Group 3 Methods Submitted

This Document outlines the methodology section submitted by Group 3, detailing their research approach, tools used, and data collection strategies for their academic project.

Daniel Miller
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Usability and Information design for Electronic Health Record Systems:
Improving EHR usability with the help of Information Systems
This project will focus on the health information technology (HIT) intervention for the
improvement of Electronic Health Record (EHR) usability.
Overview
The Healthcare Information and Management Systems Society (HIMSS) defined usability as the
effectiveness, efficiency and satisfaction with which specific users can achieve a specific set of
tasks in a particular environment (himss.org, 2019). From this statement, clinicians, physicians and
end-users of EHR needs to be efficient and effective using EHR. Efficiency is the speed at which
users can complete the tasks while effectiveness is the accuracy and completeness of the tasks at
hand. While keeping these two terms in mind, the goals of this project is using HIT intervention to
assess and improve EHR usability among its users thereby providing a meaningful use of the
systems. As described by pewtrust.org, poor usability of EHR can lead to many errors, unforeseen
safety risks, and other serious mistakes, which may lead to unintended consequences for the
clinician as well as for the patient (pewtrust.org, 2019). It is important to note that use of EHRs in
physician practices and in healthcare organizations directly impacts the communication and
management of laboratory information in patient care, particularly reporting of laboratory results
and test order management. However, as reported by Glaser, EHRs were the fourth most common
cause of burnout EHR complaints beat out insurance issues, threat of malpractice suits, concerns
about salary, and patient volume (Glaser, 2017). In addition, errors from poor EHR usability can be
of a great impact especially if it involves medications and delayed treatments.
Intervention
In addressing this challenge, one has to encourage usability by the improvement of the
organization's EHR's user interface (UI) designs. There are gaps between current and future
improved EHR systems designs that could have resulted from insufficient incorporation of the UI
designs within several networks. Per Risvi et.al, despite the high EHR adoption rates, substantial
gaps exist between the current state of EHRs and their potential usefulness. Recently, the HIT end-
user community and EHR experts have pointed specifically to the cognitive challenges resulting
from poor EHR usability as one of the key reasons for this gap. Also, substantial level of disparity
exists around perception of HIT usage and its possible outcomes among its various users, having a
wide range of technology skills further confound the situation (Rizvi et. al, 2017). Usability has
been defined in various ways and typically encompasses a set of evaluation methods to understand
user experiences for the purpose of creating more desirable, usable, and useful products. Many
factors can affect slow usability of EHRs are user characteristics, workloads associated with
progress notes typing, repeated task performance, and other subjective system assessments. There
are nine principles, as reported by HIMSS, for an effective and efficient EHR usability. These nine
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Document Details

Subject
Nursing

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