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Related Concept Videos

Traumatic Brain Injury l: Introduction01:28

Traumatic Brain Injury l: Introduction

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DefinitionTraumatic brain injury, or TBI, is a disturbance of normal brain function induced by an external mechanical force, such as a direct blow to the head or a penetrating injury. It can affect both brain structure and function, producing a wide range of clinical outcomes. TBI is a heterogeneous condition, meaning its effects may differ based on the type, location, and severity of the injury.Basis of ClassificationTBI is classified based on severity, injury mechanism, or pathophysiology. In...
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Related Experiment Video

Updated: May 3, 2026

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
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Leveraging Dual Usability Methods to Evaluate Clinical Decision Support Among Patients With Traumatic Brain Injury:

Rubina F Rizvi1,2,3, Sameen Faisal4, Mark Sussman5

  • 1Department of Surgery, University of Minnesota, 420 Delaware Street South East, Mayo Mail Code 195, Minneapolis, MN, 55455, United States, 1 612-626-1999.

JMIR Human Factors
|July 30, 2025
PubMed
Summary
This summary is machine-generated.

Improving clinical decision support systems (CDSSs) for traumatic brain injury (TBI) care requires user-centered design. Evaluating CDSSs with both experts and end-users enhances usability and patient care management.

Keywords:
clinical decision support system (CDSS)decision support systemend user–based usability testingheuristic evaluationstraumatic brain injuryvenous thromboembolism

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Area of Science:

  • Medical Informatics
  • Clinical Decision Support Systems
  • Traumatic Brain Injury Management

Background:

  • Patients with traumatic brain injury (TBI) face elevated risks of venous thromboembolism (VTE).
  • Clinical decision support systems (CDSSs) can enhance VTE prophylaxis adherence but often lack user-centered design, leading to poor compliance.

Purpose of the Study:

  • To enhance the content, design, and workflow integration of a TBI-focused CDSS.
  • To incorporate feedback from both clinical experts and end-users to improve CDSS usability.

Main Methods:

  • A dual usability approach combining heuristic evaluations by experts and usability testing by end-users.
  • Triangulation of qualitative (thematic analysis) and quantitative (descriptive statistics) data collection and analysis.
  • Involved 3 usability experts and 5 trauma providers in the evaluation process.

Main Results:

  • Identified 66 unique usability issues across heuristic evaluations and end-user testing.
  • Top identified issues included lack of supporting evidence (26%), operational barriers (17%), and formatting inconsistencies (12%).
  • The CDSS achieved an acceptable usability score (System Usability Scale score of 77.5).

Conclusions:

  • Integrating expert and end-user feedback yields a more comprehensive set of usability issues.
  • Optimizing the TBI-CDSS through user-centered design can improve its usability and effectiveness in patient care management.