EHR

The Electronic Health Record (EHR) is a longitudinal electronic record of patient health information generated by one or more encounters in any care delivery setting.

The top 5 EHR usability problems and how to fix them!

This year at HIMSS in Las Vegas there was no shortage of talk about the “lack of usability” in EHRs.  In the final HIMSS16 show daily (Thursday March 3, 2016) there were four articles (“When EHRs cause Harm,” “5 UX steps to Healthy Clinical apps,” “Nurse: We face severe IT usability problems,” and “The leading health IT issues? Poor usability and missing safeguards”) that addressed some aspect of EHR usability.

For The Usability People, LLC the time for talk has long been over.  Many of you already know that we have been on an active campaign--by giving talks at conferences, on social media, and with our many Healthcare clients--to improve the usability of Health IT.  We don’t want more talk, we want to DO SOMETHING about this important healthcare issue.  Usability in healthcare it can save lives. 

 

Jean Piaget & the Usability of Healthcare Software

Jean Piaget was a Swiss psychologist and philosopher known for his epistemological studies with children. His theories of cognitive development helped pioneer the field of developmental psychology and influenced generations of elementary school curriculum.

The usability of healthcare software, or lack thereof, has been a topic of discussion for several years. The problem has become so widespread that the American Medical Association (AMA) has recently issued a framework for improving the ease of use of EHRs that, in part, includes the reduction of 'cognitive load.'

Please don’t air our dirty laundry!

Before running the summative usability evaluation for §170.314(g)(3) Safety-enhanced design we recommend that EHR vendors begin working with a usability expert to identify possible usability issues before they are exposed as “dirty laundry” in a formal report.

EHR usability Gap - Specified Context of Use

The efficient and effective use of Electronic Health Records are essential, as these systems are increasingly becoming a central tool for patient care.

The Health Information Technology for Economic and Clinical Health (HITECH) Act provided providers with a significant financial incentive to increase the adoption and use of EHRs. EHR vendors were required to conduct and report on a summative usability evaluation of their system as part of the Stage 2 Meaningful Use program (The ONC 2014 Edition Certification) and beyond. However, a recent report funded by the Agency for Healthcare Research and Quality (AHRQ), identified several “issues” with the certified EHR vendors in the processes, practices and use of standards and best practices with regard to usability and human factors.

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