Usability and EHRs
adj. Capability of Being Used
Altaf Prasla, Brenda Wilson, Mandi Taveechai, Michael Yao
"Practitioner's Take Away"
Everyone says EHRs are possible, but it's not happening
Lack of usability in EHRs is one reason
Incorporating usability is hard in any system (which is
why we have "Usability Professionals")
Skilled users: Physicians
Complex Functionality: Clinical Decision Support
Critical Tasks: Don't Kill the Patient
Who's Doing The Research?
UPA: The Usability Professionals Association
AHRQ hired two research organizations to evaluate how
vendors integrate usability in their products and published
a report in May 27, 2010.
Other than the AHRQ report, there are not standards on
design or monitoring usability of EHRs. Therefore
research is primarily done by universities and consumers.
What Has Been Discovered
Yildiz Technical University, Department of Communication
Clinical Decision Support that will actually work
Split Second Decisions by Providers
Heavy Burden of "Don't Kill the Patient"
The Threat of Malpractice Lawsuits
Address the challenge of empowering the clinician with
benefits of HIT while not forcing them to think like a
Positive attitudes, less frustration for those using the EHR
Expansion and Opportunities
Steal Ideas from Other Software
EHRs being an "Over-glorified Microsoft Word"
Web Development methods for Interfaces
Google Style Search (unified search boxes)
If your program is not
usable, then it won't be
EHRs are not meant to
replace doctors. Meant
to HELP doctors
Usability for patients
(PHRs and Portals)
without cognitive Using an EHR shouldn't be like finding Waldo
Standards on design
John B. Smelcer, Hal Miller-Jacobs, Lyle Kantrovich.
"Usability of Electronic Medical Records" http://www.
Tasa, Umut Burca, et al. "A case study on better
iconographic design in electronic medical records' user
interface." Informatics For Health & Social Care 33.2 (2008):