HCUX

Jean Piaget & the Usability of Healthcare Software

Jean Piaget was a Swiss psychologist and philosopher known for his epistemological studies with children. His theories of cognitive development helped pioneer the field of developmental psychology and influenced generations of elementary school curriculum.

The usability of healthcare software, or lack thereof, has been a topic of discussion for several years. The problem has become so widespread that the American Medical Association (AMA) has recently issued a framework for improving the ease of use of EHRs that, in part, includes the reduction of 'cognitive load.' Piaget’s theories can be applied to understanding some of the reasons why many EHRs are just too hard to use. They can provide guidance for finding ways to reduce the cognitive workload that so often hinders the user experience of EHR system

Nine types of usability problems with Electronic Health systems

There is no shortage of complaints about the usability of Electronic Health Record systems (EHRs). More and more evidence is emerging regarding the lack of EHR usability. Speaking at the 2013 Healthcare Information and Management Systems Society (HIMSS) Conference & Exhibition, Michael S. Barr, MD, MBA, FACP, of the National Committee for Quality Assurance (NCQA) warned that:

“Satisfaction and usability ratings for certified electronic health records (EHRs) have decreased since 2010 among clinicians across a range of indicators.”

Improving Clinical Workflow in Ambulatory Care: Implemented Recommendations in an Innovation Prototype for the Veteran’s Health Administration

The Agency for Healthcare Research and Quality (AHRQ) report titled “Incorporating Health Information Technology into Workflow Redesign”
recommended conducting human-factors workflow analyses in health care settings prior to technology implementation. In addition, the National Institute
of Standards and Technology (NIST) presented targeted recommendations from human-factors workflow methods that could be used in ambulatory

IT IS WORKING! Industry Seeing Gains in EHR Usability and Safety

Image from Shutterstock

Usability improvements that could enhance patient safety are occurring in electronic health record systems, but not at an acceptable pace and not necessarily for the expected reasons or even the right ones, some industry gurus and researchers report.

Senate Committee to discuss Usability of HealthIT

Achieving the Promise of Health Information Technology: What Can Providers and the U.S. Department of Health and Human Services Do To Improve the Electronic Health Record User Experience?

Watch the live stream at http://www.help.senate.gov/hearings/achieving-the-promise-of-health-info...

SENATE HEARING LINEUP:

ONC: Health IT Adoption, Use Has Improved Patient Safety

The increased adoption of electronic health records and other health IT has improved patient safety, according to an issue brief by the Office of the National Coordinator for Health IT, Health IT Analytics reports (Bresnick, Health IT Analytics, 4/28).

JAMA study: HITECH Helped Promote EHR Use, but Usability Issues Remain

While the recent push to adopt health IT systems has helped to improve care and reduce costs, issues with usability and interoperability require further federal attention, according to a study published in the Journal of the American Medical Informatics Association, FierceHealthIT rep

Usability and User Experience topics at HIMSS15

HIMSS15 logo

User Experience, usability, and user-centered design principles are on the forefront of conversations around the topic of clinician/patient satisfaction, safety-enhanced design, and value optimization. Here are a few highlights of the programming and events taking place at HIMSS15 related to the topic of health IT UX.

Joint Commission Issues Alert About Potential Health IT Risks

High risk magnifying glass

The Joint Commission issued a sentinel event alert warning that while electronic health records and other health IT have the potential to improve care quality and safety, such technologies can pose inherent risks to patients, Modern Healthcare reports.

ONC's New CMO Talks Meaningful Use, EHR Implementation Strategies & More

by Kate Ackerman, iHealthBeat Editor in Chief, iHealthBeat, Monday, March 30, 2015

In late February, Thomas Mason took over as CMO at the Office of the National Coordinator for Health IT. In his new role, Mason oversees ONC programs and clinical coordination within the agency.

SOFTWARE ACT COULD CREATE SAFETY PROBLEMS

Research published finds that the laboratory graphs displayed by many commercial EHRs present information in potentially dangerous ways.

The authors urged ONC to stringently oversee testing of the software - although FDA has said it won't regulate it.

The study published in the Journal of the American Medical Informatics Association examined the presentation of clinical lab test results in eight EHRs and found that most failed to graph the data in completely clear ways.

Pages


The Usability People would welcome the opportunity to work with you on improving the Usability of Healthcare IT.

For expert Safety-enhanced Design (aka Usability) evaluation of your EHR: contact The Usability People

The Usability People

Together we may save a life! #SafeHealthIT