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EMR Usability
   Principles
People
Authors
  ●Jeff Belden MD
  ●Rebecca Grayson

  ●Janey Barnes PhD




Team Leaders
  ●Penn White MD
  ●Tiana Thomas
Presenter
Jeff Belden MD
  University of Missouri Health Care
  ●

       Dept of Family and Community
       ●


       Medicine
  ●Information Experience Lab
  •www.toomanyclicks.com
Paper Overview
1.What is usability?
2.What are usability principles?
3.How would one do usability
evaluation and rating of
software?
What is usability?
●Effectiveness
●Efficiency

●Satisfaction

  ●Specific users

  ●Specific set of tasks

  ●Particular environment
Usability Principles
  ●simplicity
  ●naturalness

  ●consistency

  ●minimizing cognitive load

  ●efficient interactions

  ●forgiveness

  ●feedback

  ●effective use of language

  ●effective information presentation

  ●preservation of context
Simplicity
Don't Make Me Think
Technical Term:
  ●Minimize Cognitive Load

  ●Example
Showing Past Times
●   This requires mental math
Showing Past Times
●This makes it easy. No math. No
extra thinking load.
Methods of Evaluation
Look at:
  ●Efficiency

  ●Effectiveness

  ●Patient Safety
Efficiency
How fast can I do it?
    ●Time to finish task list

    ●Click count

    ●Other metrics
Effectiveness
How well did I do it?
  ●How many errors?

      "Fast but flawed" is no good
      ●


  ●How severe were the errors?
  ●How often did I need to ask for


  help?
  ●How easy is it to learn?
Patient Safety
•Does EMR protect user from
making harmful errors?
Test Scenario Design
●objective
●repeatable

●cost‐efficient to run
Five-star rating
●Simple
●Familiar

●Comparative

●Not just "pass-fail"
Actions Recommended
●Start small
●Develop measurements

●Define the process

●5-star rating

●Improve with time

●Encourage others to do their part
Questions?

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EMR Usabililty