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Scott Lind - The Secret Life of EHRs
Scott Lind - The Secret Life of EHRs
Scott Lind - The Secret Life of EHRs
Scott Lind - The Secret Life of EHRs
Scott Lind - The Secret Life of EHRs
Scott Lind - The Secret Life of EHRs
Scott Lind - The Secret Life of EHRs
Scott Lind - The Secret Life of EHRs
Scott Lind - The Secret Life of EHRs
Scott Lind - The Secret Life of EHRs
Scott Lind - The Secret Life of EHRs
Scott Lind - The Secret Life of EHRs
Scott Lind - The Secret Life of EHRs
Scott Lind - The Secret Life of EHRs
Scott Lind - The Secret Life of EHRs
Scott Lind - The Secret Life of EHRs
Scott Lind - The Secret Life of EHRs
Scott Lind - The Secret Life of EHRs
Scott Lind - The Secret Life of EHRs
Scott Lind - The Secret Life of EHRs
Scott Lind - The Secret Life of EHRs
Scott Lind - The Secret Life of EHRs
Scott Lind - The Secret Life of EHRs
Scott Lind - The Secret Life of EHRs
Scott Lind - The Secret Life of EHRs
Scott Lind - The Secret Life of EHRs
Scott Lind - The Secret Life of EHRs
Scott Lind - The Secret Life of EHRs
Scott Lind - The Secret Life of EHRs
Scott Lind - The Secret Life of EHRs
Scott Lind - The Secret Life of EHRs
Scott Lind - The Secret Life of EHRs
Scott Lind - The Secret Life of EHRs
Scott Lind - The Secret Life of EHRs
Scott Lind - The Secret Life of EHRs
Scott Lind - The Secret Life of EHRs
Scott Lind - The Secret Life of EHRs
Scott Lind - The Secret Life of EHRs
Scott Lind - The Secret Life of EHRs
Scott Lind - The Secret Life of EHRs
Scott Lind - The Secret Life of EHRs
Scott Lind - The Secret Life of EHRs
Scott Lind - The Secret Life of EHRs
Scott Lind - The Secret Life of EHRs
Scott Lind - The Secret Life of EHRs
Scott Lind - The Secret Life of EHRs
Scott Lind - The Secret Life of EHRs
Scott Lind - The Secret Life of EHRs
Scott Lind - The Secret Life of EHRs
Scott Lind - The Secret Life of EHRs
Scott Lind - The Secret Life of EHRs
Scott Lind - The Secret Life of EHRs
Scott Lind - The Secret Life of EHRs
Scott Lind - The Secret Life of EHRs
Scott Lind - The Secret Life of EHRs
Scott Lind - The Secret Life of EHRs
Scott Lind - The Secret Life of EHRs
Scott Lind - The Secret Life of EHRs
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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  • 1. The Secret Life of EHRs Scott Lind
  • 2. 20 minutes 3 things
  • 3. 20 minutes 3 things+1 d igression
  • 4. design • culture • opportunity
  • 5. acute care environment
  • 6. 28%pneumonia screenings
  • 7. 51%catheter-associated UTI
  • 8. 43%MRSA infections
  • 9. self-actualization esteem belonging safety physiological
  • 10. pleasurable usable reliablefunctional − Aarron Walter
  • 11. pleasurable usable reliablefunctional − Aarron Walter
  • 12. “ Does the patient smoke? ”
  • 13. design • culture • opportunity
  • 14. design • culture • opportunityincrease safetyimprove outcomesreduce costs
  • 15. thisisindexed.com
  • 16. user roles
  • 17. context of care
  • 18. <digression>
  • 19. Evaluator EffectJacobsen, Hertzum & John, 1998 4 evaluators 4 sessions 93 problems
  • 20. severe problems on a single top ten list 56%
  • 21. severe problems on all top ten lists 0
  • 22. CUE-2 Molich, 1998 9 teams 3 weeks 310 problems
  • 23. problems reported by more than one team 25%
  • 24. problems reported by more than half of the teams 2%
  • 25. problems reported by all teams 0
  • 26. CUE-8 2009 15 teams 5 tasks quantitative testing
  • 27. 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.
  • 28. 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
  • 29. 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
  • 30. usability safety
  • 31. </digression>
  • 32. design • culture • opportunity
  • 33. “ Creating good user experience is not a ” design problem, it’s a power struggle. − Alan Cooper
  • 34. Dear AmericanAirlines − Dustin Curtis
  • 35. Everyone believes in UX
  • 36. Everyone believes in UX
  • 37. “ Your job as a user experience person is to cultivate a culture where good ” design has a leading voice at the table. − Aza Raskin
  • 38. design • culture • opportunity
  • 39. pleasurable usable reliablefunctional − Aarron Walter
  • 40. “ In the last six weeks, have you spent more than two hours watching someone use your design or a competitor’s design? ” − Jared Spool
  • 41. “ ” You can observe a lot by watching. − Yogi Berra
  • 42. Simple Meaningful Easy to use FastClean Flexible Time saving ImpressiveEfficient Responsive ComprehensiveFriendly Approachable Effortless Usable
  • 43. 2006 Marco Armant, August 2010
  • 44. 2007 Marco Armant, August 2010
  • 45. 2010 Marco Armant, August 2010
  • 46. Escape Velocity− Amir Khella
  • 47. thank you

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