Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
The goal of this study is to compare the usability of a novel, medication-related clinical decision support (CDS) application to the current standard medication administration and documentation workflow. The study will occur in a simulation setting, using a manikin and test patient data - no actual patients will participate. Forty clinician participants will be randomly assigned to either the CDS group (who will complete simulation tasks using the CDS prototype) or the Control group (who will complete simulation tasks using the standard medication administration workflow).
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| CDS Group | Experimental | Clinicians complete tasks using the CDS prototype. Briefly, the clinician scans the barcode on the syringe label immediately prior to medication administration. The scan triggers the CDS to display a dosing window with pertinent patient-specific information and/or alert(s) when necessary to prevent a medication error (ME) prior to the medication being administered. Medication data are then sent from the CDS application to the patient's anesthesia record for automatic documentation in real-time, eliminating the need to manually document the medication in the Anesthesia Information Management System (AIMS). When necessary, the CDS application generates alerts to prevent medication errors. Upon receiving an alert, the anesthesia clinician may accept the alert and revise the action that generated the alert, or override the alert and continue with the planned action. |
|
| Control Group | No Intervention | Clinicians complete tasks using the conventional medication administration and documentation workflow in anesthesia. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Electronic Clinical Decision Support Application | Other | Robust, real-time medication-related clinical decision support application for use in the operating room. The application is fully integrated with existing clinical systems. It provides visual alerts for medication errors and adverse medication events at the point-of-care. |
| Measure | Description | Time Frame |
|---|---|---|
| Total time to complete 7 simulations tasks. | Total time (in seconds) to complete 7 simulations tasks. | Measured from task start time to task end time, a cumulative average of 15 minutes |
| Measure | Description | Time Frame |
|---|---|---|
| Total number of mouse clicks in 7 simulations tasks. | Total count of mouse clicks during all 7 simulations tasks. | Measured from task start time to task end time, a cumulative average of 15 minutes |
| Total distance traveled on the screen in pixels for 7 simulation tasks. |
| Measure | Description | Time Frame |
|---|---|---|
| System Usability Scale (SUS) score. | SUS is designed and validated only for first-time system users, so it will be completed by the CDS group only. SUS scores range from 0 to 100 (higher score indicates higher usability). The scores are not percentiles, but are interpreted using benchmark comparisons to industry standards. | Measured at the conclusion of study participation, an average of 15 minutes after the participant's start time |
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Karen C Nanji, MD, MPH | Massachusetts General Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Massachusetts General Hospital | Boston | Massachusetts | 02114 | United States |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Randomized Controlled Trial
Not provided
Not provided
Not provided
Not provided
|
Total distance traveled on the screen in pixels during all 7 simulation tasks. |
| Measured from task start time to task end time, a cumulative average of 15 minutes |
| Number of usability issues. | Usability issues are defined as aspects of the system that prevent the user from accomplishing their goals with effectiveness, efficiency and satisfaction. Usability issues will be identified for the CDS group only. Usability issues will be identified by a usability expert. | Identified continuously over the duration of study participation, a cumulative average of 15 mins |
| Single Ease Question score for each simulation task. | "Overall, how difficult or easy did you find this task?" Answers will be recorded on a 7-point Likert scale (1= "very difficult"; 7= "very easy"). | Measured at the end of each of the 7 tasks (each task requires an average of 3 minutes to complete) |