Usability of smart infusion pumps: A heuristic evaluation

Klarich, Amelia; Noonan, Thomas  Z.; Reichlen, Chris; Barbara, St Marie J.; Cullen, Laura; Pennathur, Priyadarshini R.

doi:10.1016/j.apergo.2021.103584

Cited by 17 publications

(8 citation statements)

References 37 publications

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“…[16], Khajouei et al, [18] Rezaei et al, [19] and Ebnehoseini et al [20] on a heuristic evaluation of HIS subsystems and also Klarich et al on smart infusion pumps [21] the same problems. This component means that memory load should be minimized by exposing objects, actions, and options.…”

Section: Discussionmentioning

confidence: 99%

Heuristic Evaluation of adverse drug reaction reporting System

Meraji

Bameri

Ebnehoseini

et al. 2023

Preprint

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Background Adverse drug reactions as an ongoing public health issue, affects various aspects of society. This study aims to conduct a comprehensive study of usability and to evaluate usability of National Adverse Drug Reactions Reporting System. Methods This study was descriptive and cross-sectional. The National Adverse Drug Reactions Reporting System was evaluated based on the Pierotti heuristic evaluation checklist by seven experts. Every experts completed a heuristic evaluation checklist. The experts also measured the overall severity of each identified heuristic violation on a scale of 0 to 4, where 0 illustrates no problems and 4 illustrates a usability difficulties. Experts' views were extracted and the severity of each problem were analyzed and determined. Results A total of 265 problems were identified in the usability of this system. The severity of the problems that were identified according to the defined criteria were: severe problems 10 (3.9%), minor problems 135 (52.7%), Improvable but not necessary 120 (46.87%), and according to the evaluators major and technical problems were zero. The mean range of difficulty was between 1.03 and 8.56. The principle of “Flexibility and minimalist design " had the highest level of severity of the problem. Conclusion It is expected that the national adverse drug reaction reporting System will be reviewed again based on the needs of users, standards and changes included in the design. Also can help system designers to overcome its system usability problems.

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Section: Discussionmentioning

confidence: 99%

Heuristic Evaluation of adverse drug reaction reporting System

Meraji

Bameri

Ebnehoseini

et al. 2023

Preprint

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“…Historically, while nurses provide a unique end-user-centric, patient-focused approach to medical device development, there is little evidence of their involvement during device development [ 37 ]. This continues to be true at present, especially in the fields of vascular access and infusion therapy, with only a few published cases concerning intravenous syringes and infusion pumps [ 38 , 39 , 40 , 41 , 42 ].…”

Section: Discussionmentioning

confidence: 99%

Nurses’ Involvement in the Development and Usability Assessment of an Innovative Peripheral Intravenous Catheterisation Pack: A Mix-Method Study

Santos-Costa

Alves

Sousa

et al. 2022

IJERPH

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Guaranteeing peripheral venous access is one of the cornerstones of modern healthcare. Recent evidence shows that the lack of adequate clinical devices can result in the provision of substandard care to patients who require peripheral intravenous catheterization (PIVC). To address this challenge, we aimed to develop a PIVC pack for adult patients and assess the usability of this new device. Methods: Following a mix-method design, the PIVC pack development and usability assessment were performed in two phases with the involvement of its potential end-users (nurses). In phase one (concept and semi-functional prototype assessment), focus group rounds were conducted, and a usability assessment questionnaire was applied at each stage. In phase two (pre-clinical usability assessment), a two-arm crossover randomised controlled trial (PIVC pack versus traditional material) was conducted with nurses in a simulated setting. Final interviews were conducted to further explore the PIVC pack applicability in a real-life clinical setting. Results: High average usability scores were identified in each study phase. During the pre-clinical usability assessment, the PIVC pack significantly reduced procedural time (Z = −2.482, p = 0.013) and avoided omissions while preparing the required material (Z = −1.977, p = 0.048). The participating nurses emphasised the pack’s potential to standardise practices among professionals, improve adherence to infection control recommendations, and enhance stock management. Conclusions: The developed pack appears to be a promising device that can assist healthcare professionals in providing efficient and safe care to patients requiring a PIVC. Future studies in real clinical settings are warranted to test its cost-effectiveness.

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“…Integrated devices that are interoperable with the electronic health record (EHR) allow for timely information exchange without impacting clinical workflow, while also attempting to ameliorate errors such as transcription inaccuracies or adding to clinician burden. 9 10 Inputs from integrated medical devices 11 are an important source of data used in CDSS.…”

Section: Background and Significancementioning

confidence: 99%

A Scoping Review of Integrated Medical Devices and Clinical Decision Support in the Acute Care Setting

et al. 2022

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Background Seamless data integration between point-of-care medical devices and the electronic health record (EHR) can be central to clinical decision support systems (CDSS). Objective The objective of this scoping review is to (1) examine the existing evidence related to integrated medical devices, primarily medication pump devices, and associated clinical decision support (CDS) in acute care settings and (2) to identify how acute care clinicians may use device CDS in clinical decision-making. The rationale for this review is that integrated devices are ubiquitous in the acute care setting, and they generate data that may help to contribute to the situational awareness of the clinical team necessary to provide individualized patient care. Methods This scoping review was conducted using the Joanna Briggs Institute Manual for Evidence Synthesis and the Preferred Reporting Items for Systematic Reviews and Meta-analyses Extensions for Scoping Review guidelines. PubMed, CINAHL, IEEE Xplore, and Scopus databases were searched for scholarly, peer-reviewed journals indexed between January 1, 2010 and December 31, 2020. A priori inclusion criteria were established. Results Of the 1,924 articles screened, 18 were ultimately included for synthesis, and primarily included articles on devices such as intravenous medication pumps and vital signs machines. Clinical alarm burden was mentioned in most of the articles, and despite not including the term “medication” there were many articles about smart pumps being integrated with the EHR. The Revised Technology, Nursing & Patient Safety Conceptual Model provided the organizational framework. Ten articles described patient assessment, monitoring, or surveillance use. Three articles described patient protection from harm. Four articles described direct care use scenarios, all of which described insulin administration. One article described a hybrid situation of patient communication and monitoring. Most of the articles described devices and decision support primarily used by registered nurses (RNs). Conclusion The articles in this review discussed devices and the associated CDSS that are used by clinicians, primarily RNs, in the daily provision of care for patients. Integrated device data provide insight into user–device interactions and help to illustrate health care processes, especially the activities when providing direct care to patients in an acute care setting. While there are CDSS designed to support the clinician while working with devices, RNs and providers may disregard this guidance, and defer to their own expertise. Additionally, if clinicians perceive CDSS as intrusive, they are at risk for alarm and alert fatigue if CDSS are not tailored to sync with the workflow of the end-user. Areas for future research include refining inclusion criteria to examine the evidence for devices and their CDS that are most likely used by other groups' health care professionals (i.e., doctors and therapists), using integrated device metadata and deep learning analytics to identify patterns in care delivery, and decision support tools for patients using their own personal data.

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Usability of smart infusion pumps: A heuristic evaluation

Cited by 17 publications

References 37 publications

Heuristic Evaluation of adverse drug reaction reporting System

Heuristic Evaluation of adverse drug reaction reporting System

Nurses’ Involvement in the Development and Usability Assessment of an Innovative Peripheral Intravenous Catheterisation Pack: A Mix-Method Study

A Scoping Review of Integrated Medical Devices and Clinical Decision Support in the Acute Care Setting

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