Identifying Persistent Usability Issues When Using an Electronic Health Record to Inform EHR Instructional Redesign

  • Martina A. ClarkeEmail author
  • Jeffery L. Belden
  • Min S. Kim
Conference paper
Part of the Advances in Intelligent Systems and Computing book series (AISC, volume 1205)


Ineffective training can impact the perceived ease of use of an electronic health record (EHR) system. This study aims to determine persistent usability issues experienced by primary care residents when using an EHR to inform EHR instructional overhaul. Methods: Primary care residents participated in two rounds of usability tests. Physicians completed nineteen tasks based on an Five themes emerged during analysis: (1) Inconsistencies, (2) User Interface Issues, (3) Structured Data Issues, (4) Ambiguous Terminologies, and (5) Workarounds. This study was novel in that the authors have no knowledge of any iterative EHR usability studies among primary care residents to assist in improving EHR training.


Human-computer interaction Usability Electronic health record 


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Copyright information

© The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Martina A. Clarke
    • 1
    Email author
  • Jeffery L. Belden
    • 2
    • 3
  • Min S. Kim
    • 3
    • 4
  1. 1.Department of Internal Medicine – Division of Cardiovascular MedicineUniversity of Nebraska Medical CenterOmahaUSA
  2. 2.Department of Family and Community MedicineUniversity of MissouriColumbiaUSA
  3. 3.Informatics InstituteUniversity of MissouriColumbiaUSA
  4. 4.Department of Health Management and InformaticsUniversity of MissouriColumbiaUSA

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