Table 4.
Usability problems and opportunities for improvement—nurses’ feedback.
Component | Usability problems | Suggested opportunities for improvement in future design | Example of nurse feedback |
Rules | Can not customize rules to include each patient’s dry weight | Add customization capability to include dry weight | they have to have a dry weight...having the patient know a weight that is optimal where they are not overloaded or too dry |
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Changing standards | Add customization capability to change rules according to new standards | There are also shifts from research…we’ve been using weight gain of 2 to 3 pounds for years...they decided that is really not helpful...they are still looking at weight change but if it is 4 pounds or more... |
Dashboard: all patients | Anomalies | Allow edits or deletes | The nurse highlighted a spike in one patient’s weight explaining that it was not real because he was weighing himself with his cat so there is a need to delete anomalies |
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Gaps in data | Improve the process to prevent gaps in data |
with it (data) not always being downloaded everyday, I see this big jump and I go what am I to do with that? |
Dashboard: individual patient views | Identifying uncontrolled cases | Control charts | if you do a control chart, there is a pattern that starts appearing before hand and then you can see what’s going on and pay more attention |
Alerts | False positives | Add rules to reduce False Positives | I would like to trust that text is something I need to look at… because about 95% of the time the alerts have been normal… |
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or we wanted that to happen so we get an alert for the weight drop and we wanted the weight to drop but it comes up as a high-risk |