Display and perception of risk: Analysis of decision support system display and its impact on perceived clinical risk of sepsis-induced health deterioration
Muge Capan, Laura C Schubel, Ishika Pradhan, Ken Catchpole, Nawar Shara, Ryan Arnold, J Sanford Schwartz, Jake Seagull and Kristen Miller
Health informatics journal, v 28(1), pp 14604582211073075-14604582211073075
Published, Version of Record (VoR)CC BY-NC V4.0, Open
Abstract
Decision Support Systems, Clinical Hospital Mortality Humans Organ Dysfunction Scores Perception Sepsis - complications
Despite acknowledging the value of clinical decision support systems (CDSS) in identifying risk for sepsis-induced health deterioration in-hospitalized patients, the relationship between display features, decision maker characteristics, and recognition of risk by the clinical decision maker remains an understudied, yet promising, area. The objective of this study is to explore the relationship between CDSS display design and perceived clinical risk of in-hospital mortality associated with sepsis. The study utilized data collected through in-person experimental sessions with 91 physicians from the general medical and surgical floors who were recruited across 12 teaching hospitals within the United States. Results of descriptive and statistical analyses provided evidence supporting the impact of display configuration and clinical case severity on perceived risk associated with in-hospital mortality. Specifically, findings showed that a high level of information (represented by the Predisposition, Infection, Response and Organ dysfunction (PIRO) score) and Figure display (as opposed to Text or baseline) increased awareness to recognizing the risk for in-hospital mortality of hospitalized sepsis patients. A CDSS display that synthesizes the optimal features associated with information level and design elements has the potential to enhance the quantification and communication of clinical risk in complex health conditions beyond sepsis.
Display and perception of risk: Analysis of decision support system display and its impact on perceived clinical risk of sepsis-induced health deterioration
Creators
Muge Capan - Drexel University
Laura C Schubel - MedStar Health
Ishika Pradhan - Drexel University
Ken Catchpole - Medical University of South Carolina
Nawar Shara - MedStar Health
Ryan Arnold - Santa Ynez Valley Cottage Hospital
J Sanford Schwartz - University of Pennsylvania
Jake Seagull - 121577MedStar Health Research Institute, Hyattsville, MD, USA
Kristen Miller - MedStar Health
Publication Details
Health informatics journal, v 28(1), pp 14604582211073075-14604582211073075
Publisher
Sage
Grant note
R01 LM012300 / NLM NIH HHS
Resource Type
Journal article
Language
English
Academic Unit
Decision Sciences (and Management Information Systems)
Web of Science ID
WOS:000748430800001
Scopus ID
2-s2.0-85123489960
Other Identifier
991019168094204721
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