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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

  1. Marks, L.B., et al.: The challenge of maximizing safety in radiation oncology. Pract. Radiat. Oncol. 1(1), 2–14 (2011)

    Article  Google Scholar 

  2. 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)

    Article  Google Scholar 

  3. Das, P., et al.: Rate of radiation therapy events in a large academic institution. J. Am. Coll. Radiol. 10(6), 452–455 (2013)

    Article  Google Scholar 

  4. 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)

    Article  Google Scholar 

  5. 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)

    Article  Google Scholar 

  6. 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)

    Article  Google Scholar 

  7. 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)

    Article  Google Scholar 

  8. 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)

    Article  Google Scholar 

  9. 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

  10. 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)

    Google Scholar 

  11. Hales, B.M., Pronovost, P.J.: The checklist–a tool for error management and performance improvement. J Crit Care. 21(3), 231–235 (2006)

    Article  Google Scholar 

  12. 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)

    Article  Google Scholar 

  13. 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)

    Article  Google Scholar 

  14. 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)

    Article  Google Scholar 

  15. 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)

    Google Scholar 

  16. Norman, D.: Cognitive engineering. In: Norman, D., Drapers, S.W., (eds.) User Centered System Design, pp. 31–61 (1986)

    Google Scholar 

  17. 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

  18. 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)

    Article  Google Scholar 

  19. 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)

    Article  Google Scholar 

  20. Katsulis, Z., et al.: Iterative user centered design for development of a patient-centered fall prevention toolkit. Appl. Ergon. 56, 117–126 (2016)

    Article  Google Scholar 

  21. Leinonen T. Designing Learning tools. Methodological insights (2010)

    Google Scholar 

  22. Leinonen, T., Durall-Gazulla, E.: Design thinking and collaborative learning. Comunicar: Revista Científica de Comunicación y Educación. 21(42), 107–116 (2014)

    Article  Google Scholar 

  23. 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)

    Article  Google Scholar 

  24. Franklin, A., et al.: Opportunistic decision making and complexity in emergency care. J. Biomed. Inform. 44(3), 469–476 (2011)

    Article  Google Scholar 

  25. Degani, A., Wiener, E.L.: Cockpit checklists: concepts, design, and use. Hum. Factors 35(2), 345–359 (1993)

    Article  Google Scholar 

  26. Bowie, P., et al.: Participatory design of a preliminary safety checklist for general practice. Br. J. Gen. Pract. 65(634), e330–e343 (2015)

    Article  Google Scholar 

  27. 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)

    Article  Google Scholar 

  28. 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)

    Google Scholar 

  29. Brooke, J.: SUS: a “quick and dirty” usability scale. In: Usability Evaluation in Industry, 189–194 (1996)

    Google Scholar 

  30. 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)

    Article  Google Scholar 

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Correspondence to Karthik Adapa .

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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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  • DOI: https://doi.org/10.1007/978-3-031-06018-2_1

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