{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T23:28:31Z","timestamp":1768346911666,"version":"3.49.0"},"reference-count":25,"publisher":"Oxford University Press (OUP)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Objectives: Readmission following colorectal surgery, typically due to surgery-related complications, is common. Patient-centered discharge warnings may guide recognition of early complication signs after colorectal surgery.<\/jats:p>\n               <jats:p>Materials and Methods: User-centered design of a discharge warnings tool consisted of iterative health literacy review and a heuristic evaluation with human factors and clinical experts as well as patient end users to establish content validity and usability.<\/jats:p>\n               <jats:p>Results: Literacy evaluation of the prototype suggested\u2009&amp;gt;12th-grade reading level. Subsequent revisions reduced reading level to 8th grade or below. Contents were formatted during heuristic evaluation into 3 action-oriented zones (green, yellow, and red) with relevant warning lexicons. Usability testing demonstrated comprehension of this 3-level lexicon and recognition of appropriate patient actions to take for each level.<\/jats:p>\n               <jats:p>Discussion: We developed a discharge warnings tool for colorectal surgery using staged user-centered design. The lexicon of surgical discharge warnings could structure communication among patients, caregivers, and clinicians to improve post-discharge care.<\/jats:p>","DOI":"10.1093\/jamia\/ocx018","type":"journal-article","created":{"date-parts":[[2017,2,18]],"date-time":"2017-02-18T20:07:35Z","timestamp":1487448455000},"page":"975-980","source":"Crossref","is-referenced-by-count":14,"title":["User-centered design of discharge warnings tool for colorectal surgery patients"],"prefix":"10.1093","volume":"24","author":[{"given":"Aanand D","family":"Naik","sequence":"first","affiliation":[{"name":"Center for Innovations in Quality, Effectiveness, and Safety (IQuESt); Michael E. DeBakey VA Medical Center, Houston, TX, USA"},{"name":"Department of Medicine, Baylor College of Medicine, Houston, TX, USA"},{"name":"VA Quality Scholars Coordinating Center, Michael E. DeBakey VA Medical Center"}]},{"given":"Molly J","family":"Horstman","sequence":"additional","affiliation":[{"name":"Center for Innovations in Quality, Effectiveness, and Safety (IQuESt); Michael E. DeBakey VA Medical Center, Houston, TX, USA"},{"name":"Department of Medicine, Baylor College of Medicine, Houston, TX, USA"},{"name":"VA Quality Scholars Coordinating Center, Michael E. DeBakey VA Medical Center"}]},{"given":"Linda T","family":"Li","sequence":"additional","affiliation":[{"name":"Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX, USA"},{"name":"Department of Medicine, Boston University School of Medicine, Boston, MA, USA"}]},{"given":"Michael K","family":"Paasche-Orlow","sequence":"additional","affiliation":[{"name":"Jesse H. Jones Graduate School of Business, Rice University, Houston, TX, USA"}]},{"given":"Bryan","family":"Campbell","sequence":"additional","affiliation":[{"name":"Center for Innovations in Quality, Effectiveness, and Safety (IQuESt); Michael E. DeBakey VA Medical Center, Houston, TX, USA"}]},{"given":"Whitney L","family":"Mills","sequence":"additional","affiliation":[{"name":"Center for Innovations in Quality, Effectiveness, and Safety (IQuESt); Michael E. DeBakey VA Medical Center, Houston, TX, USA"},{"name":"Department of Medicine, Baylor College of Medicine, Houston, TX, USA"}]},{"given":"Levi I","family":"Herman","sequence":"additional","affiliation":[{"name":"Center for Innovations in Quality, Effectiveness, and Safety (IQuESt); Michael E. DeBakey VA Medical Center, Houston, TX, USA"},{"name":"Department of Gastrointestinal Oncology, Section of Hepatobiliary Tumors and Health Outcomes and Behavior, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA"}]},{"given":"Daniel A","family":"Anaya","sequence":"additional","affiliation":[{"name":"Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX, USA"},{"name":"Department of General Surgery, Columbia University College of Physicians and Surgeons, New York, NY, USA"}]},{"given":"Barbara W","family":"Trautner","sequence":"additional","affiliation":[{"name":"Center for Innovations in Quality, Effectiveness, and Safety (IQuESt); Michael E. DeBakey VA Medical Center, Houston, TX, USA"},{"name":"Department of Medicine, Baylor College of Medicine, Houston, TX, USA"},{"name":"Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX, USA"}]},{"given":"David H","family":"Berger","sequence":"additional","affiliation":[{"name":"Center for Innovations in Quality, Effectiveness, and Safety (IQuESt); Michael E. DeBakey VA Medical Center, Houston, TX, USA"},{"name":"Michael E. 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