Defining Applied Cognitive Informatics Competencies Focused on Human Factors in Healthcare Using a Delphi Approach
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Date
2020-12
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The Ohio State University
Abstract
Objective: Obtain expert consensus on cognitive informatics core competencies related to human factors (HF), usability, and human-computer interaction (HCI) for quality improvement purposes within organizations. Materials and Methods: A 3-round Delphi approach was used to assess 23 proposed knowledge, skills, and attitude (KSA) competencies by informatics and HF experts with clinical, academic, research, and technical experience. Knowledge and skills statements aligned to Bloom’s Revised Taxonomy. Consensus was defined a priori at 78% relevancy agreement. Results: Informatics and HF experts reached consensus on 26 competencies (10 Knowledge, 9 Skills, 7 Attitudes) within two rounds. Prioritization of competency statements during round 3 demonstrated high priority levels (mean=1.69 on a 4-point scale). Discussion: The 83 total responses were from a diverse, interprofessional population with advanced degrees (80% held doctorates). Sixteen years or more experience by respondents was reported in informatics (60%) and/or HF (31%). The overall title summarizing the competency statement scope was the most difficult item to achieve agreement (final round had tied ratings for first choice). One limitation was snowball sampling and anonymity prohibited determination whether individual respondents participated in multiple rounds (building on their prior responses and comments). Conclusion: This project addressed gaps and identified and prioritized applied cognitive informatics core competency statements related to HF, usability, HCI, user experience, and workflow enhancement for practicing healthcare informatics professionals. Future work in the discipline is needed to create assessment tools, curriculum objectives, and instructional content to enhance and facilitate achievement of these core competencies by current and future practicing informatics professionals.
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Keywords
Informatics Competencies, Human Factors (HF), Human Computer Interaction (HCI), Usability, Cognitive Informatics, Electronic Health Records (EHR)