Kidney Week

Abstract: PUB041

Usability Testing of Discharge Summary Template for AKI

Session Information

• Publication Only

Category: Acute Kidney Injury

• 102 AKI: Clinical, Outcomes, and Trials

Authors

• Ng, Jia Hwei, Northwell Health Feinstein Institutes for Medical Research, Manhasset, New York, United States

Jia Hwei Ng, MD

• Dauber-Decker, Katherine L., Northwell Health Feinstein Institutes for Medical Research, Manhasset, New York, United States

Katherine L. Dauber-Decker, PhD

• Malik, Fatima, Northwell Health Feinstein Institutes for Medical Research, Manhasset, New York, United States

Fatima Malik

• Amdur, Richard L., Northwell Health Feinstein Institutes for Medical Research, Manhasset, New York, United States

Richard L. Amdur, PhD

• Diefenbach, Michael A., Northwell Health Feinstein Institutes for Medical Research, Manhasset, New York, United States

Michael A. Diefenbach, PhD

Background

Acute kidney injury (AKI) survivors experience suboptimal transitions post-hospitalization due to inadequate communication between inpatient and outpatient providers. We aimed to design a discharge summary template that improves AKI information sharing in the electronic health record (EHR).

Methods

First, we conducted a preliminary survey among clinicians to guide the AKI content. Second, we designed an EHR mockup of the AKI template and conducted think aloud usability testing, where participants verbalized their though process as they interacted with the mockup.

Results

We surveyed 47 clinicians: 45% worked inpatient, 15% outpatient, and 40% in both. Specialties included 78% internal medicine, 8% nephrology, and 13% others, with roles as 28% resident/fellow, 57% attendings, and 15% nurse practitioners. The median years practicing was 10 (range 3-18). A notable discrepancy existed between the AKI information clinicians wanted and what they typically included in discharge summaries (Figure 1). During usability testing, key themes identified were in categories of content, usefulness, visibility, workflow, and navigation (Figure 2).

Conclusion

Usability testing of the AKI template showed the need for improved content and functionality. Future iterations will incorporate clinician and patient feedback.

Clinician preferences versus actual inclusion of AKI-related information in discharge summaries.

Usability feedback on the AKI discharge summary template, showing thematic categories, illustrative quotes, and subsequent planned changes to enhance the template.

Funding

• NIDDK Support