TY - JOUR
T1 - Acceptability of the decision support for safer surgery tool
AU - Norton, Wynne E.
AU - Hosokawa, Patrick W.
AU - Henderson, William G.
AU - Volckmann, Eric T.
AU - Pell, Joyce
AU - Tomeh, Majed G.
AU - Glasgow, Robert E.
AU - Min, Sung Joon
AU - Neumayer, Leigh A.
AU - Hawn, Mary T.
N1 - Funding Information:
This work was funded by grant # 5R44NR010653 from the National Institute of Nursing Research Small Business Innovation Grant. Dr Tomeh is the CEO of QCMetrix, Inc, and has potential financial interest in the development of the decision support model discussed in this article. Mr Hosokawa and Dr Norton received consulting fees from QCMetrix, Inc . The remaining authors declare no conflicts of interest.
Publisher Copyright:
© 2015 Elsevier Inc.
PY - 2015/6/1
Y1 - 2015/6/1
N2 - Background We examined providers' perceptions of the Decision Support for Safer Surgery (DS3) tool, which provided preoperative patient-level risk estimates of postoperative adverse events. Methods The DS3 tool was evaluated at 2 academic medical centers. During the validation study, surgeons provided usefulness ratings of the DS3 tool for each patient before surgery. At the end of the study, providers' perceptions of the DS3 tool were assessed via questionnaire. Data were analyzed using descriptive statistics and independent samples t tests. Results During the trial, 23 surgeons completed usefulness ratings of the DS3 tool for 1,006 patients. Surgeons rated the tool as "very useful" or "moderately useful" in 251 (25%) of the cases, "neutral" in 469 (46.6%) of the cases, and "moderately unuseful" or "not useful" in 286 (28.4%) cases. At the end of the trial, 32 providers completed the questionnaire; perceptions were relatively neutral, although several aspects were rated quite favorably. Conclusion The DS3 tool may be most useful for achieving particular tasks (eg, training novice surgeons, increasing patient engagement) or encouraging specific processes (eg, team-based care) in surgical care settings.
AB - Background We examined providers' perceptions of the Decision Support for Safer Surgery (DS3) tool, which provided preoperative patient-level risk estimates of postoperative adverse events. Methods The DS3 tool was evaluated at 2 academic medical centers. During the validation study, surgeons provided usefulness ratings of the DS3 tool for each patient before surgery. At the end of the study, providers' perceptions of the DS3 tool were assessed via questionnaire. Data were analyzed using descriptive statistics and independent samples t tests. Results During the trial, 23 surgeons completed usefulness ratings of the DS3 tool for 1,006 patients. Surgeons rated the tool as "very useful" or "moderately useful" in 251 (25%) of the cases, "neutral" in 469 (46.6%) of the cases, and "moderately unuseful" or "not useful" in 286 (28.4%) cases. At the end of the trial, 32 providers completed the questionnaire; perceptions were relatively neutral, although several aspects were rated quite favorably. Conclusion The DS3 tool may be most useful for achieving particular tasks (eg, training novice surgeons, increasing patient engagement) or encouraging specific processes (eg, team-based care) in surgical care settings.
KW - Clinical decision making
KW - Clinical decision support tools
KW - Delivery science
KW - Implementation science
KW - Risk estimates
KW - Team-based care
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U2 - 10.1016/j.amjsurg.2014.06.037
DO - 10.1016/j.amjsurg.2014.06.037
M3 - Article
C2 - 25457241
AN - SCOPUS:84930083492
VL - 209
SP - 977
EP - 984
JO - American Journal of Surgery
JF - American Journal of Surgery
SN - 0002-9610
IS - 6
ER -