Usability Evaluation of Electronic Health Record System around Clinical Notes Usage–An Ethnographic Study

Rizvi, Rubina F.; Marquard, Jenna L.; Hultman, Gretchen M.; Adam, Terrence J.; Harder, Kathleen A; Melton, Genevieve B.

doi:10.4338/aci-2017-04-ra-0067

Cited by 28 publications

(32 citation statements)

References 33 publications

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“…Usability is important because it enable users to achieve the system’s goals effectively. The improvement of the usability of any electronic health system leads to the improvement of health care delivery [ 6 ]. Usability of any system involves a set of evaluation methods to understand user experience in order to develop more useful products [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

“…The improvement of the usability of any electronic health system leads to the improvement of health care delivery [ 6 ]. Usability of any system involves a set of evaluation methods to understand user experience in order to develop more useful products [ 6 ]. According to the International Organization for Standardization (ISO), usability involves many components and is defined as “ the extent to which a system, product or service can be used by specified users to achieve specified goals with effectiveness, efficiency and satisfaction in a specified context of use ” [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

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The usability of Jordan stillbirths and neonatal deaths surveillance (JSANDS) system: results of focus group discussions

et al. 2021

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Background Jordan Stillbirths and Neonatal Deaths Surveillance system (JSANDS) is a newly developed system and is currently implemented in five large hospitals in Jordan. This study aimed at exploring the healthcare professionals’ perception about the usability of JSANDS. Methods A descriptive qualitative approach, using focus group discussions, was adopted. A total of 5 focus groups including 23 focal points were conducted in five participating hospitals in Jordan. Results Data analysis identified nine main issues related to the JSANDS system: the system usefulness, the system performance, data quality, the system limitations, human rights, female empowerment, nurses’ competencies strengthened, the sustainability of the JSANDS, and COVID-19 impact on the system. Users reported that JSANDS data were useful, the system was simple and easy to use, and the data were accurate and complete. However, some users reported that some technical issues need to be enhanced. Conclusions JSANDS was perceived positively by the current users. According to them, it provides a formative and comprehensive data on stillbirths and neonatal deaths and their causes, and therefore, was recommended to be adopted by its users and scaled up.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The usability of Jordan stillbirths and neonatal deaths surveillance (JSANDS) system: results of focus group discussions

et al. 2021

View full text Add to dashboard Cite

show abstract

“…The improvement of the usability of any electronic health system leads to the improvement of health care delivery (6). Usability of any system involves a set of evaluation methods to understand user experience in order to develop more useful products (6). According to the International Organization for Standardization (ISO), usability involves many components and is de ned as "the extent to which a system, product or service can be used by speci ed users to achieve speci ed goals with effectiveness, e ciency and satisfaction in a speci ed context of use" (7).…”

Section: Discussionmentioning

confidence: 99%

The usability of Jordan Stillbirths and Neonatal Deaths Surveillance (JSANDS) system: Results of focus group discussions

Khader¹,

Shattnawi

Al-Sheyab

et al. 2021

Preprint

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Background: Jordan Stillbirths and Neonatal Deaths Surveillance system (JSANDS) is a newly developed system and is currently implemented in five large hospitals in Jordan. This study aimed at exploring the healthcare professionals’ perception about the usability of JSANDS. Methods: A descriptive qualitative approach, using focus group discussions, was adopted. A total of 5 focus groups including 23 focal points were conducted in five participating hospitals in Jordan. Results: Data analysis identified nine main issues related to the JSANDS system: the system usefulness, the system performance, data quality, the system limitations, human rights, female empowerment, nurses’ competencies strengthened, the sustainability of the JSANDS, and COVID-19 impact on the system. Users reported that JSANDS data were useful, the system was simple and easy to use, and the data were accurate and complete. However, some users reported that some technical issues need to be enhanced. Conclusions: JSANDS was perceived positively by the current users. According to them, it provides a formative and comprehensive data on stillbirths and neonatal deaths and their causes, and therefore, was recommended to be adopted by its users and scaled up.

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“…Since the designers considered the user to be the patient (or parent/caregiver), an interdisciplinary analysis was needed to assess needs and then model actions, logic paths, questions, and answers within the interface. To do so, clinical and medical competence needs to be flanked by skills in computer sciences and database management, communication or new media sciences, psychology, and sociology [ 13 ]. The study used a number of focus groups based on a general inductive approach.…”

Section: Methodsmentioning

confidence: 99%

“…In this context, the ABILITA2 Project (Italian: Sviluppo di un Applicativo per terminali moBILI dedicato a popolazioni ad alTA complessità Assistenziale ; English: Development of a web-based Mobile Application for complex healthcare populations ) takes advantage of ICT and its eHealth applications, exploiting the patient-centered care approach. When addressing the abovementioned issues, it adapts the service to different subpopulations, providing models that can be replicated in the future [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

A Web-Based Application for Complex Health Care Populations: User-Centered Design Approach

Ferrucci¹,

Jorio²,

Marci³

et al. 2021

JMIR Hum Factors

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Background Although eHealth technology makes it possible to improve the management of complex health care systems and follow up on chronic patients, it is not without challenges, thus requiring the development of efficient programs and graphic user interface (GUI) features. Similar information technology tools are crucial, as health care populations are going to have to endure social distancing measures in the forthcoming months and years. Objective This study aims to provide adequate and personalized support to complex health care populations by developing a specific web-based mobile app. The app is designed around the patient and adapted to specific groups, for example, people with complex or rare diseases, autism, or disabilities (especially among children) as well as Alzheimer or senile dementia. The app’s core features include the collection, labeling, analysis, and sorting of clinical data. Furthermore, it authorizes a network of people around the patient to securely access the data contained in his or her electronic health record. Methods The application was designed according to the paradigms of patient-centered care and user-centered design (UCD). It considers the patient as the main empowered and motivating factor in the management of his or her well-being. Implementation was informed through a family needs and technology perception assessment. We used 3 interdisciplinary focus groups and 2 assessment surveys to study the contexts of app use, subpopulation management, and preferred functions. Finally, we developed an observational study involving 116 enrolled patients and 253 system users, followed by 2 feedback surveys to evaluate the performance and impact of the app. Results In the validated general GUI, we developed 10 user profiles with different privacy settings. We tested 81 functions and studied a modular structure based on disease or medical area. This allowed us to identify replicable methods to be applied to module design. The observational study not only showed good family and community engagement but also revealed some limitations that need to be addressed. In total, 42 of 51 (82%) patients described themselves as satisfied or very satisfied . Health care providers reported facilitated communication with colleagues and the need to support data quality. Conclusions The experimented solution addressed some of the health system challenges mentioned by the World Health Organization: usability appears to be significantly improved when the GUI is designed according to patients’ UCD mental models and when new media and medical literacy are promoted. This makes it possible to maximize the impact of eHealth products, thereby overcoming some crucial gaps reported in the literature. Two main features seemed to have potential benefit compared with other eHealth products: the modeling, within the app, of both the formal...

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Usability Evaluation of Electronic Health Record System around Clinical Notes Usage–An Ethnographic Study

Cited by 28 publications

References 33 publications

The usability of Jordan stillbirths and neonatal deaths surveillance (JSANDS) system: results of focus group discussions

The usability of Jordan stillbirths and neonatal deaths surveillance (JSANDS) system: results of focus group discussions

The usability of Jordan Stillbirths and Neonatal Deaths Surveillance (JSANDS) system: Results of focus group discussions

A Web-Based Application for Complex Health Care Populations: User-Centered Design Approach

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