دورية أكاديمية
Usability challenges with electronic health records (EHRs) during prerounding on pediatric inpatients.
| العنوان: | Usability challenges with electronic health records (EHRs) during prerounding on pediatric inpatients. |
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| المؤلفون: | Alami J; Department of Engineering Systems and Environment, University of Virginia, Charlottesville, Virginia, USA., Hammonds C; Department of Engineering Systems and Environment, University of Virginia, Charlottesville, Virginia, USA., Hensien E; Department of Engineering Systems and Environment, University of Virginia, Charlottesville, Virginia, USA., Khraibani J; Department of Computer and Communication Engineering, American University of Beirut, Beirut, Lebanon., Borowitz S; Department of Pediatrics, University of Virginia, Charlottesville, Virginia, USA., Hellems M; Department of Pediatrics, University of Virginia, Charlottesville, Virginia, USA., Riggs SL; Department of Engineering Systems and Environment, University of Virginia, Charlottesville, Virginia, USA. |
| المصدر: | JAMIA open [JAMIA Open] 2022 Mar 08; Vol. 5 (1), pp. ooac018. Date of Electronic Publication: 2022 Mar 08 (Print Publication: 2022). |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Oxford University Press on behalf of the American Medical Informatics Association Country of Publication: United States NLM ID: 101730643 Publication Model: eCollection Cited Medium: Internet ISSN: 2574-2531 (Electronic) Linking ISSN: 25742531 NLM ISO Abbreviation: JAMIA Open Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: [Cary, NC] : Oxford University Press on behalf of the American Medical Informatics Association, [2018]- |
| مستخلص: | Objective: Prerounding is critical for a healthcare team to develop a shared understanding of the patient's condition and to develop a care plan. However, the design of electronic health records (EHRs) often makes prerounding inefficient, ineffective, and time consuming. The goal of this study was to observe how residents use the EHR while prerounding to identify usability challenges associated with the design of EHRs. Materials and Methods: Thirty residents were tasked to preround 2 pediatric patients using the think-aloud protocol. The data from the surveys, video recordings, and think-aloud comments were analyzed to identify usability issues related to EHR. The time it took for participants to complete the 6 required prerounding tasks were calculated and the pages most commonly accessed were noted. Results: Participants spent on average 6.5 min prerounding each patient with the most time spent on checking lab results and reviewing notes. Twenty-eight distinct pages were visited by at least 2 participants, mostly due to a lack of interconnectivity between related data across pages. Usability issues with the most commonly used pages include: data overload, missing/hidden information, difficulty identifying trends, and having to conduct manual calculations. Conclusions: We list usability issues and provide a set of recommendations to remedy these issues that include: reducing information access cost, creating a checklist, automate calculations, and standardizing notes and EHR training. Ideally, the outcome of this work will help improve EHR design to maximize the time clinicians spend interacting with and providing care to their patients. (© The Author(s) 2022. Published by Oxford University Press on behalf of the American Medical Informatics Association.) |
| References: | Jt Comm J Qual Patient Saf. 2015 Mar;41(3):126-31. (PMID: 25977128) J Am Med Inform Assoc. 2005 Sep-Oct;12(5):505-16. (PMID: 15905487) AMIA Annu Symp Proc. 2012;2012:1422-30. (PMID: 23304422) Appl Clin Inform. 2013 Jun 26;4(2):293-303. (PMID: 23874365) Crit Care Med. 2019 Mar;47(3):403-409. (PMID: 30585789) J Biomed Inform. 2017 Mar;67:69-79. (PMID: 28088527) J Crit Care. 2008 Jun;23(2):245-50. (PMID: 18538218) Ann Intern Med. 2006 May 16;144(10):742-52. (PMID: 16702590) |
| فهرسة مساهمة: | Keywords: EHR; pediatric; prerounding; usability |
| تواريخ الأحداث: | Date Created: 20220516 Latest Revision: 20220716 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC9097610 |
| DOI: | 10.1093/jamiaopen/ooac018 |
| PMID: | 35571358 |
| قاعدة البيانات: | MEDLINE |
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