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Usability and Acceptability of the QDACT-PC, an Electronic Point-of-Care System for Standardized Quality Monitoring in Palliative Care.

Publication ,  Journal Article
Kamal, AH; Kavalieratos, D; Bull, J; Stinson, CS; Nicolla, J; Abernethy, AP
Published in: J Pain Symptom Manage
November 2015

CONTEXT: Few resources exist to support collaborative quality monitoring in palliative care. These tools, if proven efficient through technology-enabled methods, may begin to routinize data collection on quality during usual palliative care delivery. Usability testing is a common approach to assess how easily and effectively users can interact with a newly developed tool. OBJECTIVES: We performed usability testing of the Quality Data Collection Tool for Palliative Care (QDACT-PC) a novel, point-of-care quality monitoring tool for palliative care. METHODS: We used a mixed methods approach to assess community palliative care clinicians' evaluations of five domains of usability. These approaches included clinician surveys after recording mock patient data to assess satisfaction; review of entered data for accuracy and time to completion; and thematic review of "think aloud" protocols to determine issues, barriers, and advantages to the electronic system. RESULTS: We enrolled 14 palliative care clinicians for the study. Testing the electronic system vs. paper-based methods demonstrated similar error rates and time to completion. Overall, 68% of the participants believed that the electronic interface would not pose a moderate or major burden during usual clinical activities, and 65% thought it would improve the care they provided. Thematic analysis revealed significant issues with paper-based methods alongside training needs for future participants on using novel technologies that support the QDACT-PC. CONCLUSION: The QDACT-PC is a usable electronic system for quality monitoring in palliative care. Testing reveals equivalence with paper for data collection time, but with less burden overall for electronic methods across other domains of usability.

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Published In

J Pain Symptom Manage

DOI

EISSN

1873-6513

Publication Date

November 2015

Volume

50

Issue

5

Start / End Page

615 / 621

Location

United States

Related Subject Headings

  • Time Factors
  • Software
  • Quality Assurance, Health Care
  • Point-of-Care Systems
  • Physicians
  • Palliative Care
  • Middle Aged
  • Male
  • Humans
  • Female
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Kamal, A. H., Kavalieratos, D., Bull, J., Stinson, C. S., Nicolla, J., & Abernethy, A. P. (2015). Usability and Acceptability of the QDACT-PC, an Electronic Point-of-Care System for Standardized Quality Monitoring in Palliative Care. J Pain Symptom Manage, 50(5), 615–621. https://doi.org/10.1016/j.jpainsymman.2015.05.013
Kamal, Arif H., Dio Kavalieratos, Janet Bull, Charles S. Stinson, Jonathan Nicolla, and Amy P. Abernethy. “Usability and Acceptability of the QDACT-PC, an Electronic Point-of-Care System for Standardized Quality Monitoring in Palliative Care.J Pain Symptom Manage 50, no. 5 (November 2015): 615–21. https://doi.org/10.1016/j.jpainsymman.2015.05.013.
Kamal AH, Kavalieratos D, Bull J, Stinson CS, Nicolla J, Abernethy AP. Usability and Acceptability of the QDACT-PC, an Electronic Point-of-Care System for Standardized Quality Monitoring in Palliative Care. J Pain Symptom Manage. 2015 Nov;50(5):615–21.
Kamal, Arif H., et al. “Usability and Acceptability of the QDACT-PC, an Electronic Point-of-Care System for Standardized Quality Monitoring in Palliative Care.J Pain Symptom Manage, vol. 50, no. 5, Nov. 2015, pp. 615–21. Pubmed, doi:10.1016/j.jpainsymman.2015.05.013.
Kamal AH, Kavalieratos D, Bull J, Stinson CS, Nicolla J, Abernethy AP. Usability and Acceptability of the QDACT-PC, an Electronic Point-of-Care System for Standardized Quality Monitoring in Palliative Care. J Pain Symptom Manage. 2015 Nov;50(5):615–621.
Journal cover image

Published In

J Pain Symptom Manage

DOI

EISSN

1873-6513

Publication Date

November 2015

Volume

50

Issue

5

Start / End Page

615 / 621

Location

United States

Related Subject Headings

  • Time Factors
  • Software
  • Quality Assurance, Health Care
  • Point-of-Care Systems
  • Physicians
  • Palliative Care
  • Middle Aged
  • Male
  • Humans
  • Female