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Usability and EHRs

    adj. Capability of Being Used
Altaf Prasla, Brenda Wilson, Mandi Taveechai, Michael Yao
Why Usability?
"Practitioner's Take Away"


   Everyone says EHRs are possible, but it's not happening

   Lack of usability in EHRs is one reason
      Incorporating usability is hard in any system (which is
      why we have "Usability Professionals")

   EHR difficulty
     Skilled users: Physicians
     Complex Functionality: Clinical Decision Support
     Critical Tasks: Don't Kill the Patient
Who's Doing The Research?
  UPA: The Usability Professionals Association
    http://www.usabilityprofessionals.org/

  AHRQ hired two research organizations to evaluate how
  vendors integrate usability in their products and published
  a report in May 27, 2010.

  Other than the AHRQ report, there are not standards on
  design or monitoring usability of EHRs. Therefore
  research is primarily done by universities and consumers.
What Has Been Discovered

Yildiz Technical University, Department of Communication
Design
Further Benefits

  Clinical Decision Support that will actually work
      Split Second Decisions by Providers
      Heavy Burden of "Don't Kill the Patient"
      The Threat of Malpractice Lawsuits

  Address the challenge of empowering the clinician with
  benefits of HIT while not forcing them to think like a
  machine.

  Positive attitudes, less frustration for those using the EHR
Expansion and Opportunities

 Steal Ideas from Other Software
    EHRs being an "Over-glorified Microsoft Word"
    Internet Browsers

 Web Design
   Web Development methods for Interfaces
   Google Style Search (unified search boxes)
Office 2007 Interface
Office 2003 Style Interface
Google Chrome and Tabs
Conclusion

 If your program is not
 usable, then it won't be
 used properly
 EHRs are not meant to
 replace doctors. Meant
 to HELP doctors
 Future research
 needed:
     Usability for patients
     (PHRs and Portals)
     Cognitive support
     without cognitive        Using an EHR shouldn't be like finding Waldo
     overload
     Standards on design
Works Cited

 John B. Smelcer, Hal Miller-Jacobs, Lyle Kantrovich.
 "Usability of Electronic Medical Records" http://www.
 upassoc.org/upa_publications/jus/2009february/smelcer1.
 html (2009)
 Tasa, Umut Burca, et al. "A case study on better
 iconographic design in electronic medical records' user
 interface." Informatics For Health & Social Care 33.2 (2008):
 125-138.

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Usability and EHRs

  • 1. Usability and EHRs adj. Capability of Being Used Altaf Prasla, Brenda Wilson, Mandi Taveechai, Michael Yao
  • 2. Why Usability? "Practitioner's Take Away" Everyone says EHRs are possible, but it's not happening Lack of usability in EHRs is one reason Incorporating usability is hard in any system (which is why we have "Usability Professionals") EHR difficulty Skilled users: Physicians Complex Functionality: Clinical Decision Support Critical Tasks: Don't Kill the Patient
  • 3. Who's Doing The Research? UPA: The Usability Professionals Association http://www.usabilityprofessionals.org/ AHRQ hired two research organizations to evaluate how vendors integrate usability in their products and published a report in May 27, 2010. Other than the AHRQ report, there are not standards on design or monitoring usability of EHRs. Therefore research is primarily done by universities and consumers.
  • 4. What Has Been Discovered Yildiz Technical University, Department of Communication Design
  • 5. Further Benefits Clinical Decision Support that will actually work Split Second Decisions by Providers Heavy Burden of "Don't Kill the Patient" The Threat of Malpractice Lawsuits Address the challenge of empowering the clinician with benefits of HIT while not forcing them to think like a machine. Positive attitudes, less frustration for those using the EHR
  • 6. Expansion and Opportunities Steal Ideas from Other Software EHRs being an "Over-glorified Microsoft Word" Internet Browsers Web Design Web Development methods for Interfaces Google Style Search (unified search boxes)
  • 8. Office 2003 Style Interface
  • 10. Conclusion If your program is not usable, then it won't be used properly EHRs are not meant to replace doctors. Meant to HELP doctors Future research needed: Usability for patients (PHRs and Portals) Cognitive support without cognitive Using an EHR shouldn't be like finding Waldo overload Standards on design
  • 11. Works Cited John B. Smelcer, Hal Miller-Jacobs, Lyle Kantrovich. "Usability of Electronic Medical Records" http://www. upassoc.org/upa_publications/jus/2009february/smelcer1. html (2009) Tasa, Umut Burca, et al. "A case study on better iconographic design in electronic medical records' user interface." Informatics For Health & Social Care 33.2 (2008): 125-138.