Physician experiences of screen-level features in a prominent electronic health record: Design recommendations from a qualitative study.

The goal of this qualitative study was to assess physicians' perceptions around features of key screens within a prominent commercial EHR, and to solicit end-user recommendations for improved retrieval of high-priority clinical information. We conducted a qualitative, descriptive study of 25 physicians in a medical ICU setting. at a tertiary academic medical center.

Novel Eye-Tracking Methods to Evaluate the Usability of Electronic Health Records.

The Electronic Health Record has become a staple today in every hospital and clinic, thanks to policy changes advocating its use. However, its full potential can be realized only when it is easy to use and compliant to the needs of the different user subgroups. This study uses a novel approach of eye tracking to assess and differentiate EHR usability based on gender.

Understanding the Impact of Clinical Training on EHR Use Optimization.

Electronic health records usability creates challenges to the delivery of care. This paper presents a novel approach to user analysis. Fixation counts have been analyzed to identify differences among physicians of 3 experience levels - residents, fellows and attending physicians.

A mixed-methods evaluation framework for electronic health records usability studies.

Background: Poor EHR design adds further challenges, especially in the areas of order entry and information visualization, with a net effect of increased rates of incidents, accidents, and mortality in ICU settings.

Objective: The purpose of this study was to propose a novel, mixed-methods framework to understand EHR-related information overload by identifying and characterizing areas of suboptimal usability and clinician frustration within a vendor-based, provider-facing EHR interface.

Methods: A mixed-methods, live observational usability study was conducted at a single, large, tertiary academic medical center in the Southeastern US utilizing a commercial, vendor based EHR.

Towards Understanding the Impact of EHR-Related Information Overload on Provider Cognition.

Information overload is a significant problem in the digital age of healthcare and plays key a role in diagnostic errors, near misses, and patient safety, especially in critical care settings. Because of this, we propose a new mixed-methods approach for evaluating EHR-related information overload on clinicians in the ICU. We describe a three-part approach to better understand ICU clinicians' information needs and workflow as they relate to the EHR, and to explore the effects of the EHR on provider workload, performance, and satisfaction.

Classifying Provider-EHR Screen Interactions During ICU Pre-Rounds.

Electronic health records (EHR) usability is paramount for high quality of care delivery, clinician productivity and effectiveness, and patient outcomes. This paper investigates clinicians EHR pathways during pre-rounds by characterizing the top EHR screens, duration per screen, and the path taken to complete a task. Structured observations were conducted of ICU providers interacting with the EHR in a real-time, real-world setting to better characterize the information retrieval process.