Transitioning Cognitive Aids into Decision Support Platforms: Requirements and Design Guidelines.
ACM Transactions on Computer-Human Interaction · 2023-06-01 · Qualitative study
Abstract
Digital cognitive aids have the potential to serve as clinical decision support platforms, triggering alerts about process delays and recommending interventions. In this mixed-methods study, we examined how a digital checklist for pediatric trauma resuscitation could trigger decision support alerts and recommendations. We identified two criteria that cognitive aids must satisfy to support these alerts: (1) context information must be entered in a timely, accurate, and standardized manner, and (2) task status must be accurately documented. Using co-design sessions and near-live simulations, we created two checklist features to satisfy these criteria: a form for entering the pre-hospital information and a progress slider for documenting the progression of a multi-step task. We evaluated these two features in the wild, contributing guidelines for designing these features on cognitive aids to support alerts and recommendations in time- and safety-critical scenarios.
Abstract © the authors or publisher, via PubMed. Reuse and removal
Tags
Checklists & cognitive aids · Children · Decision support tools · Implementation · Teamwork & human factors
Related articles
- Open source handheld-based EMR for paramedics working in rural areas. (Proc AMIA Symp, 2002)
- A review on decision support for massive transfusion: understanding human factors to support the implementation of complex interventions in trauma. (Transfusion, 2012)
- Development of a Mobile Application for EMS Treatment Protocols Based on a Human-Centered Design Approach. (Prehosp Emerg Care, 2026)
- Enhancing prehospital decision-making: exploring user needs and design considerations for clinical decision support systems. (BMC Med Inform Decis Mak, 2025)
- Implementation and use of computerised clinical decision support (CCDS) in emergency pre-hospital care: a qualitative study of paramedic views and experience using Strong Structuration Theory. (Implement Sci, 2018)
- Implementation of clinical decision support in young children with acute gastroenteritis: a randomized controlled trial at the emergency department. (Eur J Pediatr, 2017)