Usability and Safety in Electronic Medical Records Interface Design

Zahabi, Maryam; Kaber, David B.; Swangnetr, Manida

doi:10.1177/0018720815576827

Cited by 196 publications

(157 citation statements)

References 57 publications

(116 reference statements)

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“…The implementation of EHR systems and other health information technology initiatives in support of health care delivery has become common in countries' national healthcare systems (e.g. [16][17][18][19][20][21][22].A n important stream of research that analyses EHR systems has focused on patient concerns about the dimensions of patient-oriented usability [23,24], privacy [25,26] and security [27,28], but the focus of this article is on clinicians as end-users of Bru-HIMS, and on the organisational management challenges associated with the implementation of health information technologies [29].…”

Section: Theoretical Contextmentioning

confidence: 99%

Perceived critical success factors of electronic health record system implementation in a dental clinic context: An organisational management perspective

Sidek

Martins

2017

International Journal of Medical Informatics

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Section: Theoretical Contextmentioning

confidence: 99%

Perceived critical success factors of electronic health record system implementation in a dental clinic context: An organisational management perspective

Sidek

Martins

2017

International Journal of Medical Informatics

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“…This disruption in flow comes about despite attemptsmost notably by Human Computer Interaction (HCI)to achieve a satisfactory level of clinical usability. The majority of HCI research seems to be focused mainly on the analysis of task and process (Zahabi 2015;Zhang 2013). This means most EMR interface research consists of observing clinicians using existing EMR interfaces (Zheng 2009), resulting in interfaces that become highly complex in an attempt to embed clinical knowledge and relevance into an interface that has no clinical 'heritage'.…”

Section: Figure 1: Emr Usability Affects the Flow Of The Clinical Conmentioning

confidence: 99%

Electronic Medical Records: Provotype visualisation maximises clinical usability

Pao

Stevens

Lockton

et al. 2018

Electronic Workshops in Computing

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The Electronic Medical Record (EMR) is the essential tool of the clinical consultation, effectively replacing the paper medical record. Since its gradual adoption in the early 2000s there has been a failure to achieve even moderate levels of EMR usability in clinical settings, resulting in a negative impact on clinical care, time efficiency and patient safety. This research explores how deeper collaboration with clinical users through participatory design, drawing on the disciplines of visual design, user experience (UX) design and visual analytics, might offer a more effective approach to this important problem. The lead researcher for this project is both a practising doctor and design researcher. Usability of two commercial EMR interfaces in the field of sexual health is explored through a mixed method survey, with responses used to inform the design of an interface provotype. This in turn is evaluated through repeat survey and 'test-drive' talk-aloud workshops. Results from the survey on two commercial EMR interfaces (n=49) revealed deep dissatisfaction particularly around issues of navigation, flow of consultation, frustration, safety, time-dependent and time-independent data, data complexity and data salience. Comparative provotype evaluation (n=63) showed that clinically-relevant visualisation offers marked gains in clinical usability and performance. This research argues for a re-imagining of the way we look at medical data during the clinical consultation so that the affordances and benefits of the digital format can be exploited more fully. It highlights the value of combining participatory design with visualisation to embed explicit, experiential and even tacit clinical knowledge into the EMR interface.Electronic medical record. Visualisation. Information architecture. Usability. Provotype. Psychology.

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“…Essa heurística também pode ser abordada como "Flexibilidade e Customização" como foi proposta em Zahabi et al (2015). Nesse artigo, a revisão na literatura buscou por trabalhos relacionados à aspectos de usabilidade e segurança em sistemas de registros médicos e os autores propõem um conjunto de diretrizes para interfaces de sistemas médicos com foco no diagnóstico e documentação dos processos.…”

Section: Flexibilidadeunclassified

Identificando propriedades essenciais de registros eletrônicos de saúde

Albergaria¹,

Bax²,

Prates³

et al. 2016

AtoZ

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Todo o conteúdo da Revista (incluindo-se instruções, política editorial e modelos) está sob uma licença Creative Commons Atribuição-NãoComercial-CompartilhaIgual 3.0 Não Adaptada.Ao serem publicados por esta Revista, os artigos são de livre uso em ambientes educacionais, de pesquisa e não comerciais, com atribuição de autoria obrigatória.Mais informações em http://ojs.c3sl.ufpr.br/ojs2/index.php/atoz/about/submissions#copyrightNotice. ResumoIntrodução: Inserido no desafio de possibilitar a interação de profissionais da saúde com prontuários eletrônicos baseados na Norma ISO 13606 permitindo a personalização de interface ao mesmo tempo que se preserva a estrutura e padronização dos Sistemas de Registros Eletrônicos de Saúde (S-RES), o presente recorte objetiva caracterizar propriedades essenciais de S-RES -flexibilidade, padronização e estrutura e facilidade de interação -analisando-se três destes sistemas. Método: Utilizou-se o método de Design Science Research que busca gerar conhecimento teórico a partir da resolução de um problema prático (identificado no contexto da investigação mais ampla). Mais especificamente, no objetivo explicitado neste recorte, efetivou-se uma revisão de literatura sobre os requisitos existentes e dificuldades dos usuários dos sistemas S-RES, seguida de um levantamento e caracterização das propriedades essenciais dos S-RES e do estabelecimento de critérios de análise. O método de inspeção completa a proposta metodológica, visto que as questões (que indicam os critérios) foram apresentadas a dois especialistas para a análise dos Sistemas. Resultados: No recorte proposto, as propriedades levantadas como essenciais dos sistemas foram caracterizadas e analisadas em três S-RES. Confirmou-se a importância das propriedades essenciais destes tipos de sistemas, ainda que verifique a dificuldade de serem atendidas em um mesmo sistema. Conclusão: Os desafios postos aos S-RES não são pontuais ou mesmo de um contexto de uso. Como trabalho futuro propõe-se a criação de um modelo de interface extensível de interface para sistemas de Registro Eletrônico de Saúde baseados na ISO 13606. Palavras-chave: Informática em Saúde; Registros eletrônicos de saúde; Interface humano-computador; Propriedades de sistemas informatizados Abstract Introduction: Inserted in the challenge of enabling the interaction of health professionals with electronic medical records -based on ISO 13606 -as well as allow them to customize interfaces (although preserving the structure and standardization of Electronic Health Records Systems (S-RES), the objective of this cutout paper is to characterize the essential properties of S-RES -flexibility, standardization and structure and ease of interaction -by analyzing three of these systems. Method: It was used the Design Science Research method that seeks to generate theoretical knowledge as solving a practical problem (identified in the context of a broader research). More specifically, the goal detailed in this cutout, demanded a literature review of the existing requirements and d...

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Usability and Safety in Electronic Medical Records Interface Design

Abstract: The design guidelines and new interface concept can be used for prototyping and testing enhanced EMRs.

Cited by 196 publications

References 57 publications

Perceived critical success factors of electronic health record system implementation in a dental clinic context: An organisational management perspective

Perceived critical success factors of electronic health record system implementation in a dental clinic context: An organisational management perspective

Electronic Medical Records: Provotype visualisation maximises clinical usability

Identificando propriedades essenciais de registros eletrônicos de saúde

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