Evidence map›Paper›PMID 27437057›Full record

ArticleApplied clinical informatics2016

Usability Testing of Two Ambulatory EHR Navigators.

Gretchen Hultman, Jenna Marquard, Elliot Arsoniadis, Pamela Mink, Rubina Rizvi, Tim Ramer, Saif Khairat, Keri Fickau, Genevieve B Melton

Abstract read
In one paragraph

Article in Applied clinical informatics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Usability Assessment of Salud Electronic Dental Record System.Clinical, cosmetic and investigational dentistry · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. Analysing EHR navigation patterns and digital workflows among physicians during ICU pre-rounds.Health information management : journal of the Health Information Management Association of Australia · 2021
    Observational
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Gretchen HultmanInstitute for Health Informatics, University of Minnesota , Minneapolis, MN.
Jenna MarquardCollege of Engineering, University of Massachusetts Amherst , Amherst, MA.
Elliot ArsoniadisInstitute for Health Informatics, University of Minnesota, Minneapolis, MN; Department of Surgery, University of Minnesota, Minneapolis, MN.
Pamela MinkDivision of Applied Research, Allina Health , Minneapolis, MN.
Rubina RizviInstitute for Health Informatics, University of Minnesota , Minneapolis, MN.
Tim RamerDepartment of Family Medicine, University of Minnesota , Minneapolis, MN.
Saif KhairatCarolina Health Informatics Program, University of North Carolina , Chapel Hill, NC.
Keri FickauFairview Health Services , Minneapolis, MN.
Genevieve B MeltonInstitute for Health Informatics, University of Minnesota, Minneapolis, MN; Department of Surgery, University of Minnesota, Minneapolis, MN; Fairview Health Services, Minneapolis, MN.

Funding

Discovery and Visualization of New Information from Clinical Reports in the EHRR01HS022085 · AHRQ · UNIVERSITY OF MINNESOTA · PI MELTON-MEAUX, GENEVIEVE B · 2013 to 2016
$1.9M
AHRQ HHS R01 HS022085
6 · The paper itself

Abstract

backgroundDespite widespread electronic health record (EHR) adoption, poor EHR system usability continues to be a significant barrier to effective system use for end users. One key to addressing usability problems is to employ user testing and user-centered design.

objectivesTo understand if redesigning an EHR-based navigation tool with clinician input improved user performance and satisfaction.

methodsA usability evaluation was conducted to compare two versions of a redesigned ambulatory navigator. Participants completed tasks for five patient cases using the navigators, while employing a think-aloud protocol. The tasks were based on Meaningful Use (MU) requirements.

resultsThe version of navigator did not affect perceived workload, and time to complete tasks was longer in the redesigned navigator. A relatively small portion of navigator content was used to complete the MU-related tasks, though navigation patterns were highly variable across participants for both navigators. Preferences for EHR navigation structures appeared to be individualized.

conclusionsThis study demonstrates the importance of EHR usability assessments to evaluate group and individual performance of different interfaces and preferences for each design.

Indexed as

Ambulatory CareElectronic Health RecordsHumansMeaningful UseUser-Computer InterfaceElectronic health recordmeaningful useusability

Identifiers

PMID27437057
PMCPMC4941856

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.