Blood product ordering in pediatrics is highly complex as providers must incorporate patient factors, workflow factors, and transfusion-related factors to make appropriate choices. We used user-centered design principles to standardize blood product ordering across a large pediatric healthcare system. Despite performing a heuristic review and re-design with stakeholders, scenario-based usability testing performed in the clinical setting demonstrated a high rate of severe ordering errors, leading to substantial changes in order set design. We describe a low-cost approach to incorporate scenario-based usabilty testing into design of high-risk clinical decision support.

Describe the new knowledge and additional skills the participant will gain after attending your presentation.: The participant will learn about the value of and low-cost methods to perform scenario-based usability testing when implementing or optimizing high risk clinical decision support. We anticipate that a wide variety of stakeholders will be interested in this session including CMIO/CHIOs, CNIOs, quality improvement leaders, and clinical and operational leaders focused on health information technology safety.


Evan Orenstein (Presenter)
Emory University

Jennifer Jones, Children's Healthcare of Atlanta
Jessica Hike, Children's Healthcare of Atlanta
Herb Williams, Children's Healthcare of Atlanta
Cassandra Josephson, Emory University

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