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EHR	
  usability:	
  
      an	
  illustrated	
  guide	
  
My	
  comments	
  
•  10	
  principles	
  of	
  usability,	
  illustrated	
  
•  Build	
  Style	
  Guides	
  &	
  Galleries	
  
•  Foster	
  research	
  on	
  visual	
  display	
  
EMR
What	
  ^s	
  usability?	
  
        i
Usability	
  is…	
  
10	
  Principles	
  
1.  Simplicity	
                 7.  Feedback	
  
2.  Naturalness	
                8.  EffecNve	
  use	
  of	
  
3.  Consistency	
                    language	
  
4.  Minimizing	
  cogniNve	
     9.  EffecNve	
  informaNon	
  
    load	
                           presentaNon	
  
5.  Efficient	
  interacNons	
     10. PreservaNon	
  of	
  context	
  
6.  Forgiveness	
  



                                        h3p://bit.ly/UsabilityHIMSS	
  
Simplicity	
  
Simplicity

For doing refills




For overview only
Naturalness	
  
Naturalness




Old way – lots of drill-down clicking
Naturalness

Better way
we know the body
already
Consistency	
  
Consistency	
  




Name and identifying info consistently placed
Minimizing	
  CogniNve	
  Load	
  
Minimizing	
  CogniNve	
  Load	
  

Exact past dates
•  This requires mental math
Minimizing	
  CogniNve	
  Load	
  

Relative past dates
•  Easier. No extra thinking.
Minimizing	
  CogniNve	
  Load	
  

Hover to see more detail
•  Have	
  it	
  both	
  ways	
  
Efficient	
  InteracNons	
  
Efficient	
  InteracNons	
  
Dashboard efficiency
Efficient	
  InteracNons	
  




50 Clicks…
                 •  6	
  minutes	
  
Efficient	
  InteracNons	
  




2 Clicks…
             •  1-­‐2	
  minutes	
  
Forgiveness	
  
Forgiveness	
  




exploring	
  without	
  fear	
  of	
  destroying	
  
         recovering	
  gracefully	
  from	
  mistakes	
  
Forgiveness	
  
A	
  negaNve	
  example…	
  
Feedback	
  
Feedback	
  


•  Show	
  expected	
  delays	
  
•  Confirm	
  changes	
  that	
  aren’t	
  evident	
  
Feedback	
  




Imagine this scenario
• user clicks
• long, slow database call ensues…
Acceptable	
  
Be`er	
  



       Please	
  wait	
  while	
  we	
  check	
  
             10,357	
  records…	
  
Best	
  

                  Time	
  remaining…	
  8	
  seconds
                                                   	
  



           Please	
  wait	
  while	
  we	
  check	
  
                 10,357	
  records…	
  
EffecNve	
  Use	
  of	
  Language	
  
Terse	
  for	
  doctor	
  




Plain	
  English	
  for	
  paNent	
  
EffecNve	
  InformaNon	
  PresentaNon	
  
EffecNve	
  InformaNon	
  PresentaNon	
  
Sorted alphabetically, not randomly




           Better yet, allow sort by other criteria, too
EffecNve	
  Info	
  PresentaNon	
  
Highlighted for cardiology   Filtered for cardiology
PreservaNon	
  of	
  Context	
  
PreservaNon	
  of	
  Context	
  
And what medication is he/she taking?
And what are the weight and BP doing?
Build	
  Style	
  Guides	
  
               and	
  galleries	
  
Usability.gov	
  
Microsob	
  Health            	
  
Common	
  User	
  Interface	
  
UI	
  Design	
  Pa`erns	
  
Apple	
  Human	
  Interface	
  Guidelines	
  
Visual	
  display	
  of	
  data	
  
            	
  research	
  agenda	
  
Lab	
  fishbone	
  vs.	
  data	
  table	
  
A	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
   B	
  




Compare:	
  
  efficiency,	
  effecNveness,	
  safety,	
  delight	
  
Sparklines	
  
Bullet	
  graph	
  /	
  small	
  mulNples	
  
Small	
  mulNples	
  
QuesNons?	
  

Jeff	
  Belden	
  MD	
  |	
  beldenj@health.missouri.edu	
  

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