Novice vs Expert

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.

Gangnam Style trends in User Experience

Through popularity and imitation Gangnam Style videos, created by PSY the South Korean Internet sensation, became a viral phenomena. In much the same way, many current UX patterns have gained popularity through sharing and imitation. Do you understand what are the psychological foundations of social sharing and how do things “go viral”? Mass copying and imitation of some patterns can lead to the belief in a “Best Practice” even when the pattern is proved faulty. What are the trends that we have had to fight against, and what trends do we want take off like a cheesy horse dance.

Aim for the middle

We’ve designed a lot of user interfaces over the course of our careers, and one theme has been present across them all--a desire to create something that is easy to use for the novice user. Can mom use it, many clients have asked?

This approach may be great for a small company or for a simple website that perhaps users would only access once or twice. But what about mobile or web-based applications where the users do “their work” each day using the application?

One Size DOES NOT fit all

I was at a presentation the other day where a developer was presenting some training related to a new web application that they have created. Many of the screens he showed reminded me of one of the many sayings that I’ve used a lot in my UX career, “One size does not fit all.”

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