Related Experiment Video
Updated: Feb 8, 2026

A Mouse Model of Single and Repetitive Mild Traumatic Brain Injury
Published on: June 20, 2017
Development of the ERATbi App, a Clinical Decision Support System for Early Recovery After Traumatic Brain Injury in
Hsiao-Ching Yen1, I-Hui Wu2,3,4, Wei-Ling Hsiao5
1Division of Physical Therapy, Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Taipei, Taiwan.
Background:
Early rehabilitation in neurocritical care is often underutilized due to fragmented workflows, interdisciplinary coordination challenges, and the absence of structured digital decision support. Traditional clinical decision support systems (CDSS) often address single domains and lack adaptability to the dynamic, multiprofessional workflows of intensive care units (ICUs).
Objective:
To develop and evaluate the usability of the ERATbi App (Early Recovery After Traumatic Brain Injury App), a modular, tablet-based CDSS was designed to streamline early rehabilitation planning and strengthen interdisciplinary coordination for patients with moderate-to-severe traumatic brain injury (TBI) in intensive care settings.
Methods:
The ERATbi app integrates four functional modules-delirium risk management, precision nutrition, stepwise early mobilization, and respiratory care for rib fractures-into a unified interface. A simulation-based usability study was conducted with 18 ICU clinicians. Evaluation metrics included System Usability Scale (SUS) scores, task completion rates, error rates, and task durations. Additional user feedback was collected via a 5-point Likert satisfaction survey and semi-structured qualitative interviews.
Results:
The app demonstrated high usability (mean SUS score 83.6, SD 7.4), a 100% (18/18 participants) task completion rate, and a low error rate (4.2%). Average module completion time was 6.5 minutes, and user satisfaction was high (mean 4.7, SD 0.5). Users highlighted the value of the app's visual logic, real-time alerts, adaptive thresholds, and modular workflow integration for enhancing team coordination and decision consistency.
Conclusions:
The ERATbi app demonstrated excellent usability, high user satisfaction, and clinical relevance in simulated ICU workflows. Its logic-driven, workflow- integrated design may support scalable, interdisciplinary implementation of early rehabilitation in neurocritical care settings.
Related Concept Videos
Acute Kidney Injury III: Clinical Manifestations
Self-Help Support Groups
Accessibility and Cost-Effectiveness
One of the primary strengths of self-help...
Decision Making
Automatic decision-making is fast, intuitive, and relies on gut feelings...
Aneurysm II: Clinical Manifestations and Diagnostic Studies
Hypertension III: Clinical Manifestations and Diagnostic Studies
Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies

