A process model for quality in use evaluation of clinical decision support systems

Area of Science:

• Health Informatics
• Software Engineering
• Human-Computer Interaction

Background:

• Clinical decision support systems (CDSSs) aid healthcare professionals but face adoption challenges due to user satisfaction and reliability concerns.
• Ensuring CDSS quality is crucial for improving their acceptance and integration into clinical workflows.

Purpose of the Study:

• To propose a process model for evaluating the quality in use (QiU) characteristics of CDSSs.
• To identify deficiencies hindering healthcare professional adoption of CDSSs.

Main Methods:

• Literature review on CDSS assessment.
• Development of a process model based on ISO/IEC 25010 and ISO/IEC 25022 standards.
• Application of the Goal-Question-Metric (GQM) method for selecting evaluation measures.
• Focus on QiU characteristics to represent system usability and user experience.

Main Results:

• A process model for measuring CDSS quality in use (QiU) characteristics was developed.
• The model's applicability was demonstrated through an example focusing on satisfaction and efficiency.

Conclusions:

• The proposed process model is expected to benefit CDSS adoption.
• Measuring QiU characteristics will contribute to improving the overall quality and acceptance of CDSSs by healthcare professionals.