Skip to main content
Erschienen in: Journal of Medical Systems 12/2016

01.12.2016 | Systems-Level Quality Improvement

Clinical Data Visualization: The Current State and Future Needs

verfasst von: Jonathan P. Wanderer, Sara E. Nelson, Jesse M. Ehrenfeld, Shelby Monahan, Soojin Park

Erschienen in: Journal of Medical Systems | Ausgabe 12/2016

Einloggen, um Zugang zu erhalten

Abstract

The growing volume of clinical data in modern medical practice creates difficulties for clinicians when attempting to come to a full understanding of each patient’s overall health status. Many different approaches to computer-based visualizations have been taken in an attempt to alleviate this burden; however, no single approach has been widely adopted. As a step towards optimization and standardization of data visualization in healthcare, this paper presents a diverse set of approaches to visualization for multiple organ systems. To do so we summarize best practices in design and evaluation while proposing usability testing methodology. We then review and illustrate the goals of various clinical data visualization techniques.
Fußnoten
Literatur
1.
Zurück zum Zitat Jensen, P. B., Jensen, L. J., and Brunak, S., Mining electronic health records: Towards better research applications and clinical care. Nat. Rev. Genet. 13(6):395–405, 2012.CrossRefPubMed Jensen, P. B., Jensen, L. J., and Brunak, S., Mining electronic health records: Towards better research applications and clinical care. Nat. Rev. Genet. 13(6):395–405, 2012.CrossRefPubMed
2.
Zurück zum Zitat Stead, W., and Lin, H., National research council (US). committee on engaging the computer science research community in health care informatics: Computational technology for effective health care: Immediate steps and strategic directions. National Academies Press, Washington DC, 2009. Stead, W., and Lin, H., National research council (US). committee on engaging the computer science research community in health care informatics: Computational technology for effective health care: Immediate steps and strategic directions. National Academies Press, Washington DC, 2009.
3.
Zurück zum Zitat Staggers, N., A systematic review on the designs of clinical technology: Findings and recommendations for future research. ANS Adv. Nurs. Sci. 32(3):252, 2009.CrossRefPubMedPubMedCentral Staggers, N., A systematic review on the designs of clinical technology: Findings and recommendations for future research. ANS Adv. Nurs. Sci. 32(3):252, 2009.CrossRefPubMedPubMedCentral
4.
Zurück zum Zitat Badgeley, M. A., Shameer, K., Glicksberg, B. S., Tomlinson, M. S., Levin, M. A., McCormick, P. J., Kasarskis, A., Reich, D. L., and Dudley, J. T., EHDViz: Clinical dashboard development using open-source technologies. BMJ Open 6(3):e010579, 2016.CrossRefPubMedPubMedCentral Badgeley, M. A., Shameer, K., Glicksberg, B. S., Tomlinson, M. S., Levin, M. A., McCormick, P. J., Kasarskis, A., Reich, D. L., and Dudley, J. T., EHDViz: Clinical dashboard development using open-source technologies. BMJ Open 6(3):e010579, 2016.CrossRefPubMedPubMedCentral
5.
6.
Zurück zum Zitat Wallace, C. J., Bigelow, S., Xu, X., and Elstein, L., Collaborative practice: Usability of text-based, electronic patient care guidelines. Comput. Inform. Nurs. 25(1):39–44, 2007.CrossRefPubMed Wallace, C. J., Bigelow, S., Xu, X., and Elstein, L., Collaborative practice: Usability of text-based, electronic patient care guidelines. Comput. Inform. Nurs. 25(1):39–44, 2007.CrossRefPubMed
7.
Zurück zum Zitat Wachter, S. B., Noah, S., Drews, F., Weinger, M. B., and Westenskow, D., The employment of an iterative design process to develop a pulmonary graphical display. J. Am. Med. Inform. Assoc. 10(4):363–372, 2003.CrossRefPubMedPubMedCentral Wachter, S. B., Noah, S., Drews, F., Weinger, M. B., and Westenskow, D., The employment of an iterative design process to develop a pulmonary graphical display. J. Am. Med. Inform. Assoc. 10(4):363–372, 2003.CrossRefPubMedPubMedCentral
8.
Zurück zum Zitat Gurses, A. P., Xiao, Y., and Hu, P., User-designed information tools to support communication and care coordination in a trauma hospital. J. Biomed. Inform. 42(4):667–677, 2009.CrossRefPubMed Gurses, A. P., Xiao, Y., and Hu, P., User-designed information tools to support communication and care coordination in a trauma hospital. J. Biomed. Inform. 42(4):667–677, 2009.CrossRefPubMed
9.
10.
Zurück zum Zitat Law, A. S., Freer, Y., Hunter, J., Logie, R. H., McIntosh, N., and Quinn, J., A comparison of graphical and textual presentations of time series data to support medical decision making in the neonatal intensive care unit. J. Clin. Monit. Comput. 19(3):183–194, 2005.CrossRefPubMed Law, A. S., Freer, Y., Hunter, J., Logie, R. H., McIntosh, N., and Quinn, J., A comparison of graphical and textual presentations of time series data to support medical decision making in the neonatal intensive care unit. J. Clin. Monit. Comput. 19(3):183–194, 2005.CrossRefPubMed
11.
Zurück zum Zitat Charabati, S., Bracco, D., Mathieu, P., and Hemmerling, T., Comparison of four different display designs of a novel anaesthetic monitoring system, the ‘integrated monitor of anaesthesia (IMA™)’. Br. J. Anaesth. 103(5):670–677, 2009.CrossRefPubMed Charabati, S., Bracco, D., Mathieu, P., and Hemmerling, T., Comparison of four different display designs of a novel anaesthetic monitoring system, the ‘integrated monitor of anaesthesia (IMA™)’. Br. J. Anaesth. 103(5):670–677, 2009.CrossRefPubMed
12.
Zurück zum Zitat Pieczkiewicz, D. S., and Finkelstein, S. M., Evaluating the decision accuracy and speed of clinical data visualizations. J. Am. Med. Inform. Assoc. 17(2):178–181, 2010.CrossRefPubMedPubMedCentral Pieczkiewicz, D. S., and Finkelstein, S. M., Evaluating the decision accuracy and speed of clinical data visualizations. J. Am. Med. Inform. Assoc. 17(2):178–181, 2010.CrossRefPubMedPubMedCentral
13.
Zurück zum Zitat Blike, G. T., Surgenor, S. D., Whalen, K., and Jensen, J., Specific elements of a new hemodynamics display improves the performance of anesthesiologists. J. Clin. Monit. Comput. 16(7):485–491, 2000.CrossRefPubMed Blike, G. T., Surgenor, S. D., Whalen, K., and Jensen, J., Specific elements of a new hemodynamics display improves the performance of anesthesiologists. J. Clin. Monit. Comput. 16(7):485–491, 2000.CrossRefPubMed
14.
Zurück zum Zitat Blike, G. T., Surgenor, S. D., and Whalen, K., A graphical object display improves anesthesiologists’ performance on a simulated diagnostic task. J. Clin. Monit. Comput. 15(1):37–44, 1999.CrossRefPubMed Blike, G. T., Surgenor, S. D., and Whalen, K., A graphical object display improves anesthesiologists’ performance on a simulated diagnostic task. J. Clin. Monit. Comput. 15(1):37–44, 1999.CrossRefPubMed
15.
Zurück zum Zitat Liu, Y., and Osvalder, A.-L., Usability evaluation of a GUI prototype for a ventilator machine. J. Clin. Monit. Comput. 18(5–6):365–372, 2004.CrossRefPubMed Liu, Y., and Osvalder, A.-L., Usability evaluation of a GUI prototype for a ventilator machine. J. Clin. Monit. Comput. 18(5–6):365–372, 2004.CrossRefPubMed
16.
Zurück zum Zitat Politser, P., How to make laboratory information more informative. Clin. Chem. 32(8):1510–1516, 1986.PubMed Politser, P., How to make laboratory information more informative. Clin. Chem. 32(8):1510–1516, 1986.PubMed
17.
Zurück zum Zitat Roederer, A., Soegaard, J., Lee, I., Wanderer, J., Park, S., Wandering Data: A Scalable, Durable System for Effective Visualization of Patient Health Data. In: 2014 I.E. 27th International Symposium on Computer-Based Medical Systems, IEEE, pp 547–548, 2014. Roederer, A., Soegaard, J., Lee, I., Wanderer, J., Park, S., Wandering Data: A Scalable, Durable System for Effective Visualization of Patient Health Data. In: 2014 I.E. 27th International Symposium on Computer-Based Medical Systems, IEEE, pp 547–548, 2014.
18.
Zurück zum Zitat Willard, K. E., Johnson, J. R., and Connelly, D. P., Radical improvements in the display of clinical microbiology results: A Web-based clinical information system. Am. J. Med. 101(5):541–549, 1996.CrossRefPubMed Willard, K. E., Johnson, J. R., and Connelly, D. P., Radical improvements in the display of clinical microbiology results: A Web-based clinical information system. Am. J. Med. 101(5):541–549, 1996.CrossRefPubMed
19.
Zurück zum Zitat Duclos, C., Cartolano, G. L., Ghez, M., and Venot, A., Structured representation of the pharmacodynamics section of the summary of product characteristics for antibiotics: Application for automated extraction and visualization of their antimicrobial activity spectra. J. Am. Med. Inform. Assoc. 11(4):285–293, 2004.CrossRefPubMedPubMedCentral Duclos, C., Cartolano, G. L., Ghez, M., and Venot, A., Structured representation of the pharmacodynamics section of the summary of product characteristics for antibiotics: Application for automated extraction and visualization of their antimicrobial activity spectra. J. Am. Med. Inform. Assoc. 11(4):285–293, 2004.CrossRefPubMedPubMedCentral
20.
Zurück zum Zitat Daye, K., Lashman, D., Pandiani, J., Medication history display and evaluation. In: Proceedings of the Annual Symposium on Computer Application in Medical Care. American Medical Informatics Association, pp 993, 1994. Daye, K., Lashman, D., Pandiani, J., Medication history display and evaluation. In: Proceedings of the Annual Symposium on Computer Application in Medical Care. American Medical Informatics Association, pp 993, 1994.
21.
Zurück zum Zitat Koch, S. H., Weir, C., Westenskow, D., Gondan, M., Agutter, J., Haar, M., Liu, D., Görges, M., and Staggers, N., Evaluation of the effect of information integration in displays for ICU nurses on situation awareness and task completion time: A prospective randomized controlled study. Int. J. Med. Inform. 82(8):665–675, 2013.CrossRefPubMed Koch, S. H., Weir, C., Westenskow, D., Gondan, M., Agutter, J., Haar, M., Liu, D., Görges, M., and Staggers, N., Evaluation of the effect of information integration in displays for ICU nurses on situation awareness and task completion time: A prospective randomized controlled study. Int. J. Med. Inform. 82(8):665–675, 2013.CrossRefPubMed
22.
Zurück zum Zitat Michels, P., Gravenstein, D., and Westenskow, D. R., An integrated graphic data display improves detection and identification of critical events during anesthesia. J. Clin. Monit. 13(4):249–259, 1997.CrossRefPubMed Michels, P., Gravenstein, D., and Westenskow, D. R., An integrated graphic data display improves detection and identification of critical events during anesthesia. J. Clin. Monit. 13(4):249–259, 1997.CrossRefPubMed
23.
Zurück zum Zitat Mandel, J. C., Kreda, D. A., Mandl, K. D., Kohane, I. S., Ramoni, R. B., SMART on FHIR: a standards-based, interoperable apps platform for electronic health records. J. Am. Med. Inform. Assoc.: ocv189, 2016. Mandel, J. C., Kreda, D. A., Mandl, K. D., Kohane, I. S., Ramoni, R. B., SMART on FHIR: a standards-based, interoperable apps platform for electronic health records. J. Am. Med. Inform. Assoc.: ocv189, 2016.
Metadaten
Titel
Clinical Data Visualization: The Current State and Future Needs
verfasst von
Jonathan P. Wanderer
Sara E. Nelson
Jesse M. Ehrenfeld
Shelby Monahan
Soojin Park
Publikationsdatum
01.12.2016
Verlag
Springer US
Erschienen in
Journal of Medical Systems / Ausgabe 12/2016
Print ISSN: 0148-5598
Elektronische ISSN: 1573-689X
DOI
https://doi.org/10.1007/s10916-016-0643-x

Weitere Artikel der Ausgabe 12/2016

Journal of Medical Systems 12/2016 Zur Ausgabe