ArticleApplied clinical informatics2019
Design and Evaluation of an Integrated, Patient-Focused Electronic Health Record Display for Emergency Medicine.
Article in Applied clinical informatics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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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.
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Who cites it
12 citing papers in PubMed.
- Technological Strategies for the Patient Experience in Emergency Departments: Scoping Review.JMIR medical informatics · 2026Article
- Automated Filtering and Visualization of Patient-Centered Data from Electronic Health Records in Emergency Care: A Scoping Review.Journal of multidisciplinary healthcare · 2025Review
- Usability evaluation of emergency information systems in educational hospitals in Kerman, Iran.BMC medical informatics and decision making · 2023Article
- Involving Health Care Professionals in the Development of Electronic Health Records: Scoping Review.JMIR human factors · 2023Article
- Semantically oriented EHR navigation with a patient specific knowledge base and a clinical context ontology.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2023Article
- Human-centered design of team health IT for pediatric trauma care transitions.International journal of medical informatics · 2022Article
- Electronic Health Record-Embedded, Behavioral Science-Informed System for Smoking Cessation for the Parents of Pediatric Patients.Applied clinical informatics · 2022Article
- Deep Learning-Based Medical Information System in First Aid of Surgical Trauma.Computational and mathematical methods in medicine · 2022Article
- Guidance for publishing qualitative research in informatics.Journal of the American Medical Informatics Association : JAMIA · 2021Article
- Human-centered development of an electronic health record-embedded, interactive information visualization in the emergency department using fast healthcare interoperability resources.Journal of the American Medical Informatics Association : JAMIA · 2021Article
- Human Factors and Organizational Issues.Yearbook of medical informatics · 2020Review
- Validation of chief complaints, medical history, medications, and physician diagnoses structured with an integrated emergency department information system in Japan: the Next Stage ER system.Acute medicine & surgeryArticle
Corrections and comments
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Authors and funding
12 authors.
Funding
Abstract
backgroundHospital emergency departments (EDs) are dynamic environments, involving coordination and shared decision making by staff who care for multiple patients simultaneously. While computerized information systems have been widely adopted in such clinical environments, serious issues have been raised related to their usability and effectiveness. In particular, there is a need to support clinicians to communicate and maintain awareness of a patient's health status, and progress through the ED plan of care.
objectiveThis study used work-centered usability methods to evaluate an integrated patient-focused status display designed to support ED clinicians' communication and situation awareness regarding a patient's health status and progress through their ED plan of care. The display design was informed by previous studies we conducted examining the information and cognitive support requirements of ED providers and nurses.
methodsED nurse and provider participants were presented various scenarios requiring patient-prioritization and care-planning tasks to be performed using the prototype display. Participants rated the display in terms of its cognitive support, usability, and usefulness. Participants' performance on the various tasks, and their feedback on the display design and utility, was analyzed.
resultsParticipants provided ratings for usability and usefulness for the display sections using a work-centered usability questionnaire-mean scores for nurses and providers were 7.56 and 6.6 (1 being lowest and 9 being highest), respectively. General usability scores, based on the System Usability Scale tool, were rated as acceptable or marginally acceptable. Similarly, participants also rated the display highly in terms of support for specific cognitive objectives.
conclusionA novel patient-focused status display for emergency medicine was evaluated via a simulation-based study in terms of work-centered usability and usefulness. Participants' subjective ratings of usability, usefulness, and support for cognitive objectives were encouraging. These findings, including participants' qualitative feedback, provided insights for improving the design of the display.
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Registered trials
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