Development and usability testing of an audit and feedback tool for anesthesiologists
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1Department of Anesthesiology, Duke University Health System & Veterans Affairs Healthcare System, Durham, North Carolina, USA.
Background:
We describe the creation and evaluation of a personal audit and feedback (A&F) tool for anesthesiologists.
Methods:
A survey aimed at capturing barriers for personal improvement efforts and feedback preferences was administered to attending anesthesiologists. The results informed the design and implementation of 4 dashboards that display information on individual practice characteristics as well as comparative performance on several quality metrics. The dashboards' usability was then tested using the human-centered design framework.
Results:
Anesthesiologists listed lack of information on current practice as the main barrier for improvement. Regarding usability, participants gave the dashboards an average score of 3.8 (scale 1-5) on consistency, learnability, and information organization, and performed the assigned tasks well, with an average score of 89% (range 79-100%).
Conclusions:
We describe the design, implementation, and usability testing of an innovative tool that utilizes data derived from the electronic health record (EHR) system to provide A&F to anesthesiology providers.

