ArticleApplied clinical informatics2017
Usability Evaluation of Electronic Health Record System around Clinical Notes Usage-An Ethnographic Study.
Article in Applied clinical informatics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
What it found
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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.
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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.
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Who cites it
13 citing papers in PubMed.
- Assessing Medication CDS Usability: Pilot Results from 10 Outpatient Clinics.Applied clinical informatics · 2025Article
- Medical and nursing clinician perspectives on the usability of the hospital electronic medical record: A qualitative analysis.Health information management : journal of the Health Information Management Association of Australia · 2024Article
- A Multiyear Survey Evaluating Clinician Electronic Health Record Satisfaction.Applied clinical informatics · 2023Article
- Article
- Characterizing styles of clinical note production and relationship to clinical work hours among first-year residents.Journal of the American Medical Informatics Association : JAMIA · 2021Article
- A Fully Collaborative, Noteless Electronic Medical Record Designed to Minimize Information Chaos: Software Design and Feasibility Study.JMIR formative research · 2021Article
- 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 · 2021Observational
- Physician Well-being and the Future of Health Information Technology.Mayo Clinic proceedings. Innovations, quality & outcomes · 2021Review
- The usability of Jordan stillbirths and neonatal deaths surveillance (JSANDS) system: results of focus group discussions.Archives of public health = Archives belges de sante publique · 2021Article
- A Web-Based Application for Complex Health Care Populations: User-Centered Design Approach.JMIR human factors · 2021Article
- Assessment of Health Information Technology-Related Outpatient Diagnostic Delays in the US Veterans Affairs Health Care System: A Qualitative Study of Aggregated Root Cause Analysis Data.JAMA network open · 2020Article
- The Perceptions of and Factors Associated With the Adoption of the Electronic Health Record Sharing System Among Patients and Physicians: Cross-Sectional Survey.JMIR medical informatics · 2020Article
- Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
Background A substantial gap exists between current Electronic Health Record (EHR) usability and potential optimal usability. One of the fundamental reasons for this discrepancy is poor incorporation of a User-Centered Design (UCD) approach during the Graphical User Interface (GUI) development process. Objective To evaluate usability strengths and weaknesses of two widely implemented EHR GUIs for critical clinical notes usage tasks. Methods Twelve Internal Medicine resident physicians interacting with one of the two EHR systems (System-1 at Location-A and System-2 at Location-B) were observed by two usability evaluators employing an ethnographic approach. User comments and observer findings were analyzed for two critical tasks: (1) clinical notes entry and (2) related information-seeking tasks. Data were analyzed from two standpoints: (1) usability references categorized by usability evaluators as positive, negative, or equivocal and (2) usability impact of each feature measured through a 7-point severity rating scale. Findings were also validated by user responses to a post observation questionnaire. Results For clinical notes entry, System-1 surpassed System-2 with more positive (26% vs. 12%) than negative (12% vs. 34%) usability references. Greatest impact features on EHR usability (severity score pertaining to each feature) for clinical notes entry were: autopopulation (6), screen options (5.5), communication (5), copy pasting (4.5), error prevention (4.5), edit ability (4), and dictation and transcription (3.5). Both systems performed equally well on information-seeking tasks and features with greatest impacts on EHR usability were navigation for notes (7) and others (e.g., looking for ancillary data; 5.5). Ethnographic observations were supported by follow-up questionnaire responses. Conclusion This study provides usability-specific insights to inform future, improved, EHR interface that is better aligned with UCD approach.
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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.