Trial reportJournal of the American Medical Informatics Association : JAMIA2011
Does user-centred design affect the efficiency, usability and safety of CPOE order sets?
Trial report in Journal of the American Medical Informatics Association : JAMIA, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 3 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
34 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- A systematic review of the types and causes of prescribing errors generated from using computerized provider order entry systems in primary and secondary care.Journal of the American Medical Informatics Association : JAMIA · 2017Pooled it
- Usability Flaws in Medication Alerting Systems: Impact on Usage and Work System.Yearbook of medical informatics · 2015Pooled it
- A systematic review of human factors and ergonomics (HFE)-based healthcare system redesign for quality of care and patient safety.Ergonomics · 2015Pooled it
- The balancing act of app creation: Navigating the user-centred design of an industry-developed app for adolescents with menstrual pain.Internet interventions · 2026Article
- Designing and testing clinical simulations of an early warning system for implementation in acute care settings.JAMIA open · 2024Article
- Human factors and ergonomics methods for pharmacy research and clinical practice.Research in social & administrative pharmacy : RSAP · 2021Review
- Article
- The cirrhosis care Alberta (CCAB) protocol: implementing an evidence-based best practice order set for the management of liver cirrhosis - a hybrid type I effectiveness-implementation trial.BMC health services research · 2020Article
- Evaluating users' experiences of electronic prescribing systems in relation to patient safety: a mixed methods study.BMC medical informatics and decision making · 2020Article
- Application of human factors to improve usability of clinical decision support for diagnostic decision-making: a scenario-based simulation study.BMJ quality & safety · 2020Article
- Towards a Maturity Model for Clinical Decision Support Operations.Applied clinical informatics · 2019Article
- Using information communication technology in models of integrated community-based primary health care: learning from the iCOACH case studies.Implementation science : IS · 2018Article
- Strategic Improvement for Quality and Satisfaction of Hospital Information Systems.Journal of healthcare engineering · 2018Article
- Commercially Available Smartphone Apps to Support Postoperative Pain Self-Management: Scoping Review.JMIR mHealth and uHealth · 2017Article
- Optimizing vitamin D naming conventions in computerized order entry to support high-value care.Journal of the American Medical Informatics Association : JAMIA · 2017Article
- Human Factors for More Usable and Safer Health Information Technology: Where Are We Now and Where do We Go from Here?Yearbook of medical informatics · 2016Article
- Impact of Implementing a Wiki to Develop Structured Electronic Order Sets on Physicians' Intention to Use Wiki-Based Order Sets.JMIR medical informatics · 2016Article
- Improving Patient Experience and Primary Care Quality for Patients With Complex Chronic Disease Using the Electronic Patient-Reported Outcomes Tool: Adopting Qualitative Methods Into a User-Centered Design Approach.JMIR research protocols · 2016Article
- Implementation and Evaluation of a Wiki Involving Multiple Stakeholders Including Patients in the Promotion of Best Practices in Trauma Care: The WikiTrauma Interrupted Time Series Protocol.JMIR research protocols · 2015Article
- The clinician in the Driver's Seat: part 1 - a drag/drop user-composable electronic health record platform.Journal of biomedical informatics · 2014Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundApplication of user-centred design principles to Computerized provider order entry (CPOE) systems may improve task efficiency, usability or safety, but there is limited evaluative research of its impact on CPOE systems.
objectiveWe evaluated the task efficiency, usability, and safety of three order set formats: our hospital's planned CPOE order sets (CPOE Test), computer order sets based on user-centred design principles (User Centred Design), and existing pre-printed paper order sets (Paper).
participants27 staff physicians, residents and medical students.
settingSunnybrook Health Sciences Centre, an academic hospital in Toronto, Canada. Methods Participants completed four simulated order set tasks with three order set formats (two CPOE Test tasks, one User Centred Design, and one Paper). Order of presentation of order set formats and tasks was randomized. Users received individual training for the CPOE Test format only. MAIN MEASURES: Completion time (efficiency), requests for assistance (usability), and errors in the submitted orders (safety).
results27 study participants completed 108 order sets. Mean task times were: User Centred Design format 273 s, Paper format 293 s (p=0.73 compared to UCD format), and CPOE Test format 637 s (p<0.0001 compared to UCD format). Users requested assistance in 31% of the CPOE Test format tasks, whereas no assistance was needed for the other formats (p<0.01). There were no significant differences in number of errors between formats.
conclusionsThe User Centred Design format was more efficient and usable than the CPOE Test format even though training was provided for the latter. We conclude that application of user-centred design principles can enhance task efficiency and usability, increasing the likelihood of successful implementation.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.