{Reference Type}: Journal Article
{Title}: User Perceptions of Visual Clot in a High-Fidelity Simulation Study: Mixed Qualitative-Quantitative Study.
{Author}: Gasciauskaite G;Castellucci C;Malorgio A;Budowski AD;Schweiger G;Kolbe M;Fries D;Grande B;Nöthiger CB;Spahn DR;Roche TR;Tscholl DW;Akbas S;
{Journal}: JMIR Hum Factors
{Volume}: 11
{Issue}: 0
{Year}: 2024 Jan 11
暂无{DOI}: 10.2196/47991
{Abstract}: <B>BACKGROUND: </B>Viscoelastic hemostatic assays, such as rotational thromboelastometry (ROTEM) or thromboelastography, enable prompt diagnosis and accelerate targeted treatment. However, the complex interpretation of the results remains challenging. Visual Clot-a situation awareness-based visualization technology-was developed to assist clinicians in interpreting viscoelastic tests.<BR><B>OBJECTIVE: </B>Following a previous high-fidelity simulation study, we analyzed users' perceptions of the technology, to identify its strengths and limitations from clinicians' perspectives.<BR><B>METHODS: </B>This is a mixed qualitative-quantitative study consisting of interviews and a survey. After solving coagulation scenarios using Visual Clot in high-fidelity simulations, we interviewed anesthesia personnel about the perceived advantages and disadvantages of the new tool. We used a template approach to identify dominant themes in interview responses. From these themes, we defined 5 statements, which were then rated on Likert scales in a questionnaire.<BR><B>RESULTS: </B>We interviewed 77 participants and 23 completed the survey. We identified 9 frequently mentioned topics by analyzing the interview responses. The most common themes were "positive design features," "intuitive and easy to learn," and "lack of a quantitative component." In the survey, 21 respondents agreed that Visual Clot is easy to learn and 16 respondents stated that a combination of Visual Clot and ROTEM would help them manage complex hemostatic situations.<BR><B>CONCLUSIONS: </B>A group of anesthesia care providers found Visual Clot well-designed, intuitive, and easy to learn. Participants highlighted its usefulness in emergencies, especially for clinicians inexperienced in coagulation management. However, the lack of quantitative information is an area for improvement.