Evaluating usability of a commercial electronic health record: A case study

被引：68

作者：

Edwards, Paula J. ^{[1
]}

Moloney, Kevin P. ^{[2
]}

Jacko, Julie A. ^{[3
]}

Sainfort, Francois ^{[4
]}

机构：

[1] HIMformatics LLC, Dunwoody, GA 30338 USA

[2] Georgia Inst Technol, Hlth Syst Inst, Atlanta, GA 30308 USA

[3] Univ Minnesota, Sch Nursing, Inst Hlth Informat, Minneapolis, MN 55455 USA

[4] Univ Minnesota, Sch Publ Hlth, Div Hlth Policy & Management, Minneapolis, MN 55455 USA

来源：

INTERNATIONAL JOURNAL OF HUMAN-COMPUTER STUDIES | 2008年 / 66卷 / 10期

基金：

美国医疗保健研究与质量局; 美国国家科学基金会;

关键词：

predictive usability evaluation; electronic health record; healthcare; heuristic walkthrough;

D O I：

10.1016/j.ijhcs.2008.06.002

中图分类号：

TP3 [计算技术、计算机技术];

学科分类号：

0812 ;

摘要：

Electronic health records (EHR) are increasingly being implemented by care providers in order to streamline processes and improve quality of care. Due to EHRs' complexity, the usability of these systems is crucial to ensure safety and to enable clinicians (users) to focus on their patients rather than the technology. This case study presents experiences from the implementation of a commercial EHR in a large pediatric hospital system. This case discusses how a predictive evaluation method, Heuristic Walkthrough, was used to evaluate and improve the usability of the EHR system. Outcomes from the evaluation resulted in immediate changes in the system configuration and training materials, which helped to avoid usability problems at rollout, as well as change requests to the vendor to improve overall system usability in the long term. Design trade-offs and lessons learned for future EHR implementations and other healthcare applications are discussed. (C) 2008 Elsevier Ltd. All rights reserved.

引用

页码：718 / 728

页数：11