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Scott Lind - The Secret Life of EHRs
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Scott Lind - The Secret Life of EHRs

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This presentation will look at what it’s like to implement design change within a large-scale EHR vendor, with examples of some of the challenges, techniques for building support, and opportunities for improvement.

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Scott Lind - The Secret Life of EHRs Scott Lind - The Secret Life of EHRs Presentation Transcript

  • The Secret Life of EHRs Scott Lind
  • 20 minutes 3 things
  • 20 minutes 3 things+1 d igression
  • design • culture • opportunity
  • acute care environment
  • 28%pneumonia screenings
  • 51%catheter-associated UTI
  • 43%MRSA infections
  • self-actualization esteem belonging safety physiological
  • pleasurable usable reliablefunctional − Aarron Walter
  • pleasurable usable reliablefunctional − Aarron Walter
  • “ Does the patient smoke? ”
  • design • culture • opportunity
  • design • culture • opportunityincrease safetyimprove outcomesreduce costs
  • thisisindexed.com
  • user roles
  • context of care
  • <digression>
  • Evaluator EffectJacobsen, Hertzum & John, 1998 4 evaluators 4 sessions 93 problems
  • severe problems on a single top ten list 56%
  • severe problems on all top ten lists 0
  • CUE-2 Molich, 1998 9 teams 3 weeks 310 problems
  • problems reported by more than one team 25%
  • problems reported by more than half of the teams 2%
  • problems reported by all teams 0
  • CUE-8 2009 15 teams 5 tasks quantitative testing
  • Rent an intermediate size car at Logan Airport inBoston, Massachusetts, from Thursday 11 June 2009at 09.00 am to Monday 15 June at 3.00 pm. If askedfor a name, use John Smith, email addressjohn112233@hotmail.com. Do not submit thereservation.
  • time on task to rent a car500 451375 323 328 306250 251 210 209 207 195 180125 157 148 133 134 108 0 A B C D E F G H J K L M N O P
  • time on task to rent a car500 451375 323 328 306250 251 210 209 207 195 180125 157 148 133 134 108 0 A B C D E F G H J K L M N O P
  • usability safety
  • </digression>
  • design • culture • opportunity
  • “ Creating good user experience is not a ” design problem, it’s a power struggle. − Alan Cooper
  • Dear AmericanAirlines − Dustin Curtis
  • Everyone believes in UX
  • Everyone believes in UX
  • “ Your job as a user experience person is to cultivate a culture where good ” design has a leading voice at the table. − Aza Raskin
  • design • culture • opportunity
  • pleasurable usable reliablefunctional − Aarron Walter
  • “ In the last six weeks, have you spent more than two hours watching someone use your design or a competitor’s design? ” − Jared Spool
  • “ ” You can observe a lot by watching. − Yogi Berra
  • Simple Meaningful Easy to use FastClean Flexible Time saving ImpressiveEfficient Responsive ComprehensiveFriendly Approachable Effortless Usable
  • 2006 Marco Armant, August 2010
  • 2007 Marco Armant, August 2010
  • 2010 Marco Armant, August 2010
  • Escape Velocity− Amir Khella
  • thank you