| Popis: |
BACKGROUND Despite the widespread adoption of EHR globally, there has been increasing dissatisfaction amongst end users about the usability of such technology. To overcome this problem, a variety of frameworks have been published in the United States and the United Kingdom for usability testing. However, these are often overly complex, making it difficult for healthcare professionals (HCP) to engage with the process of usability testing OBJECTIVE To describe evidence based qualitative methods for the evaluation of electronic health records (EHR) for HCPs. METHODS We conducted a review of current qualitative usability methodologies, based on the National Centre for Human Factors in Healthcare EHR framework. Ophthalmology is used as use case for the application of these methods RESULTS We identified several qualitative methodologies that could be used at the major stages of EHR evaluation. These include: 1) Tools for User Centered Design: Shadowing and autoethnography, semi structured interviews and questionnaires 2) Tools for Summative Testing: Card sort and reverse card sort, retrospective think aloud protocol, wireframing, screenshot testing and heatmaps CONCLUSIONS High yield, low fidelity tools can be used to engage HCPs with the process of usability testing of EHR, increasing end user satisfaction. These methods can be used by HCPs without the requirement for prior training in usability science, and by clinical centers without significant technical requirements. |
