Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Usability evaluation of a clinical decision support tool for osteoporosis disease management | Kastner et al. Implementation Science 2010 5 96 http content 5 1 96 IMPLEMENTATION SCIENCE Implementation Science RESEARCH ARTICLE Open Access Usability evaluation of a clinical decision support tool for osteoporosis disease management lrsoil .i KctCldr1 t I rWfa2t r-Hrictida Varm O73t MaiChardci I- Qtr .A ic1 3t Monika Kastner uanielle Luttiiuye Christine Mdiquez David Ncwtun Sharon E Straus Abstract Background Osteoporosis affects over 200 million people worldwide at a high cost to healthcare systems. Although guidelines are available patients are not receiving appropriate diagnostic testing or treatment. Findings from a systematic review of osteoporosis interventions and a series of focus groups were used to develop a functional multifaceted tool that can support clinical decision-making in osteoporosis disease management at the point of care. The objective of our study was to assess how well the prototype met functional goals and usability needs. Methods We conducted a usability study for each component of the tool-the Best Practice Recommendation Prompt BestPROMPT the Risk Assessment Questionnaire RAQ and the Customised Osteoporosis Education COPE sheet-using the framework described by Kushniruk and Patel. All studies consisted of one-on-one sessions with a moderator using a standardised worksheet. Sessions were audio- and video-taped and transcribed verbatim. Data analysis consisted of a combination of qualitative and quantitative analyses. Results In study 1 physicians liked that the BestPROMPT can provide customised recommendations based on risk factors identified from the RAQ. Barriers included lack of time to use the tool the need to alter clinic workflow to enable point-of-care use and that the tool may disrupt the real reason for the visit. In study 2 patients completed the RAQ in a mean of 6 minutes 35 seconds. Of the 42 critical incidents 60 were navigational and most occurred when the first nine participants .
