Usability Improvements to Electronic Health Records - Finding Realistic Paths to Success

Rebecca A. Meehan

Abstract

There is a need to develop more effective strategies for improving usability within information and communication technologies, specifically, electronic health record (EHR) systems. Usability incorporates the ease of use, learnability, efficiency, effectiveness and satisfaction of a system by the end user. When an EHR incorporates principles of usability, the system does a better job of meeting the needs of the end users intuitively, resulting in fewer errors and better quality outcomes for patients. Health systems and governments have been urging the widespread adoption of EHR systems to help lower costs and increase efficiency, putting themselves and vendors under pressure to develop and implement the best solution quickly. Too often stakeholders rely on future releases and enhancements to fix issues not originally planned for in the initial release of the product. Hospital system end users and vendors need better strategies for improving usability in EHR solutions. Poor usability can result in frustrated end-users, inefficient and more costly processes, and, at worst, compromises to patient safety. Proposed strategies and areas for future development are discussed.

References

  1. Garg A, Adhikari N, Heather M, Rosas-Arellano M, Devereaux PJ, Beyene J, et al. 2005. Effects of computerized clinical decision support systems on practitioner performance and patient outcomes: a systematic review. JAMA, 293(10):1223-1228.
  2. Chaudhry B, Wang W, Wu S, Maglione M, Mojica W, Roth E, et al. 2006. Systematic review: impact of health information technology on quality, efficiency, and costs of medical care. Ann Intern Med, 144(10):742-752.
  3. Bates D. 2005. Computerized physician order entry and medication errors: finding a balance. J Biomed Inform, 38(4):259-261.
  4. Campbell E, Sittig D, Ash J, Guappone K, Dykstra R. 2007. In reply to “e-Iatrogenisis: the most critical consequence of CPOE and other HIT.” J Am Med Inform Assoc, 14:389-390.
  5. Harrison, M., Koppel, R. and S Bar-Lev. 2007. Unintended Consequences of Information Technologies in Health Care-An Interactive Sociotechnical Analysis. J Am Med Inform Assoc, 14(5): 542-549.
  6. Charles, D., M. Gabriel, and M. Furukawa. 2014. Office of the National Coordinator for Health Information Technology. ONC Data Brief, (16), 1-9.
  7. HIMSS Usability Taskforce. 2009. “Defining and Testing EMR Usability: Principles and Proposed Method of EMR Usability Evaluation and Rating.” http://www.himss.org/files/HIMSSorg/content/files/hi mss_definingandtestingemrusability.pdf.
  8. Hsiao, C. and E. Hing. 2014. Use and Characteristics of Electronic Health Record Systems Among Officebased Physician Practices: United States, 2001-2013. NCHS Data Brief, (143).
  9. Hsu, C. and Sandford, Brian A. 2007. The Delphi Technique: Making Sense of Consensus. Practical.
  10. Assessment Research and Evaluation, 12(10). Available online: http://pareonline.net/getvn.asp?v=12andn=10.
  11. ISO/IEC. 1998. 9241-11 Ergonomic Requirements for Office Work with Visual Display Terminals (VDTs) - Part 11: Guidance on Usability. Geneva, Switzerland: ISO/IEC.
  12. Miller, L. E. 2006. Determining what could/should be: The Delphi technique and its application. Paper presented at the meeting of the 2006 annual meeting of the Mid-Western Educational Research Association, Columbus, Ohio.
  13. Zhang, J. and MF Walji. 2011. TURF: Toward a Unified Framework of EHR Usability. J Biomed Inform. 44(6):1056-67.
Download


Paper Citation


in Harvard Style

Meehan R. (2015). Usability Improvements to Electronic Health Records - Finding Realistic Paths to Success . In Proceedings of the International Conference on Health Informatics - Volume 1: HEALTHINF, (BIOSTEC 2015) ISBN 978-989-758-068-0, pages 514-518. DOI: 10.5220/0005252705140518


in Bibtex Style

@conference{healthinf15,
author={Rebecca A. Meehan},
title={Usability Improvements to Electronic Health Records - Finding Realistic Paths to Success},
booktitle={Proceedings of the International Conference on Health Informatics - Volume 1: HEALTHINF, (BIOSTEC 2015)},
year={2015},
pages={514-518},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0005252705140518},
isbn={978-989-758-068-0},
}


in EndNote Style

TY - CONF
JO - Proceedings of the International Conference on Health Informatics - Volume 1: HEALTHINF, (BIOSTEC 2015)
TI - Usability Improvements to Electronic Health Records - Finding Realistic Paths to Success
SN - 978-989-758-068-0
AU - Meehan R.
PY - 2015
SP - 514
EP - 518
DO - 10.5220/0005252705140518