Abstract
Most radiation oncology centers use in-house quality assurance (QA) checklists to ensure patient safety. Unfortunately, most of these QA checklists are often implemented in clinical settings without formal usability evaluation. We applied a human-centered participatory co-design framework to identify design changes to a dosimetry QA checklist (DQC) currently deployed in an academic radiation oncology center and develop a user-focused functional prototype of an enhanced DQC. We found that the human-centered participatory co-design framework used in this study holds promise in improving the usability of QA checklists currently deployed in clinical settings.
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References
Marks, L.B., et al.: The challenge of maximizing safety in radiation oncology. Pract. Radiat. Oncol. 1(1), 2–14 (2011)
Yeung, T.K., Bortolotto, K., Cosby, S., Hoar, M., Lederer, E.: Quality assurance in radiotherapy: evaluation of errors and incidents recorded over a 10 year period. Radiother. Oncol. 74(3), 283–291 (2005)
Das, P., et al.: Rate of radiation therapy events in a large academic institution. J. Am. Coll. Radiol. 10(6), 452–455 (2013)
Cunningham, J., Coffey, M., Knöös, T., Holmberg, O.: Radiation Oncology Safety Information System (ROSIS)–profiles of participants and the first 1074 incident reports. Radiother. Oncol. 97(3), 601–607 (2010)
Ford, E.C., Terezakis, S., Souranis, A., Harris, K., Gay, H., Mutic, S.: Quality control quantification (QCQ): a tool to measure the value of quality control checks in radiation oncology. Int. J. Radiat. Oncol. Biol. Phys. 84(3), e263–e269 (2012)
Ford, E., et al.: Strategies for effective physics plan and chart review in radiation therapy: report of AAPM Task Group 275. Med. Phys. 47(6), e236–e272 (2020)
Liu, S., et al.: Optimizing efficiency and safety in external beam radiotherapy using automated plan check (APC) tool and six sigma methodology. J. Appl. Clin. Med. Phys. 20(8), 56–64 (2019)
Tracton, G.S., Mazur, L.M., Mosaly, P., Marks, L.B., Das, S.: Developing and assessing electronic checklists for safety mindfulness, workload, and performance. Pract. Radiat. Oncol. 8(6), 458–467 (2018)
Adapa, K., et al.: Evaluating the usability of a dosimetry quality assurance checklist and associated workload, performance and patient safety in clinical settings. Int. J. Radiat. Oncol. -Biol.-Phys. (Red J.) (2021), https://doi.org/10.1016/j.ijrobp.2021.07.1391
Kuo, P.-Y., et al.: Development of a checklist for the prevention of intradialytic hypotension in hemodialysis care: design considerations based on activity theory. In: Proceedings of the 2019 CHI Conference on Human Factors in Computing Systems - CHI 2019, pp. 1–14. ACM Press, New York (2019)
Hales, B.M., Pronovost, P.J.: The checklist–a tool for error management and performance improvement. J Crit Care. 21(3), 231–235 (2006)
Haynes, A.B., et al.: A surgical safety checklist to reduce morbidity and mortality in a global population. N. Engl. J. Med. 360(5), 491–499 (2009)
Borchard, A., Schwappach, D.L.B., Barbir, A., Bezzola, P.: A systematic review of the effectiveness, compliance, and critical factors for implementation of safety checklists in surgery. Ann. Surg. 256(6), 925–933 (2012)
Burian, B.K., Clebone, A., Dismukes, K., Ruskin, K.J.: More than a tick box: medical checklist development, design, and use. Anesth. Analg. 126(1), 223–232 (2018)
Madaio, M.A., Stark, L., Wortman Vaughan, J., Wallach, H.: Co-designing checklists to understand organizational challenges and opportunities around fairness in AI. In: Proceedings of the 2020 CHI Conference on Human Factors in Computing Systems, pp. 1–14. ACM, New York (2020)
Norman, D.: Cognitive engineering. In: Norman, D., Drapers, S.W., (eds.) User Centered System Design, pp. 31–61 (1986)
ISO - ISO 9241-210:2010 - Ergonomics of human-system interaction—Part 210: Human-centred design for interactive systems. https://www.iso.org/standard/52075.html. Accessed 10 Feb 2022
Schaeffer, N.E.: The role of human factors in the design and development of an insulin pump. J. Diabetes Sci. Technol. 6(2), 260–264 (2012)
Zickler, C., Halder, S., Kleih, S.C., Herbert, C., Kübler, A.: Brain painting: usability testing according to the user-centered design in end users with severe motor paralysis. Artif. Intell. Med. 59(2), 99–110 (2013)
Katsulis, Z., et al.: Iterative user centered design for development of a patient-centered fall prevention toolkit. Appl. Ergon. 56, 117–126 (2016)
Leinonen T. Designing Learning tools. Methodological insights (2010)
Leinonen, T., Durall-Gazulla, E.: Design thinking and collaborative learning. Comunicar: Revista Científica de Comunicación y Educación. 21(42), 107–116 (2014)
Durall, E., Perry, S., Hurley, M., Kapros, E., Leinonen, T.: Co-designing for equity in informal science learning: a proof-of-concept study of design principles. Front. Educ. 6, 204 (2021)
Franklin, A., et al.: Opportunistic decision making and complexity in emergency care. J. Biomed. Inform. 44(3), 469–476 (2011)
Degani, A., Wiener, E.L.: Cockpit checklists: concepts, design, and use. Hum. Factors 35(2), 345–359 (1993)
Bowie, P., et al.: Participatory design of a preliminary safety checklist for general practice. Br. J. Gen. Pract. 65(634), e330–e343 (2015)
Zamanzadeh, V., Ghahramanian, A., Rassouli, M., Abbaszadeh, A., Alavi-Majd, H., Nikanfar, A.-R.: Design and implementation content validity study: development of an instrument for measuring patient-centered communication. J. Caring Sci. 4(2), 165–178 (2015)
Kushniruk, A.W., Borycki, E.M.: Development of a video coding scheme for analyzing the usability and usefulness of health information systems. Stud. Health Technol. Inform. 218, 68–73 (2015)
Brooke, J.: SUS: a “quick and dirty” usability scale. In: Usability Evaluation in Industry, 189–194 (1996)
Lippelt, D.P., Hommel, B., Colzato, L.S.: Focused attention, open monitoring and loving kindness meditation: effects on attention, conflict monitoring, and creativity - a review. Front. Psychol. 5, 1083 (2014)
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Adapa, K. et al. (2022). Human-Centered Participatory Co-design of a Dosimetry-Quality Assurance Checklist in an Academic Cancer Center. In: Duffy, V.G. (eds) Digital Human Modeling and Applications in Health, Safety, Ergonomics and Risk Management. Health, Operations Management, and Design. HCII 2022. Lecture Notes in Computer Science, vol 13320. Springer, Cham. https://doi.org/10.1007/978-3-031-06018-2_1
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