Research Catalog

Technical evaluation, testing, and validatiaon of the usability of electronic health records : empirically based use cases for validating safety-enhanced usability and guidelines for standardization

Title
Technical evaluation, testing, and validatiaon of the usability of electronic health records : empirically based use cases for validating safety-enhanced usability and guidelines for standardization / Svetlana Z. Lowry; Mala Ramaiah; Sheryl Taylor; Emily S. Patterson; Sandra Spickard Prettyman; Debora Simmons; David Brick; Paul Latkany; Michael C. Gibbons.
Author
Lowry, Svetlana Z.
Publication
Gaithersburg, MD : U.S. Dept. of Commerce, National Institute of Standards and Technology, 2015.

Available Online

https://purl.fdlp.gov/GPO/gpo101456

Details

Additional Authors
  • Brick, David.
  • Gibbons, Michael C.
  • Latkany, Paul.
  • Lowry, Svetlana Z.
  • Patterson, Emily S.
  • Prettyman, Sandra Spickard, 1957-
  • Ramaiah, Mala.
  • Simmons, Debora.
  • Taylor, Sheryl.
  • Information Technology Laboratory (National Institute of Standards and Technology)
Description
1 online resource.
Summary
This document provides the empirical rationale for critical patient safety related usability guidelines for standardization and requirements for validation testing to ensure safety-enhanced design. These standardization guidelines are targeted at eliminating never events and associated patient harm by proactively addressing and mitigating the root causes of use errors from Electronic Health Record (EHR) design and implementation elements, as characterized in our framework on the relationship between usability and patient safety (NISTIR 7804). Requirements for validation testing are instantiated through realistic use cases (that were developed in the course of this research) can be applied during design and evaluation of EHR systems and for user performance testing. The ultimate goal is to drive and empower effective and safe human performance in the use of EHRs. This research drew upon five different methods of empirical human performance data collection, utilizing cross-cutting analytic methods, with a diverse set of analysts from different disciplines, backgrounds, and perspectives. Researchers used this mixed method approach in order to capture user expectations, knowledge, and outcomes regarding EHRs. Human factors guidelines for standardization, which were explicitly derived from the empirical evidence obtained through field data collection, are provided to improve the safety-related usability of EHRs in three critical use risk areas. Ultimately, this research demonstrates that patient safety is negatively affected when critical safety tasks are performed with the support of poorly-designed EHRs, in part because mistakes and errors frequently occur, and in part because users who become frustrated and unwilling to trust the systems they are given are more likely to rely on potentially unsafe workarounds.
Series Statement
NISTIR ; 7804-1
Uniform Title
NISTIR ; 7804-1.
Subject
  • Medical records > Data processing
  • Guidelines
Note
  • Contributed record: Metadata reviewed, not verified. Some fields updated by batch processes.
  • October 2015.
  • Title from PDF title page (viewed October 7, 2015).
Bibliography (note)
  • Includes bibliographical references.
Call Number
GPO Internet C 13.58:7804-1
LCCN
GOVPUB-C13-a5564f078640516cd3463395ea61f52a
OCLC
marcive947049628
Author
Lowry, Svetlana Z.
Title
Technical evaluation, testing, and validatiaon of the usability of electronic health records : empirically based use cases for validating safety-enhanced usability and guidelines for standardization / Svetlana Z. Lowry; Mala Ramaiah; Sheryl Taylor; Emily S. Patterson; Sandra Spickard Prettyman; Debora Simmons; David Brick; Paul Latkany; Michael C. Gibbons.
Publisher
Gaithersburg, MD : U.S. Dept. of Commerce, National Institute of Standards and Technology, 2015.
Type of Content
text
Type of Medium
computer
Type of Carrier
online resource
Series
NISTIR ; 7804-1
NISTIR ; 7804-1.
Bibliography
Includes bibliographical references.
Connect to:
https://purl.fdlp.gov/GPO/gpo101456
Added Author
Brick, David.
Gibbons, Michael C.
Latkany, Paul.
Lowry, Svetlana Z.
Patterson, Emily S.
Prettyman, Sandra Spickard, 1957-
Ramaiah, Mala.
Simmons, Debora.
Taylor, Sheryl.
Information Technology Laboratory (National Institute of Standards and Technology)
Other Standard Identifier
GOVPUB-C13-a5564f078640516cd3463395ea61f52a
Gpo Item No.
0247-D (online)
Sudoc No.
C 13.58:7804-1
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