Electronic nudge tool technology used in the critical care and peri-anaesthetic setting: a scoping review protocol

Introduction Electronic clinical decision support (eCDS) tools are used to assist clinical decision making. Using computer-generated algorithms with evidence-based rule sets, they alert clinicians to events that require attention. eCDS tools generating alerts using nudge principles present clinician...

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Main Authors: Frank Kee, Martin Dempster, Bronagh Blackwood, Lisa McIlmurray, Lynne Lohfeld, Murali Shyamsundar, Charles Gillan, Rachael Hagan
Format: Article
Language:English
Published: BMJ Publishing Group 2022-07-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/12/7/e057026.full
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author Frank Kee
Martin Dempster
Bronagh Blackwood
Lisa McIlmurray
Lynne Lohfeld
Murali Shyamsundar
Charles Gillan
Rachael Hagan
author_facet Frank Kee
Martin Dempster
Bronagh Blackwood
Lisa McIlmurray
Lynne Lohfeld
Murali Shyamsundar
Charles Gillan
Rachael Hagan
author_sort Frank Kee
collection DOAJ
description Introduction Electronic clinical decision support (eCDS) tools are used to assist clinical decision making. Using computer-generated algorithms with evidence-based rule sets, they alert clinicians to events that require attention. eCDS tools generating alerts using nudge principles present clinicians with evidence-based clinical treatment options to guide clinician behaviour without restricting freedom of choice. Although eCDS tools have shown beneficial outcomes, challenges exist with regard to their acceptability most likely related to implementation. Furthermore, the pace of progress in this field has allowed little time to effectively evaluate the experience of the intended user. This scoping review aims to examine the development and implementation strategies, and the impact on the end user of eCDS tools that generate alerts using nudge principles, specifically in the critical care and peri-anaesthetic setting.Methods and analysis This review will follow the Arksey and O’Malley framework. A search will be conducted of literature published in the last 15 years in MEDLINE, EMBASE, CINAHL, CENTRAL, Web of Science and SAGE databases. Citation screening and data extraction will be performed by two independent reviewers. Extracted data will include context, e-nudge tool type and design features, development, implementation strategies and associated impact on end users.Ethics and dissemination This scoping review will synthesise published literature therefore ethical approval is not required. Review findings will be published in topic relevant peer-reviewed journals and associated conferences.
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spelling doaj-art-cf118f86ea514024a05122499b2be3462025-01-31T12:50:10ZengBMJ Publishing GroupBMJ Open2044-60552022-07-0112710.1136/bmjopen-2021-057026Electronic nudge tool technology used in the critical care and peri-anaesthetic setting: a scoping review protocolFrank Kee0Martin Dempster1Bronagh Blackwood2Lisa McIlmurray3Lynne Lohfeld4Murali Shyamsundar5Charles Gillan6Rachael Hagan71 Centre for Public Health, Queen`s University Belfast, Belfast, UKCentre for Improving Health-Related Quality of Life (CIHRQoL) - School of Psychology, Queen’s University Belfast, Belfast, UKWellcome-Wolfson Institute for Experimental Medicine, School of Medicine, Dentistry and Biomedical Sciences, Queen’s University Belfast, Belfast, UKWellcome-Wolfson Institute for Experimental Medicine, School of Medicine, Dentistry and Biomedical Sciences, Queen’s University Belfast, Belfast, UKCentre for Public Health, Queen`s University Belfast School of Medicine Dentistry and Biomedical Sciences, Belfast, UKWellcome-Wolfson Institute for Experimental Medicine, School of Medicine, Dentistry and Biomedical Sciences, Queen’s University Belfast, Belfast, UKSchool of Electronics, Electrical Engineering and Computer Science, Queen’s University Belfast, Belfast, UKSchool of Electronics, Electrical Engineering and Computer Science, Queen’s University Belfast, Belfast, UKIntroduction Electronic clinical decision support (eCDS) tools are used to assist clinical decision making. Using computer-generated algorithms with evidence-based rule sets, they alert clinicians to events that require attention. eCDS tools generating alerts using nudge principles present clinicians with evidence-based clinical treatment options to guide clinician behaviour without restricting freedom of choice. Although eCDS tools have shown beneficial outcomes, challenges exist with regard to their acceptability most likely related to implementation. Furthermore, the pace of progress in this field has allowed little time to effectively evaluate the experience of the intended user. This scoping review aims to examine the development and implementation strategies, and the impact on the end user of eCDS tools that generate alerts using nudge principles, specifically in the critical care and peri-anaesthetic setting.Methods and analysis This review will follow the Arksey and O’Malley framework. A search will be conducted of literature published in the last 15 years in MEDLINE, EMBASE, CINAHL, CENTRAL, Web of Science and SAGE databases. Citation screening and data extraction will be performed by two independent reviewers. Extracted data will include context, e-nudge tool type and design features, development, implementation strategies and associated impact on end users.Ethics and dissemination This scoping review will synthesise published literature therefore ethical approval is not required. Review findings will be published in topic relevant peer-reviewed journals and associated conferences.https://bmjopen.bmj.com/content/12/7/e057026.full
spellingShingle Frank Kee
Martin Dempster
Bronagh Blackwood
Lisa McIlmurray
Lynne Lohfeld
Murali Shyamsundar
Charles Gillan
Rachael Hagan
Electronic nudge tool technology used in the critical care and peri-anaesthetic setting: a scoping review protocol
BMJ Open
title Electronic nudge tool technology used in the critical care and peri-anaesthetic setting: a scoping review protocol
title_full Electronic nudge tool technology used in the critical care and peri-anaesthetic setting: a scoping review protocol
title_fullStr Electronic nudge tool technology used in the critical care and peri-anaesthetic setting: a scoping review protocol
title_full_unstemmed Electronic nudge tool technology used in the critical care and peri-anaesthetic setting: a scoping review protocol
title_short Electronic nudge tool technology used in the critical care and peri-anaesthetic setting: a scoping review protocol
title_sort electronic nudge tool technology used in the critical care and peri anaesthetic setting a scoping review protocol
url https://bmjopen.bmj.com/content/12/7/e057026.full
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