Pediatric Trauma Dashboard

Designed dashboard to improve team care and coordination for pediatric trauma patients

Role

UX Researcher and Designer

Industry

Healthcare

Duration

12 months

Image of pediatric dashboard
Image of pediatric dashboard
Image of pediatric dashboard

Background Research

Pediatric trauma patients are cared for by many different clinical teams and experience multiple handoffs. Current IT solutions do not support coordination of care. The team needed a responsive UI dashboard that would provide access to information on a large display in the trauma bay and on smaller devices used in all areas of the hospital.

Identified stakeholders and interviewed 38 members of the pediatric trauma clinical team. Sent a survey to all employees involved in pediatric trauma and received 77 responses.

Participatory Design

Conducted 7 brainstorming interviews and a co-design session with stakeholders to define user requirements and design initial concepts.

Sticky notes from co-design session

Prototype Development

  • Designed wireframes and low fidelity prototype for concept testing with clinical stakeholders

  • Worked with Hopkins digital team to develop high fidelity prototype

The prototype features:

  • Patient and care team information

  • Timeline of major events, vitals, and medications

  • Primary and secondary surveys

  • Mannequin displaying height, weight, GCS, "problem list"

Background Research

Pediatric trauma patients are cared for by many different clinical teams and experience multiple handoffs. Current IT solutions do not support coordination of care. The team needed a responsive UI dashboard that would provide access to information on a large display in the trauma bay and on smaller devices used in all areas of the hospital.

Identified stakeholders and interviewed 38 members of the pediatric trauma clinical team. Sent a survey to all employees involved in pediatric trauma and received 77 responses.

Participatory Design

Conducted 7 brainstorming interviews and a co-design session with stakeholders to define user requirements and design initial concepts.

Sticky notes from co-design session

Prototype Development

  • Designed wireframes and low fidelity prototype for concept testing with clinical stakeholders

  • Worked with Hopkins digital team to develop high fidelity prototype

The prototype features:

  • Patient and care team information

  • Timeline of major events, vitals, and medications

  • Primary and secondary surveys

  • Mannequin displaying height, weight, GCS, "problem list"

Usability Testing

Facilitated remote usability testing due to Covid 19 pandemic using wizard of oz strategy and a case vignette. At each step in the case, participants were asked "What information do you need to know, and can you find that on the screen?". Participants also completed a questionnaire with a modified system usability score.

Tested with 21 key stakeholders:

  • 8 Emergency: 3 attendings, 2 fellows, 2 nurses, 1 pharmacist

  • 6 Pediatric ICU: 3 attendings, 1 fellow, 2 nurses

  • 6 Surgery: 2 attendings, 1 fellow, 2 residents, 1 nurse practitioner

  • 1 Social Worker

Results

What worked well:

  • Vitals timeline

  • Mannequin as the "problem list"

  • Primary and Secondary Surveys

    "I like the visualization of a patient and where things are. So, the IV, the ET tube, the collar, where the injuries are, I think that is helpful"

What did not work well:

  • Colors and display for medication, GCS, diagnostic certainty

  • Missing information for allergies and other vitals

  • Hover- over features

"I think it's a little hard for something like temperature when the scale is so different that- like, I might not pick up the blood pressure and heart rate trends visually are most important. So, you're going to lose some discriminating ability with that"

Final design

The redesigned dashboard featured:

  • GCS location in top left with all 3 components

  • Numerical values for vitals in timeline

  • More clinical information

  • Different colors for medications

  • Timestamps on primary and secondary surveys

  • Clearer diagnosis status language

  • Pulses and chest tube on mannequin

Final design

The redesigned dashboard featured:

  • GCS location in top left with all 3 components

  • Numerical values for vitals in timeline

  • More clinical information

  • Different colors for medications

  • Timestamps on primary and secondary surveys

  • Clearer diagnosis status language

  • Pulses and chest tube on mannequin

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