Abstract
Interface design professionals frequently conduct usability tests to measure how well users can accomplish certain tasks with a given interface and to identify areas of improvement for redesign efforts. Much of the literature on electronic interface usability tests relates to consumer products, but there are special considerations when performing a usability test on an interface used in health care such as an electronic health record. A recent project involved a usability test of the existing electronic health record in the Veteran’s Health Administration by 30 clinicians. Notable issues were the development of an appropriate clinical scenario, recruiting of representative clinicians, and determining how to address unexpected usability findings. The health care environment adds a particular ethical challenge that may not be present in other usability tests, because it is necessary to balance considerations of patient safety with protection of the clinician participants.
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References
Zahabi, M., Kaber, D.B., Swangnetr, M.: Usability and safety in electronic medical records interface design a review of recent literature and guideline formulation. Hum. Factors J. Hum. Factors Ergon. Soc. 57(5), 805–834 (2015)
Meeks, D.W., Smith, M.W., Taylor, L., Sittig, D.F., Scott, J.M., Singh, H.: An analysis of electronic health record-related patient safety concerns. J. Am. Med. Inform. Assoc. 21(6), 1053–1059 (2014)
Middleton, B., Bloomrosen, M., Dente, M.A., Hashmat, B., Koppel, R., Overhage, J.M., …, Zhang, J.: Enhancing patient safety and quality of care by improving the usability of electronic health record systems: recommendations from AMIA. J. Am. Med. Inform. Assoc. 20(e1), e2–e8 (2013)
ISO, W.: 9241-11. Ergonomic requirements for office work with visual display terminals (VDTs). Int. Organ. Stand. 45 (1998)
45 CFR Part 170 Subpart C of the Health Information Technology: Standards, Implementation Specifications, and Certification Criteria for Electronic Health Record Technology, 2014 Edition; Revisions to the Permanent Certification Program for Health Information Technology, Final Rule
U.S. Department of Veterans Affairs. About VHA [cited 10 March 2016]. http://www.va.gov/health/aboutVHA.asp (2016)
Forrest, J.S.: Information Policies and Practices of Knowledge Management (KM) as Related to the Development of the Global Aviation Information Network (GAIN): An Applied Case Study and Taxonomy Development. ProQuest (2006)
Acknowledgments
We would like to thank LeeAnn Cox, Timothy Arnold, Hasan Shanawani, and Viseslav Drincic for their help with developing the clinical scenario.
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Fuller, H.J., Maddox, K.D., Lightner, N.J. (2017). Usability Testing an Electronic Health Record: Lessons Learned and Ethical Considerations. In: Duffy, V., Lightner, N. (eds) Advances in Human Factors and Ergonomics in Healthcare. Advances in Intelligent Systems and Computing, vol 482. Springer, Cham. https://doi.org/10.1007/978-3-319-41652-6_39
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DOI: https://doi.org/10.1007/978-3-319-41652-6_39
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