The design of decisions: Matching clinical decision support recommendations to Nielsen's design heuristics

International Journal of Medical Informatics
Kristen MillerRyan Arnold

Abstract

While general design heuristics exist for graphic user interfaces, it remains a challenge to facilitate the implementation of these heuristics for the design of clinical decision support. Our goals were to map a set of recommendations for clinical decision support design found in current literature to Jakob Nielsen's traditional usability heuristics and to suggest usability areas that need more investigation. Using a modified nominal group process, the research team discussed, classified, and mapped recommendations, organized as interface, information, and interaction, to design heuristics. A previous narrative review identified 42 recommendations from the literature to define the design and functional characteristics that impact the performance of CDS in terms of provider preference, process of care, and patient outcomes. We matched 20 out of 42 recommendations to heuristics. The mapping reveals gaps in both heuristics and recommendations, identifying a set of Nielsen's heuristics that are underrepresented in the literature and subsets of recommendations important to design not covered in Nielsen's heuristics. We attributed this, in part, to the evolution of technology since the inception of Nielsen's heuristics. The team crea...Continue Reading

Citations

Jun 2, 2020·Annals of Internal Medicine·Kensaku Kawamoto, Clement J McDonald
Jul 3, 2019·Journal of the American Medical Informatics Association : JAMIA·Jessica M RayEdward R Melnick
Aug 10, 2020·Computers, Informatics, Nursing : CIN·Dwayne Hoelscher, Susan McBride
Jan 5, 2021·Journal of the American College of Emergency Physicians Open·Jasmeet S DhaliwalJennifer Wiler
Dec 1, 2020·Research in Social & Administrative Pharmacy : RSAP·Margie E SnyderAlissa L Russ-Jara
Mar 19, 2021·BMC Medical Informatics and Decision Making·Siru LiuCharlene Weir

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