Usability evaluation of an EHR's clinical notes interface from the perspective of attending and resident Physicians: An exploratory study

Rubina F Rizvi, Jenna L. Marquard, Marcus A. Seywerd, Terrence J Adam, Jed T. Elison, Gretchen M. Hultman, Kathleen A Harder, Genevieve B Melton-Meaux

Research output: Chapter in Book/Report/Conference proceedingConference contribution

2 Scopus citations

Abstract

Usability gaps between current and future improved Electronic Health Record (EHR) system designs exist due to insufficient incorporation of User-Centered Design (UCD) principles during System Development Life Cycle (SDLC). Usability of a commercial, inpatient EHR clinical notes documentation interface was analyzed from standpoints of two provider groups employing two standardized patient cases. Both objective and subjective data were collected from attending (n=6) and resident physicians (n=8) through usability testing employing a mixed method approach. The study results suggested that (i) EHR usability and desirability is influenced by user characteristics, (ii) workloads associated with H&P and progress notes writing are perceived differently between two groups, (iii) repeated task performance improves user efficiency and (iv) user performance is correlated to their subjective system assessments. Understanding usability of clinical documentation interface from perspectives of two different user groups, provides interface designers with an opportunity to develop an EHR system centered on UCD principles.

Original languageEnglish (US)
Title of host publicationMEDINFO 2017
Subtitle of host publicationPrecision Healthcare through Informatics - Proceedings of the 16th World Congress on Medical and Health Informatics
EditorsAdi V. Gundlapalli, Jaulent Marie-Christine, Zhao Dongsheng
PublisherIOS Press BV
Pages1128-1132
Number of pages5
ISBN (Electronic)9781614998297
DOIs
StatePublished - 2017
Event16th World Congress of Medical and Health Informatics: Precision Healthcare through Informatics, MedInfo 2017 - Hangzhou, China
Duration: Aug 21 2017Aug 25 2017

Publication series

NameStudies in Health Technology and Informatics
Volume245
ISSN (Print)0926-9630
ISSN (Electronic)1879-8365

Other

Other16th World Congress of Medical and Health Informatics: Precision Healthcare through Informatics, MedInfo 2017
Country/TerritoryChina
CityHangzhou
Period8/21/178/25/17

Bibliographical note

Funding Information:
We would like to thank the staff at Center for Neurobehavioral Development for collaborating, Elliot G. Arsoniadis, all resi- dents and attendings and Fairview Health Services. This work was supported by National Science Foundation (NSF) Award #CMMI-1150057 (JM) and the Agency for Healthcare Research and Quality (AHRQ) Award #R01HS022085 (GM). The content is solely the responsibility of the authors and does not represent the official views of the NSF or AHRQ

Funding Information:
We would like to thank the staff at Center for Neurobehavioral Development for collaborating, Elliot G. Arsoniadis, all residents and attendings and Fairview Health Services. This work was supported by National Science Foundation (NSF) Award #CMMI-1150057 (JM) and the Agency for Healthcare Research and Quality (AHRQ) Award #R01HS022085 (GM). The content is solely the responsibility of the authors and does not represent the official views of the NSF or AHRQ

Publisher Copyright:
© 2017 International Medical Informatics Association (IMIA) and IOS Press.

Keywords

  • Documentation
  • Electronic health record (ehr)
  • User-computer interface

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