论文信息 - Identifying Persistent Usability Issues When Using an Electronic Health Record to Inform EHR Instructional Redesign

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

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.

[1] Alissa L. Russ,et al. Paper- and computer-based workarounds to electronic health record use at three benchmark institutions. , 2013, Journal of the American Medical Informatics Association : JAMIA.

[2] O. Sagher,et al. Do Electronic Health Records Help or Hinder Medical Education? , 2009, PLoS medicine.

[3] Anne Holbrook,et al. Features predicting the success of computerized decision support for prescribing: a systematic review of randomized controlled trials , 2009, BMC Medical Informatics Decis. Mak..

[4] Jos Aarts,et al. The Shift in Workarounds Upon Implementation of Computerized Physician Order Entry , 2011, MIE.

[5] P. Schneider,et al. Interrater agreement with a standard scheme for classifying medication errors. , 2007, American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists.

[6] Enid N. H. Montague,et al. Dynamic modeling of patient and physician eye gaze to understand the effects of electronic health records on doctor-patient communication and attention , 2014, Int. J. Medical Informatics.

[7] Vickie Nguyen,et al. Detection and characterization of usability problems in structured data entry interfaces in dentistry , 2013, Int. J. Medical Informatics.