Evidence map›Paper›PMID 41372908›Full record

ArticleBMC medical informatics and decision making2025

Comprehensive usability evaluation of electronic prescription systems: integrating expert and user perspectives.

Sajed Arabian, Sadrieh Hajesmaeel-Gohari, Amir Hossein Zarei, Behrouz Alizadeh Savareh, Azadeh Bashiri

Abstract read
In one paragraph

Article in BMC medical informatics and decision making, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Sajed ArabianStudent Research Committee, Department of Health Information Management, School of Health Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.
Sadrieh Hajesmaeel-GohariMedical Informatics Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
Amir Hossein ZareiDepartment of Health Information Management and Medical Informatics, School of Allied Medical Sciences, Tehran University of Medical Sciences, Tehran, Iran.
Behrouz Alizadeh SavarehPhD in Medical Informatics, Institute of Animal Hygiene and Veterinary Public Health, Leipzig University, 04103, Leipzig, Germany.
Azadeh BashiriDepartment of Health Information Management, School of Health Management and Information Sciences, Health Human Resources Research Center, Clinical Education Research Center, Shiraz University of Medical Sciences, Shiraz, Iran. Bashiri.azadeh@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionElectronic prescribing, allows physicians to send prescriptions digitally to pharmacies and laboratories. This process streamlines patient care and ensures equitable access to medical services for all patients. This study aims to do the usability evaluation of Social Security electronic prescription system (SSEPS) and Health Insurance electronic prescription system (HIEPS) using insights from users and experts.

methodsThis research is a descriptive cross-sectional study conducted in 2024. Three experts evaluated two electronic prescribing systems using Nielsen's Heuristic evaluation principles, rating issues on a 0-4 severity scale. The usability evaluation, conducted with fifty users via the Persian SUS, showed that the translated instrument was highly reliable (α = 0.79). Expert and user feedback were compared across 2 systems using SPSS to identify usability improvements.

resultsBased on heuristic evaluation, HIEPS demonstrates better consistency, but significant improvements in error prevention and user control remain priorities for both systems. Usability testing using the SUS revealed a slightly higher average score for the SSEPS (70.73) than the HIEPS (69.21). The significant P-value indicates this difference reflects a real distinction in perceived usability between the two systems.

conclusionE-prescription systems, despite their widespread use, continue to face usability issues that risk patient safety, reduce efficiency, and impact user satisfaction and hospital finances. Combining user and expert evaluations is more effective in identifying these issues than using a single method. Annual usability assessments and updates are recommended to address these challenges and improve system performance.

Indexed as

Electronic PrescribingAdultCross-Sectional StudiesFemaleHumansMaleMiddle AgedElectronic prescription systemEvaluationHeuristicUsability

Identifiers

PMID41372908
PMCPMC12801963

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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.