Advancing electronic health record vendor usability maturity: Progress and next steps.

MedStar author(s):
Citation: Journal of the American Medical Informatics Association. 28(5):1029-1031, 2021 04 23.PMID: 33517394Institution: MedStar Institute for Innovation | MedStar Washington Hospital CenterDepartment: Emergency Medicine | National Center for Human Factors in HealthcareForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Commerce | *Electronic Health Records | *User-Centered Design | Ergonomics | Humans | Medical Informatics | Medical Records Systems, ComputerizedYear: 2021ISSN:
  • 1067-5027
Name of journal: Journal of the American Medical Informatics Association : JAMIAAbstract: Despite basic federal requirements promoting a user-centered design approach to electronic health record (EHR) development and usability testing there have been usability and safety risks with EHR technology. Four EHR vendors were asked to provide written descriptions of their usability practices, and we reviewed these descriptions to identify areas where there has been advancement and areas for improvement. All 4 vendors described user-centered design processes and usability testing methods that demonstrate advancement from previous studies of vendor practices. Importantly, vendors are also beginning to address aspects of EHR implementation that play a critical role in shaping EHR usability. There are important areas for improvement in vendor practices including a greater focus on safety and on measurement and benchmarking. Vendors sharing their current usability practices demonstrates a step toward greater transparency which has typically been lacking. Copyright (c) The Author(s) 2021. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For permissions, please email: [email protected].All authors: Hettinger AZ, Melnick ER, Ratwani RMOriginally published: Journal of the American Medical Informatics Association. 28(5):1029-1031, 2021 Apr 23.Fiscal year: FY2021Digital Object Identifier: Date added to catalog: 2021-02-18
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Journal Article MedStar Authors Catalog Article 33517394 Available 33517394

Despite basic federal requirements promoting a user-centered design approach to electronic health record (EHR) development and usability testing there have been usability and safety risks with EHR technology. Four EHR vendors were asked to provide written descriptions of their usability practices, and we reviewed these descriptions to identify areas where there has been advancement and areas for improvement. All 4 vendors described user-centered design processes and usability testing methods that demonstrate advancement from previous studies of vendor practices. Importantly, vendors are also beginning to address aspects of EHR implementation that play a critical role in shaping EHR usability. There are important areas for improvement in vendor practices including a greater focus on safety and on measurement and benchmarking. Vendors sharing their current usability practices demonstrates a step toward greater transparency which has typically been lacking. Copyright (c) The Author(s) 2021. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For permissions, please email: [email protected].

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