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health IT uability ch
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updated turf usability toolkit link
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jen-p committed Feb 24, 2015
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<p>Usability is an increasingly important consideration in organizational and product planning. The good news is that there are many methodological tools that have been developed by researchers to aid designing and evaluating the usability of computer systems in general. More recently researchers have begun developing specific guidance for EHRs in particular.</p>
<p>Development methodologies such as contextual design help developers by offering validated processes with predictable schedules. Ethnographic, or user group, observation can guide task analysis and complement user participatory design processes. Writing scenarios help developer teams to build a common understanding of design goals. These scenarios can also help plan usability tests. Logs of current Health IT system usage can provide valuable data about task frequencies and sequences that lead to design refinements. These methods will provide the developers with valuable information about how the users go about their tasks and how frequently they perform various tasks. Armed with this information, the developers will be able to refine their designs.</p>
<p>Specific guidance for EHR design and evaluation is becoming more and more available. For example there is now a <a href="http://www.nist.gov/manuscript-publication-search.cfm?pub_id=909701" class="link" target="blank" >NIST publication</a> that summarizes the rationale for an Electronic Health Record (EHR) Usability Protocol (EUP) and outlines a three-step process. These three steps consist of (1) EHR Application Analysis, (2) EHR User Interface Expert Review, and (3) EHR User Interface Validation Testing. The <a href="https://turf.shis.uth.tmc.edu/turfweb/" target="blank" class="link">TURF Usability Toolkit</a> developed at the University of Texas can help create, organize, and analyze usability of EHRs. Other Health IT and general usability and design resources are provided at the end of the chapter.</p>
<p>Specific guidance for EHR design and evaluation is becoming more and more available. For example there is now a <a href="http://www.nist.gov/manuscript-publication-search.cfm?pub_id=909701" class="link" target="blank" >NIST publication</a> that summarizes the rationale for an Electronic Health Record (EHR) Usability Protocol (EUP) and outlines a three-step process. These three steps consist of (1) EHR Application Analysis, (2) EHR User Interface Expert Review, and (3) EHR User Interface Validation Testing. The <a href="https://sbmi.uth.edu/nccd/turf/" target="blank" class="link">TURF Usability Toolkit</a> developed at the University of Texas can help create, organize, and analyze usability of EHRs. Other Health IT and general usability and design resources are provided at the end of the chapter.</p>
<p>Usability evaluations provide developers with subjective and objective data for improving the user interfaces. For practical results, 5 to 8 people participating in a pilot study using most methods can already provide valuable feedback and suggestions for improvements. A group of sixteen to twenty participants will start to consistently report similar issues with the design. At this point, the developers can study these results and refine the design accordingly. The developers can run several testing cycles to make sure they address all the program's significant problems.</p>
<p>Other methodologies for evaluating or creating designs and evaluation include:</p>
<div id="methodologies-table">
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