TY  - BOOK
AU  - Fairbanks, Rollin JT
AU  - Ratwani, Raj M
AU  - Savage, Erica
TI  - Are informed policies in place to promote safe and usable EHRs? A cross-industry comparison
SN  - 1067-5027
PY  - 2017///
KW  - *Ergonomics
KW  - *Government Agencies
KW  - *Government Regulation
KW  - *Medical Records Systems, Computerized/lj [Legislation & Jurisprudence]
KW  - *Patient Safety
KW  - *Public Policy
KW  - Electronic Health Records/lj [Legislation & Jurisprudence]
KW  - Humans
KW  - Medical Records Systems, Computerized/og [Organization & Administration]
KW  - Qualitative Research
KW  - United States
KW  - United States Food and Drug Administration
KW  - User-Computer Interface
KW  - MedStar Institute for Innovation
KW  - Journal Article
N1  - Available online through MWHC library: 2003 - present, Available in print through MWHC library: 1999 - present
N2  - Conclusion: Our analysis highlights important areas of usability and safety policy from other industries that can better inform ONC policies on EHRs; Discussion: A comparison of usability policies across industries illustrates key differences between the ONC and other federal agencies. These differences could be contributing to the usability challenges associated with EHRs; Method: We performed a qualitative study using publicly available governing documents to examine similarities and differences in usability and safety policies across agencies; Objective: Despite federal policies put in place by the Office of the National Coordinator (ONC) to promote safe and usable electronic health record (EHR) products, the usability of EHRs continues to frustrate providers and have patient safety implications. This study sought to compare government policies on usability and safety, and methods of examining compliance to those policies, across 3 federal agencies: the ONC and EHRs, the Federal Aviation Administration (FAA) and avionics, and the Food and Drug Administration (FDA) and medical devices. Our goal was to identify whether differences in policies exist and, if they do exist, how policies and enforcement mechanisms from other industries might be applied to optimize EHR usability; Results: The policy review and analysis revealed several consistencies within each agency's usability policies. Critical differences emerged in the usability standards and policy enforcement mechanisms utilized by the 3 agencies. The FAA and FDA look at evidence of usability processes and are more prescriptive when it comes to testing final products as compared to the ONC, which relies on attestation and is less prescriptive
UR  - https://dx.doi.org/10.1093/jamia/ocw185
ER  -