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Developing an Audit and Feedback Dashboard for Family Physicians: User-Centered Design Process.

Jennifer Shuldiner¹, Tara Kiran^2,3,4,5, Payal Agarwal^1,2

¹Women's College Hospital, Toronto, ON, Canada.

JMIR Human Factors

|November 9, 2023

Summary

This summary is machine-generated.

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.

Keywords:

audit audit and feedback care clinical performance dashboard design development family physician feedback implementation primary care user-centered users

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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.