ArticleBMC medical informatics and decision making2018
Evidence-based usability design principles for medication alerting systems.
Article in BMC medical informatics and decision making, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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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
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The Effect of Computerized Alerts on Prescribing and Patient Outcomes: A Systematic Review.Applied clinical informatics · 2025Pooled it
- Implementing pharmacist-prescriber collaboration to improve evidence-based anticoagulant use: a randomized trial.Implementation science : IS · 2023Trial
- The Elements of Style for Interruptive Electronic Health Record Alerts.Applied clinical informatics · 2025Article
- Article
- A Multiyear Survey Evaluating Clinician Electronic Health Record Satisfaction.Applied clinical informatics · 2023Article
- Development of a Perioperative Medication-Related Clinical Decision Support Tool to Prevent Medication Errors: An Analysis of User Feedback.Applied clinical informatics · 2021Article
- Article
- A Tool for Evaluating Medication Alerting Systems: Development and Initial Assessment.JMIR medical informatics · 2021Article
- Improving preprocedure antithrombotic management: Implementation and sustainment of a best practice alert and pharmacist referral process.Research and practice in thrombosis and haemostasis · 2021Article
- Applying Clinical Decision Support Design Best Practices With the Practical Robust Implementation and Sustainability Model Versus Reliance on Commercially Available Clinical Decision Support Tools: Randomized Controlled Trial.JMIR medical informatics · 2021Article
- Integrating the Practical Robust Implementation and Sustainability Model With Best Practices in Clinical Decision Support Design: Implementation Science Approach.Journal of medical Internet research · 2020Article
- Translation of evidence into kidney transplant clinical practice: managing drug-lab interactions by a context-aware clinical decision support system.BMC medical informatics and decision making · 2020Article
- Clinical implementation of pharmacogenomics via a health system-wide research biobank: the University of Colorado experience.Pharmacogenomics · 2020Article
- Human Factors and Sociotechnical Issues.Yearbook of medical informatics · 2019Article
- Building Usability Knowledge for Health Information Technology: A Usability-Oriented Analysis of Incident Reports.Applied clinical informatics · 2019Article
- Clinician preferences for computerised clinical decision support for medications in primary care: a focus group study.BMJ health & care informatics · 2019Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundUsability flaws in medication alerting systems may have a negative impact on clinical use and patient safety. In order to prevent the release of alerting systems that contain such flaws, it is necessary to provide designers and evaluators with evidence-based usability design principles. The objective of the present study was to develop a comprehensive, structured list of evidence-based usability design principles for medication alerting systems.
methodsNine sets of design principles for medication alerting systems were analyzed, summarized, and structured. We then matched the summarized principles with a list of usability flaws in order to determine the level of underlying evidence.
resultsFifty-eight principles were summarized from the literature and two additional principles were defined, so that each flaw was matched with a principle. We organized the 60 summarized usability design principles into 6 meta-principles, 38 principles, and 16 sub-principles. Only 15 principles were not matched with a usability flaw. The 6 meta-principles respectively covered the improvement of the signal-to-noise ratio, the support for collaborative working, the fit with a clinician's workflow, the data display, the transparency of the alerting system, and the actionable tools to be provided within an alert.
conclusionsIt is possible to develop an evidence-based, structured, comprehensive list of usability design principles that are specific to medication alerting systems and are illustrated by the corresponding usability flaws. This list represents an improvement over the current literature. Each principle is now associated with the best available evidence of its violation. This knowledge may help to improve the usability of medication alerting systems and, ultimately, decrease the harmful consequences of the systems' usability flaws.
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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.