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Developing an Audit and Feedback Dashboard for Family Physicians: User-Centered Design Process
Jennifer Shuldiner1, Tara Kiran2,3,4,5, Payal Agarwal1,2
1Women's College Hospital, Toronto, ON, Canada.
JMIR Human Factors
|November 9, 2023
Summary
Audit and feedback (A&F) dashboards improve quality by incorporating physician input. User-centered design ensures A&F tools meet physician needs, addressing data skepticism and burnout for effective quality improvement.
Area of Science:
- Healthcare Quality Improvement
- Health Informatics
- User-Centered Design
Background:
- Audit and feedback (A&F) is a common strategy for quality improvement.
- Effective A&F implementation requires evidence-based practices and end-user input.
Purpose of the Study:
- To develop a web-based primary care A&F dashboard using A&F theory and user-centered design.
- To describe the design process and its influence on the dashboard's development.
Main Methods:
- A 3-phase design process: prototype development, persona creation workshop with physicians, and user-centered interviews.
- Utilized A&F best practices and personas representing physician archetypes (Dr Skeptic, Frazzled Physician, Eager Implementer).
Main Results:
- Physicians desire peer comparison but lack motivation for improvement if already above average.
- High physician burnout reduces motivation to act on A&F data.
- Desired features include EMR integration and more accurate, up-to-date data.
Conclusions:
- User interviews are crucial for tailoring A&F best practices to physician needs.
- A&F dashboards must address data skepticism, promote actionability, and support physician capacity for quality improvement.
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