Table 3.

Summary of qualitative analysis of think aloud process

	Content	Format
Original PEM	Lots of Detail  - Thorough  - Good background information  - Nice narrative Too Much Information  - Information that is not relevant to patient care  - Too much information in tables  - Overwhelming  - Too much introductory/background information Purpose Not Clear  - Objective of PEM not specified Vague Conclusions  - Vague and not actionable in practice Tables  - Too much statistical data  - Not clear	Hard to Read  - Too much text  - Dense prose  - Difficult to skim  - Difficult to pick out key points  - No bullets  - Requires concentration to read  - Hard to use in practice Unorganized Layout  - Poorly formatted  - Tables disrupt flow of text  - Insufficient white space Tables  - Cluttered  - Inconsistent formatting Graphic on First Page  - No legend, title, or explanation  - Confusing  - Childish  - Distracting from the information  - However,  - Draws attention to the PEM  - Artistic Color  - Colors do not match  - Too many colors, too busy Visual Appeal  - Bright and colorful  - Attracts attention  - Larger font  - Good use of headings
Redesigned PEM	Key Messages  - Three easy to read bullets  - Make purpose of PEM clear  - Helpful for quick reference Conclusion  - Useful  - Brief and clear Not Specific Enough  - More specific dosing information  - No information on patient care  - Key messages too vague Tables  - Tables difficult to understand  - Statistical data difficult to interpret Layout  - Box on harms below conclusion was confusing Useful in Practice	Tables  - Rows not organized by magnitude of harms  - Tables difficult to understand  - Text too small Layout  - Lacking flow from section to section Visually Appealing  - Use of white space  - Use of soft colors  - Not visually overwhelming  - Small graphics (stethoscope) used to highlight key areas Easy to Read  - Easy to identify key information  - Easy to skim or scan PEM  - Uses bullet points and point form  - Layout is easy to follow  - Color coding used to match text to tables  - Not too much information, less complex  - Tables have fewer, easier to interpret statistics Layout  - Use of boxes for additional information  - Tables all on one page  - Division of text by study type Small Font Useful in Practice