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Related Experiment Video

Updated: Sep 30, 2025

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User-centered design of central venous access device documentation.

Swaminathan Kandaswamy1, Anne Gill2,3,4, Shellie Wood4

  • 1Department of Pediatrics, Emory University, Atlanta, Georgia, USA.

JAMIA Open
|March 11, 2022
PubMed
Summary

User-centered design (UCD) improved central venous access device (CVAD) documentation, enhancing clinician accuracy and data quality for safer patient care. This approach significantly boosted expert agreement and nurse perception of CVAD properties.

Keywords:
central venous access devicesdocumentationelectronic health recorduser-centered design

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Area of Science:

  • Medical Informatics
  • Clinical Documentation Improvement
  • Human-Computer Interaction

Background:

  • Effective management of central venous access devices (CVADs) is crucial for patient safety.
  • Accurate documentation and retrieval of CVAD properties are essential throughout the device lifecycle.
  • Current documentation methods may present challenges for clinicians in accessing critical information.

Purpose of the Study:

  • To design and evaluate novel interfaces aimed at enhancing the quality of CVAD documentation.
  • To improve the efficiency and accuracy of retrieving key CVAD information for clinical decision-making.
  • To assess the impact of user-centered design on the usability and effectiveness of CVAD documentation systems.

Main Methods:

  • User-centered design (UCD) principles were applied to develop new CVAD property documentation interfaces.
  • Expert agreement on CVAD properties was measured before and after the implementation of the new interfaces.
  • Front-line clinician accuracy in retrieving key CVAD properties was assessed pre- and post-implementation.

Main Results:

  • Expert agreement on CVAD properties significantly increased from 42% to 83% (P < 0.01).
  • Front-line nurses' perception and accuracy regarding key CVAD properties improved substantially from 31% to 86% (P < 0.01).
  • System usability, measured by ease of use scores, dramatically improved from 15/100 to 80/100 (P < 0.01).

Conclusions:

  • User-centered design interventions demonstrably enhanced the quality of central venous access device documentation.
  • The improved data quality and clinician perception facilitate better-informed clinical care decisions.
  • The study highlights the value of UCD in optimizing healthcare IT systems for improved patient safety and workflow efficiency.