Academic Journal
Development and evaluation of a clinical dashboard for nephrology inpatients: a pilot study.
| Τίτλος: | Development and evaluation of a clinical dashboard for nephrology inpatients: a pilot study. |
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| Συγγραφείς: | Rouhani N; Student Research Committee, Urmia University of Medical Sciences, Urmia, Iran., Makhdoomi K; Nephrology and Kidney Transplant Research Center, Clinical Research Institute, Urmia University of Medical Sciences, Urmia, Iran.; Department of Internal Medicine, School of Medicine, Urmia University of Medical Sciences, Urmia, Iran., Nourani A; Health and Biomedical Informatics Research Center, Urmia University of Medical Sciences, Urmia, Iran.; Department of Medical Informatics, School of Allied Medical Sciences, Urmia University of Medical Sciences, Nazloo Campus, Urmia University of Medical Sciences, Sero Road, Urmia, Iran., Jebraeily M; Department of Health Information Technology, School of Allied Medical Sciences, Urmia University of Medical Sciences, Urmia, Iran., Rahimi B; Health and Biomedical Informatics Research Center, Urmia University of Medical Sciences, Urmia, Iran. Bahlol.rahimi@gmail.com.; Department of Medical Informatics, School of Allied Medical Sciences, Urmia University of Medical Sciences, Nazloo Campus, Urmia University of Medical Sciences, Sero Road, Urmia, Iran. Bahlol.rahimi@gmail.com. |
| Πηγή: | BMC medical informatics and decision making [BMC Med Inform Decis Mak] 2026 Jun 12; Vol. 26 (1). Date of Electronic Publication: 2026 Jun 12. |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: BioMed Central Country of Publication: England NLM ID: 101088682 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6947 (Electronic) Linking ISSN: 14726947 NLM ISO Abbreviation: BMC Med Inform Decis Mak Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: London : BioMed Central, [2001- |
| Ιατρικοί όροι (MeSH): | Nephrology*/standards , Kidney Diseases*/therapy , Dashboard Systems*, Humans ; Pilot Projects ; Delphi Technique ; Inpatients |
| Περίληψη: | Introduction: Kidney disease imposes a significant burden on healthcare systems due to high complications, mortality, and costs. Effective management requires regular monitoring, which electronic information systems can support. Clinical dashboards visualize critical data and key performance indicators (KPIs) in real-time to aid decision-making. This study aimed to design, develop, and evaluate a clinical dashboard for inpatient nephrology care in Iran. Methods: This multi-phase developmental study (2022-2023) was conducted in the Nephrology and Kidney Transplantation Department at Imam Khomeini Hospital, Urmia. A two-stage Delphi process with 25 nephrologists identified KPIs. Conceptual and logical models were designed, followed by dashboard development using Laravel, MySQL, and Android Studio (with barcode integration). Usability was evaluated by 10 experts using a Nielsen-based questionnaire, and system success was assessed by 40 clinical staff after a three-month pilot using the DeLone & McLean model. Results: The Delphi yielded 58 KPIs categorized into demographic, medical history, clinical/laboratory, and discharge groups. The highest consensus was on electrolytes (4.88 ± 0.33) and vital signs/blood pressure. Usability evaluation showed acceptable scores in most Nielsen principles (e.g., high in visibility and aesthetic design), though orientation was lower and subsequently improved. End-user evaluation indicated high system quality, information quality, user satisfaction, and perceived net benefits. Conclusion: The dashboard demonstrated acceptable usability and success in a pilot setting, with clear visualizations, barcode-enabled bedside access, and categorized KPIs, providing a platform with the potential to support real-time monitoring and clinical decision-making in nephrology. (© 2026. The Author(s).) |
| Competing Interests: | Declarations. Ethics approval and consent to participate: This study was approved by the Ethics Committee in Medical Research at Urmia University of Medical Sciences (IR.UMSU.REC.1399.164). All procedures performed in this study involving human participants were in accordance with the ethical standards of the institutional research committee and with the 1964 Declaration of Helsinki and its later amendments, or comparable ethical standards. Written informed consent was obtained from all individual participants included in the Delphi process, usability evaluation, and system success assessment. Consent for publication: Not applicable. AI statement: In this article, we used Grammarly and ChatGPT to structure the manuscript’s sections and improve its text. All suggestions provided by these tools were implemented in the manuscript only after thorough review and approval by the author team. Competing interests: The authors declare no competing interests. |
| References: | Kidney Med. 2024 May 24;6(7):100849. (PMID: 39040545) Lancet. 2021 Aug 28;398(10302):786-802. (PMID: 34175022) Nat Rev Nephrol. 2024 Sep;20(9):569-585. (PMID: 39025992) BMJ Glob Health. 2017 Jul 6;2(2):e000380. (PMID: 29225940) Comput Inform Nurs. 2014 Nov;32(11):545-9. (PMID: 25310224) Lancet. 2020 Feb 29;395(10225):662-664. (PMID: 32061314) Kidney Int Rep. 2020 Jul 03;5(8):1298-1302. (PMID: 32775829) BMC Nephrol. 2020 Oct 6;21(1):424. (PMID: 33023489) Kidney360. 2021 Jan 06;2(3):415-424. (PMID: 35369014) Clin Exp Immunol. 2018 May;192(2):142-150. (PMID: 29453850) Clin Kidney J. 2021 Oct 14;14(Suppl 3):i16-i22. (PMID: 34987779) BMJ. 2021 Jan 18;372:m4786. (PMID: 33461986) J Clin Med. 2018 Aug 03;7(8):. (PMID: 30081442) Yearb Med Inform. 2014 Aug 15;9:154-62. (PMID: 25123736) J Eval Clin Pract. 2020 Aug;26(4):1224-1234. (PMID: 31713997) Kidney Int Rep. 2021 Feb 26;6(5):1265-1272. (PMID: 34013104) Int J Med Inform. 2022 Oct;166:104838. (PMID: 35940044) Appl Clin Inform. 2018 Jul;9(3):511-518. (PMID: 29998455) BMC Med Inform Decis Mak. 2022 Aug 13;22(1):217. (PMID: 35964083) PLoS One. 2017 May 3;12(5):e0176540. (PMID: 28467510) J Clin Hypertens (Greenwich). 2021 Apr;23(4):831-834. (PMID: 33455061) BMC Infect Dis. 2024 Jun 17;24(1):594. (PMID: 38886674) Kidney Int. 2020 Apr;97(4):676-686. (PMID: 32111372) BMJ Open. 2024 Aug 24;14(8):e089242. (PMID: 39181557) JMIR Med Inform. 2016 Feb 24;4(1):e7. (PMID: 26912288) BMC Nephrol. 2024 Dec 6;25(1):447. (PMID: 39639199) Biomed Res Int. 2023 Feb 22;2023:9990933. (PMID: 36874923) Int J Med Inform. 2015 Feb;84(2):87-100. (PMID: 25453274) Kidney Int. 2022 Nov;102(5S):S1-S127. (PMID: 36272764) Health Info Libr J. 2025 Jun;42(2):148-161. (PMID: 38717119) BMC Prim Care. 2024 Jun 19;25(1):220. (PMID: 38898462) Endocr Rev. 2020 Oct 1;41(5):. (PMID: 32455432) J Biomed Inform. 2016 Feb;59:15-30. (PMID: 26528606) Animals (Basel). 2022 Jan 21;12(3):. (PMID: 35158584) Cancer Manag Res. 2020 Jul 27;12:6341-6352. (PMID: 32821154) Kidney Int. 2013 Sep;84(3):622-3. (PMID: 23989362) Sci Rep. 2020 Apr 30;10(1):7351. (PMID: 32355258) J Clin Epidemiol. 2014 Apr;67(4):401-9. (PMID: 24581294) Kidney Int. 2021 Mar;99(3S):S1-S87. (PMID: 33637192) J Clin Med. 2024 Jul 17;13(14):. (PMID: 39064218) Adv Ther. 2023 Oct;40(10):4405-4420. (PMID: 37493856) JMIR Hum Factors. 2018 May 31;5(2):e22. (PMID: 29853440) |
| Contributed Indexing: | Keywords: Clinical management; Dashboard; Information technology; Kidney disease; Nephrology |
| Entry Date(s): | Date Created: 20260613 Date Completed: 20260924 Latest Revision: 20260926 |
| Update Code: | 20260926 |
| PubMed Central ID: | PMC13602625 |
| DOI: | 10.1186/s12911-026-03629-4 |
| PMID: | 42286586 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1472-6947 |
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| DOI: | 10.1186/s12911-026-03629-4 |