Improving Patient Care Through A.I. and Machine Learning

Improving Patient Care Through A.I. and Machine Learning

Clinical Deterioration Dashboard

Company

Robô Laura

Platform

Live Dashboards

My Role

UX Researcher

-

UI Designer

*Some information was hidden to stay aligned with GDPT.

Overview

The Clinical Deterioration Dashboard is a platform to monitor UCI patients. The system uses A.I. and Machine Learning to analyze the patient’s vital signals and generate alerts for the medical team when a patient fits a risk profile for sepsis.

My Role

My responsibilities in the project were to organize and manage the end-to-end design process, conduct and support interviews, conduct workshops, develop wireframes and high-fidelity prototypes, conduct usability tests, iterate on the solution, and create the documentation to hand off to the development team.

Key Problems

The client’s needs were evolving and the features weren’t. Some of the issues the users were having are:

The client’s needs were evolving and the features weren’t. Some of the issues the users were having are:

Problem #1

Lack of information

The users didn’t understand what to do after the system indicated a patient at risk. The dashboard only showed the patients’ bed number, when it occurred, and icons that didn’t clarify their purpose.

Impact

Patient care was being affected since the information was not enough to give the medical team inputs to understand how to proceed.

Problem #2

Knowledge Gap

A large number of users didn’t know how the alerts were generated.

Impact

Lack of engagement and wrong decision-making. 

Problem #3

Lack of instrunction

It wasn’t clear to the nurses how was the procedure to remove a patient’s alert that had already been seen from the dashboard.

Impact

A patient alert could stay for hours in the dashboard and if it was a high severity alert it could remain at the top, taking space from other alerts to be visualized.

Before

Business Goals

Scalability to expand value proposition

Scale the solution for other protocols beyond sepsis to expand the value proposition and create flexibility for the customers.

User-centered design

Working closely with the users to iterate on solutions and offer constant improvements aiming to empower the medical team.

Users Goals

Prevent patient deterioration

Starting patient care at any signal of deterioration to avoid complications.

Choose the best medical conduct

According to the patient's condition and severity, the medical team must choose the best path for treatment.

Insights

During the interviews we had a lot of insight and created a blueprint to look for other issues the users might be facing, and by the end, I came up with four main opportunities to focus the effort on the ideation step:

During the interviews we had a lot of insight and created a blueprint to look for other issues the users might be facing, and by the end, I came up with four main opportunities to focus the effort on the ideation step:

Accessible Information

Incorporating pertinent information to assist nurses in identifying the cause of the patient's alertness.

Incorporating pertinent information to assist nurses in identifying the cause of the patient's alertness.

Customization

Enabling hospitals to customize platform usage based on their preferences.

Enabling hospitals to customize platform usage based on their preferences.

Scalability

Ensure the scalability of the product and reduce the reliance on opening tickets for technical support.

Ensure the scalability of the product and reduce the reliance on opening tickets for technical support.

Dashboard Management

Empowering users to manage patient alerts.

Empowering users to manage patient alerts.

After

General Impact and Results

  • Reduce the time of patient care in ICUs by providing essential information to medical staff for earlier sepsis detection.

  • Reduce the progression of ICU patients to severe sepsis.

  • Increased the flow of new patient alerts due to the configuration of custom protocols.

  • Improve customer retention by empowering the users with essential information.

Impact By Features

Some impacts generated by the new design:

Facilitate the analysis of the patient’s situation and enhance the recognition of severity levels.

The inclusion of a value between 0 and 10 and colors to indicate the severity.

The inclusion of a value between 0 and 10 and colors to indicate the severity.

Optimization of medical conduct analyses.

Visualization of the last three vital signals results and medical exam results. In case of any change, the result number turns red to highlight the alteration.

Visualization of the last three vital signals results and medical exam results. In case of any change, the result number turns red to highlight the alteration.

Vital Signals and/or Medical Exams

Visualization of the last three vital signals results and medical exam results. In case of any change, the result number turns red to highlight the alteration.

Decreased the time to analyze extra information that could impact medical care.

Decreased the time to analyze extra information that could impact medical care.

Pending medical exams, prescriptions, or any relevant information about the patient's condition.

Pending medical exams, prescriptions, or any relevant information about the patient's condition.

Flexibility for the customers and scalability for the business.

Configuration of custom protocols according to the hospital's internal standard care.

Configuration of custom protocols according to the hospital's internal standard care.

Improve prioritization and empower the medical team.

The cards are organized by severity and I improved the space to include 10 patient alerts. In the small cards, I included the essential information that could impact primary care (vital signals).

The cards are organized by severity and I improved the space to include 10 patient alerts. In the small cards, I included the essential information that could impact primary care (vital signals).

Wireframe

Wireframe used for the firsts usability tests.

Documentation

Some images of the documentation.

Andrei Levandoski © Built with Framer

Andrei Levandoski © Built with Framer

Andrei Levandoski © Built with Framer