PDF(Pubmed)
Abstract：
BACKGROUND: Overdose Fatality Review (OFR) is an important public health tool for shaping overdose prevention strategies in communities. However, OFR teams review only a few cases at a time, which typically represent a small fraction of the total fatalities in their jurisdiction. Such limited review could result in a partial understanding of local overdose patterns, leading to policy recommendations that do not fully address the broader community needs.
OBJECTIVE: This study explored the potential to enhance conventional OFRs with a data dashboard, incorporating visualizations of touchpoints-events that precede overdoses-to highlight prevention opportunities.
METHODS: We conducted 2 focus groups and a survey of OFR experts to characterize their information needs and design a real-time dashboard that tracks and measures decedents\' past interactions with services in Indiana. Experts (N=27) were engaged, yielding insights on essential data features to incorporate and providing feedback to guide the development of visualizations.
RESULTS: The findings highlighted the importance of showing decedents\' interactions with health services (emergency medical services) and the justice system (incarcerations). Emphasis was also placed on maintaining decedent anonymity, particularly in small communities, and the need for training OFR members in data interpretation. The developed dashboard summarizes key touchpoint metrics, including prevalence, interaction frequency, and time intervals between touchpoints and overdoses, with data viewable at the county and state levels. In an initial evaluation, the dashboard was well received for its comprehensive data coverage and its potential for enhancing OFR recommendations and case selection.
CONCLUSIONS: The Indiana touchpoints dashboard is the first to display real-time visualizations that link administrative and overdose mortality data across the state. This resource equips local health officials and OFRs with timely, quantitative, and spatiotemporal insights into overdose risk factors in their communities, facilitating data-driven interventions and policy changes. However, fully integrating the dashboard into OFR practices will likely require training teams in data interpretation and decision-making.
OBJECTIVE: This study explored the potential to enhance conventional OFRs with a data dashboard, incorporating visualizations of touchpoints-events that precede overdoses-to highlight prevention opportunities.
METHODS: We conducted 2 focus groups and a survey of OFR experts to characterize their information needs and design a real-time dashboard that tracks and measures decedents\' past interactions with services in Indiana. Experts (N=27) were engaged, yielding insights on essential data features to incorporate and providing feedback to guide the development of visualizations.
RESULTS: The findings highlighted the importance of showing decedents\' interactions with health services (emergency medical services) and the justice system (incarcerations). Emphasis was also placed on maintaining decedent anonymity, particularly in small communities, and the need for training OFR members in data interpretation. The developed dashboard summarizes key touchpoint metrics, including prevalence, interaction frequency, and time intervals between touchpoints and overdoses, with data viewable at the county and state levels. In an initial evaluation, the dashboard was well received for its comprehensive data coverage and its potential for enhancing OFR recommendations and case selection.
CONCLUSIONS: The Indiana touchpoints dashboard is the first to display real-time visualizations that link administrative and overdose mortality data across the state. This resource equips local health officials and OFRs with timely, quantitative, and spatiotemporal insights into overdose risk factors in their communities, facilitating data-driven interventions and policy changes. However, fully integrating the dashboard into OFR practices will likely require training teams in data interpretation and decision-making.
摘要：
背景：过量死亡评估（OFR）是制定社区过量预防策略的重要公共卫生工具。然而,OFR小组一次只审查少数病例，这通常只占其管辖范围内总死亡人数的一小部分。这种有限的审查可能会导致对局部用药过量模式的部分理解，导致政策建议不能完全满足更广泛的社区需求。
目的：本研究探索了使用数据仪表板增强常规OFR的潜力，结合接触点的可视化-在用药过量之前的事件-以突出预防机会。
方法：我们开展了2个焦点小组和对OFR专家的调查，以描述他们的信息需求，并设计一个实时仪表板，用于跟踪和测量死者过去与印第安纳州服务的互动。专家（N=27）参与，产生有关基本数据功能的见解，以整合并提供反馈以指导可视化的开发。
结果：调查结果强调了显示死者与卫生服务（紧急医疗服务）和司法系统（监禁）的互动的重要性。还强调保持死者的匿名性，特别是在小社区，以及对OFR成员进行数据解释培训的必要性。开发的仪表板总结了关键的接触点指标，包括患病率，交互频率,接触点和用药过量之间的时间间隔，数据可在县和州一级查看。在初步评估中，该仪表板因其全面的数据覆盖以及增强OFR建议和病例选择的潜力而备受好评.
结论：印第安纳州接触点仪表板是第一个显示实时可视化的功能，该功能将全州的行政管理和过量死亡率数据联系起来。该资源为当地卫生官员和OFR提供了及时的，定量,以及对其社区中过量用药风险因素的时空见解，促进数据驱动的干预和政策变化。然而,将仪表板完全集成到OFR实践中可能需要对数据解释和决策方面的培训团队。
目的：本研究探索了使用数据仪表板增强常规OFR的潜力，结合接触点的可视化-在用药过量之前的事件-以突出预防机会。
方法：我们开展了2个焦点小组和对OFR专家的调查，以描述他们的信息需求，并设计一个实时仪表板，用于跟踪和测量死者过去与印第安纳州服务的互动。专家（N=27）参与，产生有关基本数据功能的见解，以整合并提供反馈以指导可视化的开发。
结果：调查结果强调了显示死者与卫生服务（紧急医疗服务）和司法系统（监禁）的互动的重要性。还强调保持死者的匿名性，特别是在小社区，以及对OFR成员进行数据解释培训的必要性。开发的仪表板总结了关键的接触点指标，包括患病率，交互频率,接触点和用药过量之间的时间间隔，数据可在县和州一级查看。在初步评估中，该仪表板因其全面的数据覆盖以及增强OFR建议和病例选择的潜力而备受好评.
结论：印第安纳州接触点仪表板是第一个显示实时可视化的功能，该功能将全州的行政管理和过量死亡率数据联系起来。该资源为当地卫生官员和OFR提供了及时的，定量,以及对其社区中过量用药风险因素的时空见解，促进数据驱动的干预和政策变化。然而,将仪表板完全集成到OFR实践中可能需要对数据解释和决策方面的培训团队。
