scholarly journals State-of-the-art of Dashboards on Clinical Indicator Data to support Reflection on Practice: A Scoping Review (Preprint)

10.2196/32695 ◽  
2021 ◽  
Author(s):  
Bernard Bucalon ◽  
Kerri Brown ◽  
Tim Shaw ◽  
Judy Kay

2021 ◽  
Author(s):  
Bernard Bucalon ◽  
Kerri Brown ◽  
Tim Shaw ◽  
Judy Kay

BACKGROUND There is an increasing interest to use routinely collected electronic health data to support reflective practice and long-term professional learning. Studies have evaluated the impact of dashboards on clinician decision-making, task completion time, user satisfaction, and adherence to clinical guidelines. OBJECTIVE The scoping review will summarize the literature on dashboards based on patient administrative, medical, and surgical data for clinicians to support reflective practice. METHODS A scoping review was conducted using the Arksey and O’Malley framework. A search was conducted in five electronic databases (MEDLINE, EMBASE, Scopus, ACM Digital Library, Web of Science) to identify studies that meet the inclusion criteria. Study selection and characterization were performed by two independent reviewers. One reviewer extracted the data that was analyzed descriptively to map the available evidence. RESULTS A total of 18 dashboards from eight countries were assessed. Purposes for the dashboards were designed for performance improvement (n=10), to support quality and safety initiatives (n=6), and management and operations (n=4). Data visualizations were primarily designed for team use (n=12) rather than individual clinicians (n=4). Evaluation methods varied between asking the clinicians directly (n=11), observing user behavior through clinical indicator and usage log data (n=14), and usability testing (n=4). The studies reported high scores from standard usability questionnaires, favorable surveys, and interview feedback. Improvements to underlying clinical indicators were observed in seven of nine studies, while two studies reported no significant changes to performance. CONCLUSIONS This scoping review maps the current landscape of literature on dashboards based on routinely collected clinical indicator data. While there were common data visualization techniques and clinical indicators used across studies, there was diversity in the design of the dashboards and their evaluation. There was a lack of detail in design processes documented for reproducibility. We identified a lack of interface features to support clinicians to make sense of and reflect on their performance data for long-term professional learning.



2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Jason W. Ostrowe

PurposeThe purpose of this state-of-the-art review is to explore the empirical literature on federal intervention of police under 42 USC Section 14141.Design/methodology/approachA five-stage scoping review of the empirical literature related to 14141 was conducted through searches of scholarly databases and gray literature.FindingsThis scoping review revealed 21 empirical studies of 14141 published between 2002 and 2020 in criminal justice, criminology, legal and gray literature. Researchers employed various methodologies and designs to study 14141 reflecting the complexity of evaluating a multistage and multi-outcome federal intervention of police. The success of 14141 to reform police agencies is mixed. The empirical evidence suggests that application of this law is fraught with trade-offs and uncertainties including de-policing, increased crime and organizational difficulties in sustaining reform. Overall, more research would assist in understanding the efficacy of this federal mechanism of police accountability and reform.Originality/valueThis review is the first synthesis of the empirical literature on 14141. In consideration of the current national police crisis, findings help illuminate both what is known about federal intervention and areas for future research.



2018 ◽  
Vol 20 (3) ◽  
pp. 225-239 ◽  
Author(s):  
Yinthe Feys ◽  
Antoinette Verhage ◽  
Dominique Boels

The method and results of a scoping review, based on the principles of a systematic literature review, on police accountability are presented with the aim of providing an overview of the characteristics of empirical research on the topic and the main themes covered in this research tradition. To our knowledge, no systematically conducted review has been undertaken although one could help to identify gaps in the (empirical) literature and give insights into the themes studied in this regard. Three main themes were discovered during the review; aside from police accountability as such, many studies related to police integrity or, to a lesser extent, historical facts concerning police accountability or integrity. Two of the most striking findings were the low number of empirical studies included in our thematic synthesis and the limited amount of methodological information reported in these publications. As such, the authors recommend more empirical research regarding police accountability and, more generally, sufficient methodological reporting when writing a publication.



1997 ◽  
Vol 27 (4) ◽  
pp. 168-170
Author(s):  
Rachel Portelli ◽  
Jenny Brosi ◽  
Brian Collopy

In early 1997, the Australian Council on Healthcare Standards (ACHS) Care Evaluation Program (CEP) collaborated with the National Centre for Classification in Health (NCCH) to determine the feasibility of matching ICD-9-CM codes with a selected number of clinical indicators developed by CEP. While the results of this activity were encouraging, CEP is hesitant in advocating the use of ICD-9-CM as the complete answer to the data collection ‘burden’ experienced by health care organisations collecting clinical indicator data.1 CEP is concerned that obtaining clinical indicator data through ICD-9-CM coding alone may limit clinician participation in quality activities, narrow the focus of performance monitoring to one department, potentially compromise the intent of the indicators, and encourage a culture of ‘near enough is good enough’. This paper examines the limitations of ICD-9-CM coding as the sole means of extracting clinical indicator data.



Physiotherapy ◽  
2021 ◽  
Vol 113 ◽  
pp. e173-e174
Author(s):  
J. Mistry ◽  
N. Heneghan ◽  
T. Noblet ◽  
D. Falla ◽  
A. Rushton


2021 ◽  
Vol 9 ◽  
Author(s):  
Alexandra Ullsten ◽  
Matilda Andreasson ◽  
Mats Eriksson

Introduction: Parents' active involvement during painful procedures is considered a critical first step in improving neonatal pain practices. Of the non-pharmacological approaches in use, the biopsychosocial perspective supports parent-delivered interventions, in which parents themselves mediate pain relief, consistent with modern family-integrated care. This scoping review synthesizes the available research to provide an overview of the state of the art in parent-delivered pain-relieving interventions.Methods: A scoping review was performed to achieve a broad understanding of the current level of evidence and uptake of parent-driven pain- and stress-relieving interventions in neonatal care.Results: There is a strong evidence for the efficacy of skin-to-skin contact and breastfeeding, preferably in combination. These parent-delivered interventions are safe, valid, and ready for prompt introduction in infants' pain care globally. Research into parents' motivations for, and experiences of, alleviating infant pain is scarce. More research on combined parent-delivered pain alleviation, including relationship-based interventions such as the parent's musical presence, is needed to advance infant pain care. Guidelines need to be updated to include infant pain management, parent-delivered interventions, and the synergistic effects of combining these interventions and to address parent involvement in low-income and low-tech settings.Conclusions: A knowledge-to-practice gap currently remains in parent-delivered pain management for infants' procedure-related pain. This scoping review highlights the many advantages of involving parents in pain management for the benefit not only of the infant and parent but also of health care.



Author(s):  
G. Bonanno Ferraro ◽  
C. Veneri ◽  
P. Mancini ◽  
M. Iaconelli ◽  
E. Suffredini ◽  
...  


Author(s):  
Anoek M. Geers ◽  
Erik C. Prinsen ◽  
Dick J. van der Pijl ◽  
Arjen Bergsma ◽  
Johan S. Rietman ◽  
...  


Author(s):  
Marialuisa GANDOLFI ◽  
Nicola VALÈ ◽  
Federico POSTERARO ◽  
Giovanni MORONE ◽  
Antonella DELL’ORCO ◽  
...  




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