Using nomograms to reduce harm from clinical calculations

Proceedings - 2013 IEEE International Conference on Healthcare Informatics, ICHI 2013

Volumn , Issue , 2013, Pages 461-470

  Thimbleby, Harold ^a   Williams, David ^b  

^a SWANSEA UNIVERSITY   (United Kingdom)

^b ABERTAWE BRO MORGANNWG UNIVERSITY HEALTH BOARD   (United Kingdom)

Author keywords

Calculators; Clinical calculation; Health IT; Nomograms; Safety

Indexed keywords

CALCULATORS; CLINICAL ENVIRONMENTS; COMPUTER SPREADSHEETS; CRITICAL ENVIRONMENT; DOSE CALCULATION; HEALTH IT; MEDICAL INTERVENTION; TOUCH SCREEN INTERFACE;

ACCIDENT PREVENTION; DRUG DOSAGE; INFORMATION SCIENCE; INFORMATION TECHNOLOGY; NOMOGRAMS;

MEDICAL COMPUTING;

EID: 84893500045     PISSN: None     EISSN: None     Source Type: Conference Proceeding    
DOI: 10.1109/ICHI.2013.62     Document Type: Conference Paper

References (52)

1. C. Vincent, G. Neale, and M. Woloshynowych, "Adverse events in British hospitals: Preliminary retrospective record review," British Medical Journal, vol. 322, pp. 517-519, 2001.
2. D. Williams, "Medication errors," Journal Royal College of Physicians, vol. 37, pp. 343-346, 2007.
3. T. Lesar, L. Briceland, and D. S. Stein, "Factors related to errors in medication prescribing," Journal American Medical Association, vol. 277, pp. 312-317, 1997.
4. Institute for Safe Medication Practices, Fluorouracil Incident Root Cause Analysis. ISMP, 2007. [Online], Available
5. S. E. McDowell, H. S. Ferner, and R. E. Ferner, "The pathophysiology of medication errors: How and where they arise," British Journal of Clinical Pharmacology, vol. 67, pp. 605-613, 2009.
6. F. G. Halasz and T. P. Moran, "Mental models and problem solving in using a calculator," in Proceedings of the ACM SIGCH1 Conference on Human Factors in Computing Systems, CHI83, 1983, pp. 212-216.
7. R. E. Mayer and P. Bayman, "Psychology of calculator languages: A framework for describing differences in users' knowledge," Communications of the ACM, vol. 24, no. 8, pp. 511-520, 1981.
8. R. M. Young, "The machine inside the machine: Users' models of pocket calculators," International Journal of Man-Machine Studies, vol. 15, no. 1, pp. 51-85, 1981.
9. W. Thimbleby, "A novel pen-based calculator and its evaluation," in Proceedings third Nordic Conference on Human-Computer Interaction, NordiCHI'04, 2004, pp. 445-148.
10. H. Thimbleby, "Ignorance of interaction programming is killing people," ACM Interactions, pp. 52-57, September+October 2008.
11. H. Thimbleby and P. Cairns, "Reducing number entry errors: Solving a widespread, serious problem," Journal Royal Society Interface, vol. 7, no. 51, pp. 1429-1439, 2010.
12. H. Thimbleby, "Reasons to question seven segment displays," in Proceedings of the ACM SIGCHI Conference on Human Factors in Computing Systems, CH12013. ACM, 2013, pp. 1431-1440.
13. P. Oladimeji, H. Thimbleby, and A. Cox, "Number entry interfaces and their effects on errors and number perception," in Proceedings IFIP Conference on Human-Computer Interaction, Interact 2011, vol. IV, 2011, pp. 178-185.
14. H. Thimbleby, "Is IT a dangerous prescription?" BCS Interfaces, vol. 84, pp. 5-10, 2010.
15. H.Thimbleby, "Calculators are needlessly bad," International Journal of Human-Computer Studies, vol. 52, no. 6, pp. 1031-1069, 2000.
16. O. Bodger, A. Theron, and D. Williams, "Comparison of three techniques for calculation of the Parkland formula to aid fluid resuscitation in paediatric bums," European Journal of Anaesthesiology, vol. 30, pp. 1-9, 2013.
17. H. Thimbleby, "Contributing to safety and due diligence in safety-critical interactive systems development," in Proceedings ACM SIGCHI Symposium on Engineering Interactive Computing Systems, EICS09, G. Calvary, T. C. N. Graham, and P. Gray, Eds. ACM, 2009, pp. 221-230.
18. A. J. Barton, "The regulation of mobile health applications," BioMed Central Medicine, vol. 10, pp. 46-49, 2012.
19. (Retrieved June 15, 2013) Regulation of health apps: A practical guide. [Online]. Available: http://blog.d4.org.uk/2012/01/ regulation-of-health-apps-A- practical-guide.html
20. M. W. Kattan and J. Marasco, "What is a real nomogram?" Seminars in Oncology, vol. 37, no. 1, pp. 23-26, 2010.
21. C. J. Sangwin, "Newton's polynomial solver," Journal of The Oughtred Society, vol. 11, no. 1, pp. 3-7, 2002.
22. R. Doerfler, A. Gluchoff, S. Guthery, and P. Hamburg, Calculating Curves: The Mathematics, History and Aesthetic Appeal of T. H. Gronwall's Nomographic Work. Docent Press, 2012.
23. W. Boothby and R. Sandiford, "Nomographic charts for the calculation of the metabolic rate by the gasometer method," Boston Medical and Surgical Journal, vol. 185, no. 12, pp. 337-354, 1921.
24. M. Noda, "BMI nomogram [corrected]," Clinical Nutrition, vol. 27, no. 1, pp. 168-169, 2007.
25. O. Siggaard-Andersen and K. Engel, "A new acid-base nomogram, an improved method for the calculation of acid-base data," Scandinavian Journal of Clinical and Laboratory Investigation, vol. 12, no. 2, pp. 177-186, 1960.
26. M. Gulati, H. R. Black, L. J. Shaw, M. F. Arnsdorf, C. N. B. Merz, M. S. Lauer, T. H. Marwick, D. K. Pandey, R. H. Wicklund, and R. A. Thisted, "The prognostic value of a nomogram for exercise capacity in women," The New England Journal of Medicine, vol. 353, no. 3, pp. 468-75, 2005.
27. J. Walker and D. Williams, "A nomogram to calculate estimated glomerular filtration rate (eGFR)," European Journal of Anaesthesiology, vol. 30, p. 152, 2013.
28. N. D. Nguyen, S. A. Frost, J. R. Center, J. A. Eisman, and T. V. Nguyen, "Development of a nomogram for individualizing hip fracture risk in men and women," Osteoporos International, vol. 18, no. 8, pp. 1109-1117, 2007.
29. D. Williams and J. Walker, "A nomogram to calculate physiological and operative severity score for the enumeration of mortality and morbidity (POSSUM)," European Journal of Anaesthesiology, vol. 30, pp. 234-235, 2013.
30. D.Williams and J.Walker, "A nomogram to prevent local anaesthetic toxicity," European Journal of Anaesthesiology, vol. 30, p. 242, 2013.
31. D. Williams and R. Doerfler, "Graphic aids for calculation of fluid resuscitation requirements in pediatric burns," Annals of Plastic Surgery, vol. 69, pp. 260-264, 2012.
32. D. Williams, "Nomograms to aid fluid resuscitation in acute burns," Burns, vol. 37, pp. 543-545, 2011.
33. C. A. Smith, M. Cummings, L. M. Forest, and L. J. Kessler, "Utilising ecological perception to support precision lunar landing," http://web.mit.edu/aeroastro/labs/halab/papers/HFES-758-Final.pdf, accessed: 12 June 2013.
34. A. T. S. Report, Aviation Research and Analysis Report AR-2009-052: Take-off Performance Calculation and Entry Errors: A Global Perspective. Australian Transport Safety Bureau, 2009.
35. S. Hettiaratchy and P. Papini, "Initial management of a major burn: II-Assessment and resuscitation," British Medical Journal, vol. 329, pp. 101-103, 2004.
36. A. Theron, O. Bodger, and D. Williams, "Comparison of three techniques using the Parkland formula to aid fluid resuscitation in adult burns," Emergency Medicine Journal, vol. In Press, 2013.
37. E. Hutchins, Cognition in the Wild. MIT Press, 1995.
38. A. Gawande, The Checklist Manifesto. Profile Books, 2010.
39. R. Koppel, S. M. Davidson, R. L. Wears, and C. A. Sinsky, "Health care information technology to the rescue," in First Do Less Harm: Confronting the Inconvenient Problems of Patient Safety. Cornell University Press, 2012, pp. 62-89.
40. NomoGraphics Oy. (2011) Nomographics. [Online]. Available
41. T. Jones, R. Camara, and A. Marrero. (retrieved Sept 2012) Interactive nomogram creation tool. [Online]. Available
42. D. A. Grimes, "The nomogram epidemic: Resurgence of a medical relic," Annals of Internal Medicine, vol. 149, no. 4, pp. 273-275, 2008.
43. D.A.Grimes, "Response: Where is the evidence that the resurgence of nomograms is harmful?" Annals of Internal Medicine, vol. 150, no. 4, p. 282, 2009.
44. S. H. Zwillich, "Where is the evidence that the resurgence of nomograms is harmful?" Annals of Internal Medicine, vol. 150, p. 282, 2009.
45. D. W. Bates, D. J. Cullen, N. Laird, L. A. Petersen, S. D. Small, D. Servi, G. Laffel, B. J. Sweitzer, B. F. Shea, R. Hallisey, M. V. Villet, R. Nemeskai, and L. Leape, "Incidence of adverse drug events and potential drug events," Journal of the American Medical Association, vol. 274, no. 1, pp. 29-34, 1995.
46. Y. Y. Han, J. A. Carcillo, S. T. Venkataraman, R. S. Clark, R. S. Watson, T. C. Nguyen, H. Bayir, and R. A. Orr, "Unexpected increased mortality after implementation of a commercially sold computerized physician order entry system," Pediatrics, vol. 116, pp. 1506-1512, 2005.
47. A. Blandford, G. Buchanan, P. Curzon, D. Furniss, and H. Thimbleby, "Few are looking: Invisible problems with interactive medical devices," in ACM Workshop on Interactive Systems in Healthcare (WISH), Proceedings of the ACM SIGCHI Conference on Human Factors in Computing Systems, CHI2010, 2010, pp. 9-12.
48. T. Landauer, The Trouble with Computers. MIT Press, 1995.
49. Institute of Medicine, To Err is Human. National Academies Press, 2000.
50. H. Thimbleby, "Reaching to the stars with IT projects," Public Service Review: UK Science and Technology, vol. 5, pp. 20-21, 2012.
51. G. Downie, Calculating Drug Doses Safely: A Handbook for clinicians and Midwives, 2nd ed. Churchill Livingstone, 2010.
52. R. Lapham and H. Agar, Drug Calculations for clinicians: A step-by-step approach, 3rd ed. Hodder-Arnold, 2009.