超越文字:通过图标增强临床指导方针的理解
Isin Y Comba1, John C O'Horo1,2, Joel E Gordon3
1Division of Public Health, Infectious Diseases and Occupational Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Open forum infectious diseases
|November 12, 2024
概括
临床指南中的视觉辅助工具显示出希望,但在本研究中没有改善可用性指标. 需要对图标设计和测试进行进一步的研究,以获得更好的医疗保健提供者指导.
科学领域:
- 临床信息学 临床信息学
- 医疗保健服务研究 医疗服务研究
- 医学指导方针开发 医学指导方针开发
背景情况:
- 评级建议,评估,发展和评估 (GRADE) 框架确保在临床指南中透明的证据评估.
- 美国传染病学会 (IDSA) 寻求COVID-19指南的视觉辅助工具,以帮助床边提供者.
研究的目的:
- 为了评估COVID-19临床指南新设计的信息图/图标的可用性.
- 评估视觉辅助器对医疗保健提供者的理解和效率的影响.
主要方法:
- 一个混合方法的研究,结合了调查和重点小组.
- 调查参与者使用模拟的COVID-19 IDSA指导方针,有或没有新的图标,然后进行理解问题.
- 焦点小组对评级建议,评估,开发和评估 (GRADE) 方法和图标可用性提供了定性反.
主要成果:
- 在图标辅助和非图标辅助指南之间,正确响应率没有统计差异.
- 图标使用增加了初始问题的时间和点击量,但不是后续的问题.
- 85%的参与者认为图标提高了指导方针的可读性,尽管焦点小组建议改进设计.
结论:
- 图像学有可能增强临床指导方针.
- 测试的特定图标并没有明显改善可用性指标.
- 未来的研究应该集中在图标设计和正式的可用性测试在评级建议,评估,开发和评估 (GRADE) 框架内.
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