Evaluating Usability: Clinical Documentation Systems in Community Care
e-Health ePoster Library. Mistry K. Jun 5, 2017; 167098; EP01.02
Kartini Mistry
Kartini Mistry
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Abstract
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Purpose/Objectives: Electronic medical records have the potential to transform community healthcare by improving care coordination, quality of care, patient safety and reducing inefficiencies. Despite the known benefits, the implementation of these systems has faced numerous challenges including poor workflow integration and end user adoption which suggests inadequate investment into interface design and build of the software. A study was conducted to evaluate the ease of use of a clinical documentation system as part of an iterative development cycle and acts as a case study demonstrating the value of early end-user engagement in designing quality-based systems.

Methodology/Approach: A low-fidelity testing environment mimicking a community environment was setup, where clinicians used the system by going through a series of tasks that were identified as critical elements of their current workflow. Observational techniques, retrospective audio analysis and participant surveys were used to qualitatively evaluate the system according to predetermined usability criteria and best practices.

Finding/Results: Through the usability testing process key deficiencies pertaining to ease of use, safety and quality were identified which resulted in numerous system requirements. The usability study also provided valuable information on the utilization patterns of Clinicians in the community, the process of documenting as well as identified unique nuances of the point of care environment all of which would have been undiscovered had end users not been given the opportunity to participate.

Conclusion/Implications/Recommendations: Usability represents an important yet very often overlooked factor that directly impacts the adoption and meaningful use of EMR systems across all healthcare sectors. Without usable systems, end users (eg. any member of the interprofessional team and/or client) cannot realize any of the potential benefits of features and functions of health IT systems.In conclusion, it is essential that clinicians play an active role in the selection, design, deployment and evaluation of health IT solutions and advocate for solutions that integrate with their current workflow, practices and needs at the point of care. It is vital for health leaders and adminisrators to recognize and acknowledge the unique community landscape by providing encouragement and incentives for clinican involvement in Health IT by ensuring there are opportunities for participation.

140 Character Summary: Evaluating usability of a EMR as part of an iterative design cycle while highlighting the value of early end-user engagement in developing quality systems.
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