Developing Analytical Inspection Criteria for Health IT Personnel with Minimum Training in Cognitive Ergonomics: A Practical Solution to EHR Improving EHR Usability

AMIA Annu Symp Proc. 2014 Nov 14:2014:1277-85. eCollection 2014.

Abstract

EHR usability has been identified as a major barrier to care quality optimization. One major challenge of improving EHR usability is the lack of systematic training in usability or cognitive ergonomics for EHR designers/developers in the vendor community and EHR analysts making significant configurations in healthcare organizations. A practical solution is to provide usability inspection tools that can be easily operationalized by EHR analysts. This project is aimed at developing a set of usability tools with demonstrated validity and reliability. We present a preliminary study of a metric for cognitive transparency and an exploratory experiment testing its validity in predicting the effectiveness of action-effect mapping. Despite the pilot nature of both, we found high sensitivity and specificity of the metric and higher response accuracy within a shorter time for users to determine action-effect mappings in transparent user interface controls. We plan to expand the sample size in our empirical study.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Cognition
  • Electronic Health Records*
  • Ergonomics*
  • Health Personnel / education
  • Humans
  • Medical Informatics / education*
  • Pilot Projects
  • Reproducibility of Results
  • User-Computer Interface*