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Designing clinical practice feedback reports: three steps illustrated in Veterans Health Affairs long-term care facilities and programs

机译：设计临床实践反馈报告：退伍军人健康事务长期护理设施和方案所示的三个步骤

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BACKGROUND:User-centered design (UCD) methods are well-established techniques for creating useful artifacts, but few studies illustrate their application to clinical feedback reports. When used as an implementation strategy, the content of feedback reports depends on a foundational audit process involving performance measures and data, but these important relationships have not been adequately described. Better guidance on UCD methods for designing feedback reports is needed. Our objective is to describe the feedback report design method for refining the content of prototype reports.METHODS:We propose a three-step feedback report design method (refinement of measures, data, and display). The three steps follow dependencies such that refinement of measures can require changes to data, which in turn may require changes to the display. We believe this method can be used effectively with a broad range of UCD techniques.RESULTS:We illustrate the three-step method as used in implementation of goals of care conversations in long-term care settings in the U.S. Veterans Health Administration. Using iterative usability testing, feedback report content evolved over cycles of the three steps. Following the steps in the proposed method through 12 iterations with 13 participants, we improved the usability of the feedback reports.CONCLUSIONS:UCD methods can improve feedback report content through an iterative process. When designing feedback reports, refining measures, data, and display may enable report designers to improve the user centeredness of feedback reports.
机译：背景：用户中心设计（UCD）方法是创建有用工件的知名技术，但很少有研究表明他们在临床反馈报告中的应用。当用作实施策略时，反馈报告的内容取决于涉及绩效措施和数据的基础审计过程，但这些重要的关系尚未得到充分描述。需要更好地指导用于设计反馈报告的UCD方法。我们的目标是描述用于改进原型报告的内容的反馈报告设计方法。方法：我们提出了一种三步反馈报告设计方法（细化措施，数据和显示）。这三个步骤遵循依赖项，使得精制措施可能需要更改数据，这反过来可能需要更改显示。我们认为这种方法可以有效地使用广泛的UCD技术来使用：我们说明了在美国退伍军人健康管理局中长期护理环境中的护理谈判目标实现的三步方法。使用迭代可用性测试，反馈报告内容在三个步骤的周期中演变出来。在提出的方法通过1​​2个与13名参与者的迭代中的步骤之后，我们提高了反馈报告的可用性。结论：UCD方法可以通过迭代过程提高反馈报告内容。在设计反馈报告时，精炼措施，数据和显示可能使报告设计者能够改善反馈报告的用户中心。

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