Best Practices for Data Visualization: Creating and Evaluating a Report for an Evidence-based Fall Prevention Program

Overview

Journal J Am Med Inform Assoc

Publisher Oxford University Press

Specialty Medical Informatics

Date 2019 Nov 8

PMID 31697326

Citations 5

Authors

Srijesa Khasnabish

Zoe Burns

Madeline Couch

Mary Mullin

Randall Newmark

Patricia C Dykes

Affiliations

Soon will be listed here.

Abstract

This case report applied principles from the data visualization (DV) literature and feedback from nurses to develop an effective report to display adherence with an evidence-based fall prevention program. We tested the usability of the original and revised reports using a Health Information Technology Usability Evaluation Scale (Health-ITUES) customized for this project. Items were rated on a 5-point Likert scale, strongly disagree (1) to strongly agree (5). The literature emphasized that the ideal display maximizes the information communicated, minimizes the cognitive efforts involved with interpretation, and selects the correct type of display (eg, bar versus line graph). Semi-structured nurse interviews emphasized the value of simplified reports and meaningful data. The mean (standard deviation [SD]) Health-ITUES score for the original report was 3.86 (0.19) and increased to 4.29 (0.11) in the revised report (Mann Whitney U Test, z = -12.25, P < 0.001). Lessons learned from this study can inform report development for clinicians in implementation science.

Citing Articles

Health Tracking via Mobile Apps for Depression Self-management: Qualitative Content Analysis of User Reviews.

Polhemus A, Simblett S, Dawe-Lane E, Gilpin G, Elliott B, Jilka S JMIR Hum Factors. 2022; 9(4):e40133.

PMID: 36416875 PMC: 9730209. DOI: 10.2196/40133.

Human Factors and Organizational Issues in Health Informatics: Innovations and Opportunities.

Marquard J Yearb Med Inform. 2021; 30(1):91-99.

PMID: 34479382 PMC: 8416208. DOI: 10.1055/s-0041-1726511.

Designing a Consumer-Friendly Radiology Report using a Patient-Centered Approach.

Alarifi M, Patrick T, Jabour A, Wu M, Luo J J Digit Imaging. 2021; 34(3):705-716.

PMID: 33903982 PMC: 8329124. DOI: 10.1007/s10278-021-00448-z.

Older Adults Can Successfully Monitor Symptoms Using an Inclusively Designed Mobile Application.

Reading Turchioe M, Grossman L, Baik D, Lee C, Maurer M, Goyal P J Am Geriatr Soc. 2020; 68(6):1313-1318.

PMID: 32157679 PMC: 7323569. DOI: 10.1111/jgs.16403.

Use, Perceived Usability, and Barriers to Implementation of a Patient Safety Dashboard Integrated within a Vendor EHR.

Bersani K, Fuller T, Garabedian P, Espares J, Mlaver E, Businger A Appl Clin Inform. 2020; 11(1):34-45.

PMID: 31940670 PMC: 6962088. DOI: 10.1055/s-0039-3402756.

References

Gerteis M, Gerteis J, Newman D, Koepke C . Testing consumers' comprehension of quality measures using alternative reporting formats. Health Care Financ Rev. 2007; 28(3):31-45. PMC: 4194990. View

Brewer N, Gilkey M, Lillie S, Hesse B, Sheridan S . Tables or bar graphs? Presenting test results in electronic medical records. Med Decis Making. 2012; 32(4):545-53. PMC: 3770735. DOI: 10.1177/0272989X12441395. View

Galesic M, Garcia-Retamero R . Graph literacy: a cross-cultural comparison. Med Decis Making. 2010; 31(3):444-57. DOI: 10.1177/0272989X10373805. View

Arcia A, Woollen J, Bakken S . A Systematic Method for Exploring Data Attributes in Preparation for Designing Tailored Infographics of Patient Reported Outcomes. EGEMS (Wash DC). 2018; 6(1):2. PMC: 5983055. DOI: 10.5334/egems.190. View

Klimov D, Shknevsky A, Shahar Y . Exploration of patterns predicting renal damage in patients with diabetes type II using a visual temporal analysis laboratory. J Am Med Inform Assoc. 2014; 22(2):275-89. PMC: 11749123. DOI: 10.1136/amiajnl-2014-002927. View

Martinez R, Ordunez P, Soliz P, Ballesteros M . Data visualisation in surveillance for injury prevention and control: conceptual bases and case studies. Inj Prev. 2016; 22 Suppl 1:i27-33. PMC: 4833094. DOI: 10.1136/injuryprev-2015-041812. View

Gaissmaier W, Wegwarth O, Skopec D, Muller A, Broschinski S, Politi M . Numbers can be worth a thousand pictures: individual differences in understanding graphical and numerical representations of health-related information. Health Psychol. 2011; 31(3):286-96. DOI: 10.1037/a0024850. View

Dykes P, Carroll D, Hurley A, Lipsitz S, Benoit A, Chang F . Fall prevention in acute care hospitals: a randomized trial. JAMA. 2010; 304(17):1912-8. PMC: 3107709. DOI: 10.1001/jama.2010.1567. View

Powsner S, Tufte E . Graphical summary of patient status. Lancet. 1994; 344(8919):386-9. DOI: 10.1016/s0140-6736(94)91406-0. View

10.

Dykes P, Duckworth M, Cunningham S, DuBois S, Driscoll M, Feliciano Z . Pilot Testing Fall TIPS (Tailoring Interventions for Patient Safety): a Patient-Centered Fall Prevention Toolkit. Jt Comm J Qual Patient Saf. 2017; 43(8):403-413. DOI: 10.1016/j.jcjq.2017.05.002. View

11.

Brasher P, Brant R . Pictures worthy of a thousand words. Can J Anaesth. 2010; 57(11):961-5. DOI: 10.1007/s12630-010-9358-5. View

12.

Wu D, Chen A, Manning J, Levy-Fix G, Backonja U, Borland D . Evaluating visual analytics for health informatics applications: a systematic review from the American Medical Informatics Association Visual Analytics Working Group Task Force on Evaluation. J Am Med Inform Assoc. 2019; 26(4):314-323. PMC: 7647177. DOI: 10.1093/jamia/ocy190. View

13.

Hildon Z, Allwood D, Black N . Impact of format and content of visual display of data on comprehension, choice and preference: a systematic review. Int J Qual Health Care. 2011; 24(1):55-64. DOI: 10.1093/intqhc/mzr072. View

14.

Monsen K, Peterson J, Mathiason M, Kim E, Lee S, Chi C . Data Visualization Techniques to Showcase Nursing Care Quality. Comput Inform Nurs. 2015; 33(10):417-26. DOI: 10.1097/CIN.0000000000000190. View

15.

Asada Y, Abel H, Skedgel C, Warner G . On Effective Graphic Communication of Health Inequality: Considerations for Health Policy Researchers. Milbank Q. 2017; 95(4):801-835. PMC: 5723719. DOI: 10.1111/1468-0009.12300. View

16.

Dykes P, Carroll D, Hurley A, Gersh-Zaremski R, Kennedy A, Kurowski J . Fall TIPS: strategies to promote adoption and use of a fall prevention toolkit. AMIA Annu Symp Proc. 2010; 2009:153-7. PMC: 2815501. View

17.

Dowding D, Russell D, Jonas K, Onorato N, Barron Y, Merrill R . Does Level of Numeracy and Graph Literacy Impact Comprehension of Quality Targets? Findings from a Survey of Home Care Nurses. AMIA Annu Symp Proc. 2018; 2017:635-640. PMC: 5977578. View

18.

Davis C, McNair A, Brigic A, Clarke M, Brookes S, Thomas M . Optimising methods for communicating survival data to patients undergoing cancer surgery. Eur J Cancer. 2010; 46(18):3192-9. DOI: 10.1016/j.ejca.2010.07.030. View

19.

Moher D, Liberati A, Tetzlaff J, Altman D . Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009; 6(7):e1000097. PMC: 2707599. DOI: 10.1371/journal.pmed.1000097. View

20.

Bauer D, Guerlain S, Brown P . The design and evaluation of a graphical display for laboratory data. J Am Med Inform Assoc. 2010; 17(4):416-24. PMC: 2995657. DOI: 10.1136/jamia.2009.000505. View