Evidence map›Paper›PMID 25158762›Full record

ArticleBMC medical informatics and decision making2014

Improving access to clinical practice guidelines with an interactive graphical interface using an iconic language.

Suzanne Pereira, Sylvain Hassler, Saliha Hamek, César Boog, Nicolas Leroy, Marie-Catherine Beuscart-Zéphir, Madeleine Favre, Alain Venot, Catherine Duclos, Jean-Baptiste Lamy

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Article in BMC medical informatics and decision making, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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0cells of the map it votes in
2citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Suzanne Pereira
Sylvain Hassler
Saliha Hamek
César Boog
Nicolas Leroy
Marie-Catherine Beuscart-Zéphir
Madeleine Favre
Alain Venot
Catherine Duclos
Jean-Baptiste Lamy, Laboratoire d'informatique médicale et d'ingénierie des connaissances en e-santé (LIMICS), Université Paris 13, Sorbonne Paris Cité, INSERM UMRS 1142, Université Paris 6, 74 rue Marcel Cachin, 93017 Bobigny, France. jean-baptiste.lamy@univ-paris13.fr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundClinical practice guidelines are useful for physicians, and guidelines are available on the Internet from various websites such as Vidal Recos. However, these guidelines are long and difficult to read, especially during consultation. Similar difficulties have been encountered with drug summaries of product characteristics. In a previous work, we have proposed an iconic language (called VCM, for Visualization of Concepts in Medicine) for representing patient conditions, treatments and laboratory tests, and we have used these icons to design a user interface that graphically indexes summaries of product characteristics. In the current study, our objective was to design and evaluate an iconic user interface for the consultation of clinical practice guidelines by physicians.

methodsFocus groups of physicians were set up to identify the difficulties encountered when reading guidelines. Icons were integrated into Vidal Recos, taking human factors into account. The resulting interface includes a graphical summary and an iconic indexation of the guideline. The new interface was evaluated. We compared the response times and the number of errors recorded when physicians answered questions about two clinical scenarios using the interactive iconic interface or a textual interface. Users' perceived usability was evaluated with the System Usability Scale.

resultsThe main difficulties encountered by physicians when reading guidelines were obtaining an overview and finding recommendations for patients corresponding to "particular cases". We designed a graphical interface for guideline consultation, using icons to identify particular cases and providing a graphical summary of the icons organized by anatomy and etiology. The evaluation showed that physicians gave clinical responses more rapidly with the iconic interface than the textual interface (25.2 seconds versus 45.6, p < 0.05). The physicians appreciated the new interface, and the System Usability Scale score value was 75 (between good and excellent).

conclusionAn interactive iconic interface can provide physicians with an overview of clinical practice guidelines, and can decrease the time required to access the content of such guidelines.

Indexed as

Computer GraphicsMedical Informatics ApplicationsPractice Guidelines as TopicUser-Computer InterfaceHumans

Identifiers

PMID25158762
PMCPMC4153004

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.