Usability and Safety in Electronic Medical Records Interface Design
Usability and Safety in Electronic Medical Records Interface Design
复制标题
电子病历界面设计的可用性和安全性
DOI：
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发表时间：
2015
期刊：
影响因子：
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通讯作者：
M. Swangnetr
中科院分区：
文献类型：
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作者：
Maryam Zahabi;D. Kaber;M. Swangnetr
目的：本研究的目的是（a）审查电子病历（EMR）和相关电子健康记录（EHR）接口可用性问题，（B）审查如何评价EMR与安全分析技术沿着任何危险识别，（c）制定设计指南和概念，以加强EMR接口，重点是诊断和文档处理。背景信息技术在卫生保健领域的一个主要影响是引入了电子病历。尽管许多研究表明使用EMR可以提高医疗保健质量，但仍然存在可用性问题和安全性问题。方法利用Compendex、PubMed、CINAHL和Web of Science数据库进行文献检索，查找2000年以来发表的EMR研究。纳入标准包括相关的英文论文和关键词子集，以及任何（手动）识别的研究，重点是EMR可用性。结果50篇文献符合纳入标准。结果显示，EMR和EHR的可用性问题，包括违反自然对话，控制一致性，有效使用语言，有效的信息呈现和定制原则，以及缺乏错误预防，认知负荷最小化和反馈。研究集中在EMR系统的安全性没有客观的评估，只采用归纳推理的方法进行危险识别。结论在确定可用性问题和安全分析技术结构的基础上，我们提供了EMR设计指南和设计概念，重点是诊断过程和文档。应用设计指南和新的接口概念可用于原型设计和测试增强的EMR。
Objective The objectives of this study were to (a) review electronic medical record (EMR) and related electronic health record (EHR) interface usability issues, (b) review how EMRs have been evaluated with safety analysis techniques along with any hazard recognition, and (c) formulate design guidelines and a concept for enhanced EMR interfaces with a focus on diagnosis and documentation processes. Background A major impact of information technology in health care has been the introduction of EMRs. Although numerous studies indicate use of EMRs to increase health care quality, there remain concerns with usability issues and safety. Method A literature search was conducted using Compendex, PubMed, CINAHL, and Web of Science databases to find EMR research published since 2000. Inclusion criteria included relevant English-language papers with subsets of keywords and any studies (manually) identified with a focus on EMR usability. Results Fifty studies met the inclusion criteria. Results revealed EMR and EHR usability problems to include violations of natural dialog, control consistency, effective use of language, effective information presentation, and customization principles as well as a lack of error prevention, minimization of cognitive load, and feedback. Studies focusing on EMR system safety made no objective assessments and applied only inductive reasoning methods for hazard recognition. Conclusion On the basis of the identified usability problems and structure of safety analysis techniques, we provide EMR design guidelines and a design concept focused on the diagnosis process and documentation. Application The design guidelines and new interface concept can be used for prototyping and testing enhanced EMRs.
DOI：
10.1056/nejmsb1205420
发表时间：
2012-11-08
期刊：
The New England journal of medicine
影响因子：
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作者：
Sittig DF;Singh H
通讯作者：
Singh H