The Electronic Health Record in Ophthalmology: Usability Evaluation Tools for Health Care Professionals
Tóm tắt
The adoption of the electronic health record (EHR) has grown rapidly in ophthalmology. However, despite its potential advantages, its implementation has often led to dissatisfaction amongst health care professionals (HCP). This can be addressed using a user centred design (UCD) which is based on the philosophy that ‘the final product should suit the users, rather than making the users suit the product’. There is often no agreed best practice on the role of HCPs in the UCD process. In this paper, we describe practical qualitative methodologies that can be used by HCPs in the design, implementation and evaluation of ophthalmology EHRs. A review of current qualitative usability methodologies was conducted by practising ophthalmologists who are also qualified health informaticians. We identified several qualitative methodologies that could be used for EHR evaluation. These include:
High-yield, low-fidelity tools can be used to engage HCPs with the process of ophthalmology EHR design, implementation and evaluation. These methods can be used by HCPs without the requirement for prior training in usability science, and by clinical centres without significant technical requirements.
Tài liệu tham khảo
International Standard Organization [ISO]/DTR 20514. Health informatics—electronic health record—definition, scope, and context. ISO. 2004. https://www.iso.org/obp/ui/#!iso:std:39525:en. Accessed 1 Sep 2015.
Downing NL, Bates DW, Longhurst C. A physician burnout in the electronic health record era: are we ignoring the real cause? Ann Intern Med. 2018;169(1):50–1.
Miller RH, Sim I. Physicians’ use of electronic medical records: barriers and solutions. Health Aff. 2004;23(2):116–26.
Ratwani RM, Zachary Hettinger A, Kosydar A, Fairbanks RJ, Hodgkins ML. A framework for evaluating electronic health record vendor user-centered design and usability testing processes. J Am Med Inf Assoc. 2017;24(e1):e35–9.
Ellsworth MA, Dziadzko M, O’Horo JC, Farrell AM, Zhang J, Herasevich V. An appraisal of published usability evaluations of electronic health records via systematic review. J Am Med Inf Assoc. 2017;24(1):218–26.
Read-Brown S, Hribar MR, Reznick LG, et al. Time requirements for electronic health record use in an academic ophthalmology center. JAMA Ophthalmol. 2017;135(11):1250–7.
Hribar MR, Read-Brown S, Goldstein IH, et al. Secondary use of electronic health record data for clinical workflow analysis. J Am Med Inf Assoc. 2018;25(1):40–6.
Aldersey-Williams H, Bound J, Coleman R. The methods lab: user research for design. London: Design for Ageing Network.
Brun-Cottan F, Wall P. Using video to re-present the user. Commun ACM. 1995;38(5):61–71.
Wallach D, Scholz SC. User-centered design: why and how to put users first in software development. InSoftware for people 2012. Berlin: Springer; 2012. p. 11–38.
Wright P, McCarthy J. Empathy and experience in HCI. In: Proceedings of the SIGCHI conference on human factors in computing systems 2008 Apr 6 (pp. 637–646).
Lim SB, Shahid H. Distribution and extent of electronic medical record utilisation in eye units across the United Kingdom: a cross-sectional study of the current landscape. BMJ Open. 2017;7(5):e012682.
Lim MC, Boland MV, McCannel CA, et al. Adoption of electronic health records and perceptions of financial and clinical outcomes among ophthalmologists in the United States. JAMA Ophthalmol. 2018;136(2):164–70.
Aronson J. A pragmatic view of thematic analysis. Qual Rep. 1995;2(1):1–3.
Nielsen J. Usability engineering. Burlington: Morgan Kaufmann; 1994.
Faulkner L. Beyond the five-user assumption: benefits of increased sample sizes in usability testing. Behav Res Methods Instrum Comput. 2003;35(3):379–83.
Bryman A. Social research methods. Oxford: Oxford University Press; 2016.
Gomm R. Social research methodology: a critical introduction. London: Macmillan International Higher Education; 2008.
Denscombe M. The good research guide: for small-scale social research projects. McGraw-Hill Education (UK): Maidenhead; 2014.
Spencer D. Card sorting: designing usable categories. New York: Rosenfeld Media; 2009.
Spencer D, Warfel T. Card sorting: a definitive guide. Boxes Arrows. 2004;2:1–23.
Faiks A, Hyland N. Gaining user insight: a case study illustrating the card sort technique. Coll Res Libr. 2000;61(4):349–57.
Henderson RD, Smith MC, Podd J, Varela-Alvarez H. A comparison of the four prominent user-based methods for evaluating the usability of computer software. Ergonomics. 1995;38(10):2030–44.
Murray G, Costanzo T. Usability and the Web: An overview. Network Notes, 61. Information Technology Services, National Library of Canada. Retrieved October. 1999;1(2008):1–260.
First-Click Testing Software | Optimal Workshop. https://www.optimalworkshop.com/chalkmark.