of iterative health literacy review and a heuristic evaluation with human factors and clinical experts as well as patient end users to establish content validity and usability. Results: Literacy evaluation of the prototype suggested>12th-grade reading level. Subsequent revisions reduced reading level to 8th grade or below. Contents were formatted during heuristic evaluation into 3 action-oriented zones (green, yellow, and red) with relevant warning lexicons. Usability testing demonstrated comprehension of this 3-level lexicon and recognition of appropriate patient actions to take for each level. Discussion: We developed a discharge warnings tool for colorectal surgery using staged user-centered design. The lexicon of surgical discharge warnings could structure communication among patients, caregivers, and clinicians to improve post-discharge care.

引用

页码：975 / 980

页数：6

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