Developing Evidence- based User Centered Design and Implementation Guidelines to Improve Health Information Technology Usability

 描述（由申请人提供）：拟议研究的目的是提供证据基础，以更好地告知以用户为中心的设计和实施过程，以提高健康信息技术（健康IT）的可用性和安全性。本研究是对特别强调通知（NOT-HS-15 - 005）的直接响应。利用专家手动审查和机器学习技术（特别是自然语言处理）的混合方法，我们将开发快速分析患者安全事件数据的方法，以确定哪些事件与健康IT相关。然后，我们将进一步对与健康IT相关的安全事件进行分类，以确定哪些事件可以通过有效的可用性或实施过程来预防。通过这项分析，我们将能够指定的可用性和实施过程是至关重要的安全和有效地使用卫生IT。这个项目 利用研究团队在人为因素和安全科学、健康IT和计算机科学方面的广泛专业知识。拟议的研究是基于我们的团队从以前的研究中收集到的独特见解，我们进行了专注于健康IT供应商的设计和实施流程。该应用程序通过提供证据基础来提高卫生IT的可用性和安全性，以更好地为政策和实践提供信息，从而解决了应用程序需求的基本方面。这项研究工作正在与一个健康IT合作进行 供应商和患者安全组织，以确保我们的结果与供应商的需求一致，并确保结果具有普遍性。这项研究的贡献将包括对关键的以用户为中心的设计和实施过程的基本理解，以告知供应商和提供商的做法。我们的研究还将为国家协调员办公室等组织提供信息，以更好地为卫生信息技术政策提供信息。

 DESCRIPTION (provided by applicant): The objective of the proposed research is to provide an evidence-base to better inform user centered design and implementation processes to improve health information technology (health IT) usability and safety. The proposed research is in direct response to special emphasis notice (NOT-HS-15-005). Utilizing a hybrid approach of expert manual review and machine learning techniques, specifically natural language processing, we will develop methods to rapidly analyze patient safety event data to determine which events are health IT related. We will then further categorize the health IT related safety events to determine which events could have been prevented by effective usability or implementation processes. Through this analysis we will be able to specify the usability and implementation processes that are critical to the safe and effective use of health IT. This project utilizes the extensive expertise of the research team in human factors and safety science, health IT, and computer science. The proposed research is based on unique insights that our team gleaned from previous research that we conducted focusing on health IT vendor design and implementation processes. The application addresses fundamental aspects of the call for applications by providing an evidence base to improve health IT usability and safety to better inform policy and practice. This research effort is being conducted in partnership with a health IT vendor and a patient safety organization to ensure that our results align with vendor needs and to ensure the results are generalizable. Contributions from this research will include a fundamental understanding of the critical user centered design and implementation processes to inform vendor and provider practice. Our research will also provide organizations like the Office of the National Coordinator with the information to better inform health IT policy.