Electronic health record usability: analysis of the user-centered design processes of eleven electronic health record vendors
Electronic health record usability: analysis of the user-centered design processes of eleven electronic health record vendors
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DOI：
10.1093/jamia/ocv050
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发表时间：
2015-11-01
影响因子：
6.4
通讯作者：
Benda, Natalie C.
中科院分区：
文献类型：
--
作者：
Ratwani, Raj M.;Fairbanks, Rollin J.;Benda, Natalie C.
尽管国家协调员办公室要求电子病历供应商采用以用户为中心的设计（UCD）流程，但电子病历（EHRs）的可用性仍然是供应商不满意的一个问题。为了更好地理解导致可用性差的因素，一个研究团队访问了11个不同的EHR供应商，以分析他们的UCD流程，并发现供应商在试图将UCD与他们的EHR开发集成时所面临的具体挑战。我们的分析展示了供应商UCD实践的不同范围，分为3类：完善的UCD，基本的UCD，以及对UCD的误解。实践UCD的具体挑战包括对临床工作流程进行上下文丰富的研究，为可用性研究招募参与者，以及获得供应商组织领导层的支持。研究结果为如何提高电子病历供应商的可用性实践提供了新的见解。
The usability of electronic health records (EHRs) continues to be a point of dissatisfaction for providers, despite certification requirements from the Office of the National Coordinator that require EHR vendors to employ a user-centered design (UCD) process. To better understand factors that contribute to poor usability, a research team visited 11 different EHR vendors in order to analyze their UCD processes and discover the specific challenges that vendors faced as they sought to integrate UCD with their EHR development. Our analysis demonstrates a diverse range of vendors' UCD practices that fall into 3 categories: well-developed UCD, basic UCD, and misconceptions of UCD. Specific challenges to practicing UCD include conducting contextually rich studies of clinical workflow, recruiting participants for usability studies, and having support from leadership within the vendor organization. The results of the study provide novel insights for how to improve usability practices of EHR vendors.