2013
DOI: 10.1186/1472-6947-13-63
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Effects of a computerized feedback intervention on safety performance by junior doctors: results from a randomized mixed method study

Abstract: Background: The behaviour of doctors and their responses to warnings can inform the effective design of Clinical Decision Support Systems. We used data from a University hospital electronic prescribing and laboratory reporting system with hierarchical warnings and alerts to explore junior doctors' behaviour. The objective of this trial was to establish whether a Junior Doctor Dashboard providing feedback on prescription warning information and laboratory alerting acceptance rates was effective in changing juni… Show more

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Cited by 15 publications
(33 citation statements)
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“…In the reviewed literature, the most mentioned benefits of dashboards were the ability to evaluate large amounts of data and presenting the results in an easy-to-interpret visual format, 4,[15][16][17][18]23 to provide notifications of metrics that deviate from predefined acceptable levels to minimize adverse events, 4,5,10,13,14,17,24,25 to provide decision support to improve efficiency and quality, 5,[12][13][14][23][24][25][26] and to provide decision support that promotes data-driven decision making for executive-level management. 11,15,21 Other benefits mentioned in the literature include the high degree of customizability of dashboards to specific purposes 18,21 and workflows 17 ; the ability of dashboards to coordinate patient care among different providers 12,16 ; and the use of adequately defined key performance indicators to provide reliable and valid measurements used to evaluate performance over time.…”
Section: Benefits Of Dashboardsmentioning
confidence: 99%
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“…In the reviewed literature, the most mentioned benefits of dashboards were the ability to evaluate large amounts of data and presenting the results in an easy-to-interpret visual format, 4,[15][16][17][18]23 to provide notifications of metrics that deviate from predefined acceptable levels to minimize adverse events, 4,5,10,13,14,17,24,25 to provide decision support to improve efficiency and quality, 5,[12][13][14][23][24][25][26] and to provide decision support that promotes data-driven decision making for executive-level management. 11,15,21 Other benefits mentioned in the literature include the high degree of customizability of dashboards to specific purposes 18,21 and workflows 17 ; the ability of dashboards to coordinate patient care among different providers 12,16 ; and the use of adequately defined key performance indicators to provide reliable and valid measurements used to evaluate performance over time.…”
Section: Benefits Of Dashboardsmentioning
confidence: 99%
“…The identified social factors include decreased acceptance of dashboards secondary to (1) clinician anxiety about electronic surveillance of their performance, 26 (2) information overload caused by excessive monitoring of key performance indicators, 10 and (3) use of key performance indicators that clinicians believe cannot be directly changed (eg, an RN in a surgical ICU might believe that a surgical-site infection was acquired intraoperatively, and nothing could have been done postoperatively to prevent the infection). The identified social factors include decreased acceptance of dashboards secondary to (1) clinician anxiety about electronic surveillance of their performance, 26 (2) information overload caused by excessive monitoring of key performance indicators, 10 and (3) use of key performance indicators that clinicians believe cannot be directly changed (eg, an RN in a surgical ICU might believe that a surgical-site infection was acquired intraoperatively, and nothing could have been done postoperatively to prevent the infection).…”
Section: Limitations Of Dashboard Utilizationmentioning
confidence: 99%
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“…As safety climate was also identified as an independent predictor for patient safety, it is even more important to work on the overall safety climate of an institution in addition to introduction of specific quality improvement strategies [16]. Internal [17] and external benchmarking [18] might help to support a longitudinal improvement. Especially for external benchmarking, self-assessment tools can be used, such as Failure Mode and Effects Analysis (FMEA) used at the University Hospital in Geneva [19].…”
Section: Discussionmentioning
confidence: 99%