title: Toward a More Robust and Efficient Usability Testing Method of Clinical Decision Support for Nurses Derived From Nursing Electronic Health Record Data.
abstract: OBJECTIVE
  To develop methods for rapid and simultaneous design, testing, and management of multiple clinical decision support (CDS) features to aid nurse decision-making.
  
  
  METHODS
  We used quota sampling, think-aloud and cognitive interviews, and deductive and inductive coding of synchronized audio video data and archival libraries.
  
  
  RESULTS
  Our methods and organizational tools allowed us to rapidly improve the usability, understandability, and usefulness of CDS in a generalizable sample of practicing nurses.
  
  
  CONCLUSIONS
  The method outlined allows the rapid integration of nursing terminology based electronic health record data into routine workflow and holds strong potential for improving patient outcomes.
  
  
  CONCLUSIONS
  The methods and organizational tools for development of multiple CDS system features can be used to translate knowledge into practice.
authors.affiliation: Assistant Professor, Department of Health Systems Science, College of Nursing, University of Illinois at Chicago, Chicago, Illinois.
authors.forename: Karen Dunn
authors.initials: KD
authors.lastname: Lopez
authors.affiliation: Research Associate, Electronic Visualization Laboratory, College of Engineering, College of Nursing, University of Illinois at Chicago, Chicago, Illinois.
authors.forename: Alessandro
authors.initials: A
authors.lastname: Febretti
authors.affiliation: Director of the American Organization of Nurse Executives, Center for Care Innovation and Transformation, Chicago, Illinois.
authors.forename: Janet
authors.initials: J
authors.lastname: Stifter
authors.affiliation: Director of Research, Electronic Visualization Laboratory, College of Engineering, University of Illinois at Chicago, Chicago, Illinois.
authors.forename: Andrew
authors.initials: A
authors.lastname: Johnson
authors.affiliation: Prairieview Trust-Earl and Margo Powers Endowed Professor, Department of Biobehavioral Nursing Science, University of Florida, Gainesville, Florida, and Department of Biobehavioral Nursing, College of Nursing, University of Illinois at Chicago, Chicago, Illinois.
authors.forename: Diana J
authors.initials: DJ
authors.lastname: Wilkie
authors.affiliation: Annabel Davis Jenks Endowed Professor for Teaching and Research in Clinical Nursing Excellence, Department of Family, Community Health Systems Science, College of Nursing, University of Florida, Gainesville, Florida, USA.
authors.forename: Gail
authors.initials: G
authors.lastname: Keenan
mesh_terms: D020000:Decision Support Systems, Clinical; D057286:Electronic Health Records; D006801:Humans; D009736:Nursing Process; D009737:Nursing Records; D014584:User-Computer Interface
keywords: Clinical decision support; nursing informatics; usability testing