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Development and usability testing of an audit and feedback tool for anesthesiologists
1Department of Anesthesiology, Duke University Health System & Veterans Affairs Healthcare System, Durham, North Carolina, USA.
JAMIA Open
|January 28, 2020
Summary
Anesthesiologists now have a new tool for personal improvement. This audit and feedback (A&F) system uses electronic health records to enhance practice quality.
Area of Science:
- Anesthesiology
- Health Informatics
- Quality Improvement
Background:
- Development of a personal audit and feedback (A&F) tool tailored for anesthesiologists.
- Identification of barriers to personal improvement and feedback preferences through a survey of attending anesthesiologists.
Observation:
- Four interactive dashboards were designed based on survey results, displaying individual practice data and quality metrics.
- Usability testing was conducted using a human-centered design framework.
Findings:
- Lack of information on current practice was identified as a primary barrier for anesthesiologists' improvement efforts.
- The dashboards achieved an average usability score of 3.8/5 for consistency, learnability, and organization.
- Users achieved an average task performance score of 89%.
Implications:
- The A&F tool, leveraging electronic health record (EHR) data, offers a novel approach to performance feedback for anesthesiology providers.
- This tool has the potential to drive quality improvement initiatives within anesthesiology practices.
- Usability testing confirms the tool's potential for effective integration into clinical workflows.

