Evaluating a Shared Decision Support Tool for Pediatric Cardiopulmonary Arrest : A Mixed Methods Usability Study

Article Article scientifique Article Evaluating a Shared Decision Support Tool for Pediatric Cardiopulmonary Arrest : A Mixed Methods Usability Study eng 2025-06-08 2026-04-28 author Rajic Ana 0009-0006-1475-8084 878790 author Olanka Sharleen Kayne 0009-0002-9677-0191 946323 author Generelli Marco 0009-0003-9936-2887 899431 author Davidson Jennifer 0009-0009-9415-0598 author Lin Yiqun 0000-0002-4726-5992 author Kang Ryan 0009-0005-6737-1978 author Kim Kangsoo 0000-0002-0925-378X author Rebours Pierre-Louis 0009-0004-7409-334X author Ibrahim Khalil Houssam Marc 0009-0006-1134-2083 30948 author Duncan Donovan 0009-0007-5096-1095 author Manzano Sergio 0000-0001-9603-5520 88371 Département de Pédiatrie, Gynécologie et Obstétrique (PETRI) author Cheng Adam 0000-0002-1039-7502 author De Masi Alexandre 0000-0002-8164-2931 848451 Département de Pédiatrie, Gynécologie et Obstétrique (PETRI) author Siebert Johan 0000-0002-2871-3382 507348 Département de Pédiatrie, Gynécologie et Obstétrique (PETRI) author Ehrler Frédéric 0000-0001-9734-3242 509959 e78736 10.2196/78736 42048258 2292-9495 PMC13123637 https://humanfactors.jmir.org/2026/1/e78736 Background: Effective team communication is critical in pediatric cardiopulmonary arrest management, where delays or miscommunication can jeopardize survival. TeamScreen, a web-based interface displayed on a large screen, was developed to enhance cardiopulmonary resuscitation (CPR) by providing real-time visualization of clinical data and resuscitation steps aligned with the American Heart Association pediatric advanced life support algorithms. Objective: This study evaluated the usability of the TeamScreen Figma prototype, evaluating how efficiently and accurately experienced emergency physicians and nurses retrieved critical information during a simulated pediatric in-hospital cardiac arrest scenario. Although no strict time constraints were imposed, participants were instructed to perform the tasks as spontaneously and as quickly as possible. Methods: Usability testing involved 20 pediatric emergency physicians and nurses with varied CPR experience. Participants performed 21 information retrieval tasks within a simulated pediatric cardiac arrest scenario (shockable rhythm). The data collected included audio-video recordings via the think-aloud method and participant responses to the Post-Study System Usability Questionnaire (PSSUQ) version 3 and a posttest survey. Effectiveness, efficiency, and satisfaction were measured by task completion rates, time-on-task metrics, and PSSUQ scores, respectively. Think-aloud data were analyzed for usability issues using Nielsen Norman Group's rating scale and Bastien and Scapin's ergonomic criteria. Results: Five physicians and 15 nurses achieved a mean task success rate of 81.19% (SD 16.87%), with a mean completion time of 8.13 (SD 7.07) seconds, calculated across all 21 tasks and all participants. PSSUQ scores reflected high satisfaction (mean 2.40 [SD 1.24] of 7.00; the lower the better), notably for information clarity and system utility. Qualitative analyses identified 16 usability issues, of which 5 were deemed major, primarily involving information visibility, navigation, and density, highlighting areas for interface and workflow enhancement. Conclusions: The usability evaluation confirmed TeamScreen's potential to improve real-time information access during pediatric CPR, with high task success and satisfaction scores supporting its role in aiding decision-making. Challenges with visibility, navigation, and information density require further refinement. These findings will guide improvements and inform the design of multicenter trials to assess TeamScreen's efficacy in simulation-based resuscitation settings. Cardiopulmonary resuscitation Clinical Decision support systems Digital health Health information technology Medical informatics applications Pediatric emergency medicine Simulation training Usability testing User-computer interface Dewey 371.33 Dewey 025.06/650 Dewey 616 Dewey 618 Dewey 025.063 58 Département de pédiatrie, gynécologie et obstétrique 223 56 Département de médecine 221 110 Technologies de formation et apprentissage 73 118 Information Science Institute S6 13 Centre universitaire d'informatique 0D3 false JMIR human factors 13 bc770269-66cf-40c8-86f3-6f480091ed08 Article (Published version) Public humanfactors-2026-1-e78736.pdf 3185402 application/pdf CC BY-4.0 fd6ffb41daa692de981f137e43e8df9c5c02cc35f3b5bcd08ec262db874bd183 5cd31e22-d9e9-49bb-b714-7690ea66b245 Supplemental data Public humanfactors_v13i1e78736_app1.png 532928 image/png ffdf03d1bdd9b0f1dcd6635ba70fd656135066de25154a1b8cc63f4e5a8e0b17 e02cf648-9915-481b-8d20-e98121c579e9 Supplemental data Public humanfactors_v13i1e78736_app2.docx 18106 application/vnd.openxmlformats-officedocument.wordprocessingml.document 4d26b5693bd42a9c2a0030454b8e14e6f52874a28c6633465451f3f20f39113f openAccess Faculté de médecine / Section de médecine clinique / Département de pédiatrie, gynécologie et obstétrique Faculté de médecine / Section de médecine clinique / Département de médecine Faculté de psychologie et des sciences de l'éducation / Technologies de formation et apprentissage Faculté d'économie et de management / Information Science Institute Centres et instituts / Centre universitaire d'informatique

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Evaluating a Shared Decision Support Tool for Pediatric Cardiopulmonary Arrest : A Mixed Methods Usability Study	JMIR human factors	2026	12	106
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