Adapting #dashboard design to different contexts of use is an open question in #visualisation research.
Dashboard designers often seek to strike a balance between #dashboard adaptability & ease-of-use, & in hospitals challenges arise from the vast diversity of key metrics, #data models & users involved at different organisational levels.
In this design study, we present @QualDash, a dashboard generation engine that allows the dynamic configuration & deployment of visualisation #dashboards for #healthcare quality improvement (QI). #NHS@CardiacAudit
We present a rigorous task analysis based on interviews with healthcare professionals, a co-design workshop & a series of one-on-one meetings with front line analysts.
From these activities we define a metric card metaphor as a unit of visual analysis in healthcare QI, using this concept as a building block for generating highly adaptable dashboards, & leading to the design of a Metric Specification Structure (MSS).
Each MSS is a JSON structure which enables dashboard authors to concisely configure unit-specific variants of a metric card, while offloading common patterns that are shared across cards to be preset by the engine.
We reflect on deploying & iterating the design of @QualDash in #cardiology wards & #pediatric intensive care units of five #NHS hospitals. Finally, we report evaluation results that demonstrate & adaptability, ease-of-use & usefulness of QualDash in a real-world scenario.
Trust in visualised information is enhanced by a level of moderation for dashboard authoring.
MSS configuration files acted as a communication medium between our visualisation team, clinicians & support staff - allowing for moderated view definitions that ensured safe interpretation of the visualisation.
Modular view composition, as supported in the QualCards, enables focused communication between dashboard authors, users & system administrators.
Comments on #QualDash were fed back to us regarding specific QualCards, which enabled refinement & validation iterations to affect localised metric-specific views while leaving the remaining parts of the dashboard intact.
Sequenced rendering of views, which is materialised by QualCard expansion, provided a metaphor that captured dashboard users’ task sequences & lines of enquiry pertaining to different metrics.
Emerging data from @PHE_uk suggests a synergistic detrimental effect of co-infection with #SARS_CoV_2 & #flu viruses. The preprint (not peer reviewed) article is available here medrxiv.org/content/10.110…
‘The risk of testing positive for #SARS_CoV_2 was 68% lower among #influenza positive cases, suggesting possible pathogenic competition between the two viruses.’
However, ‘Patients with a coinfection had a risk of death of 5.92 (95% CI, 3.21-10.91) times greater than among those with neither influenza nor SARS-CoV-2 suggesting possible synergistic effects in coinfected individuals.’
Advances in #cancer treatment have improved clinical outcomes, leading to an increasing population of cancer survivors. Yet, this success is associated with high rates of short‐ & long‐term #cardiovascular toxicities. The Cancer Patient and Cardiology onlinelibrary.wiley.com/doi/abs/10.100…
The number & variety of #cancer drugs & #cardiovascular toxicity types make long‐term care a complex undertaking.
This requires a multidisciplinary approach including expertise from #oncology, #cardiology, & other related specialties, & has led to the development of the cardio‐oncology subspecialty.
The rise in admissions with #COVID19 does not mean that you shouldn’t attend hospital if you have a medical emergency #heartattack
During the first peak, admissions with #heartatrack declined & was of grave concern : COVID-19 pandemic and admission rates for and management of acute coronary syndromes in England @TheLancetthelancet.com/journals/lance…
Yet, hospitals provided high quality care for those who did attend: Patient response, treatments and mortality for acute myocardial infarction during the COVID-19 pandemic @ESC_Journals#EHJQCCOacademic.oup.com/ehjqcco/advanc…
@TheLancet journals now require all #research papers, irrespective of method, to include a data-sharing statement that details what #data will be shared, whether additional documents will be shared, when data will become available & by what access criteria data will be shared.
All @TheLancet journals will now introduce additional peer-review requirements for papers based on large, real-world datasets.
Patients with mitral annular disjunction present with frequent premature ventricular contractions; in this study, one-third had ventricular arrhythmias & one-tenth had severe arrhythmic events. @JACCJournalsonlinejacc.org/content/72/14/…
A total of 82 (71%) patients reported #palpitations, 47 (41%) patients reported previous pre-syncope, 40 (34%) had ventricular arrhythmia, 15 (13%) had experienced #syncope, & 14 (12%) patients had experienced a severe arrhythmic event prior to inclusion
Mitral valve prolapse was present in 90 (78%) patients