Comparing electronic health record usability of primary care physicians by clinical year

Martina A. Clarke, Jeffery L. Belden, Min Soon Kim

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

Objectives: To examine usability gaps among primary care resident physicians by clinical year: year 1(Y1), year 2(Y2), and year 3 (Y3) when using electronic health record (EHR). Methods: Twenty-nine usability tests with video analysis were conducted involving triangular method approach. Performance metrics of percent task success rate, time on task, and mouse activities were compared along with subtask analysis among the three physician groups. Results: Our findings showed comparable results for physicians of all three years in mean performance measures, specifically task success rate (Y1:95%, Y2:98%, Y3:95%). However, varying usability issues were identified among physicians from all three clinical years. Twenty-nine common usability issues across five themes emerged during sub task analysis: inconsistencies, user interface issues, structured data issues, ambiguous terminologies, and workarounds. Discussion and Conclusion: This study identified varying usability issues for users of the EHR with different experience level, which may be used to potentially increase physicians' performance when using an EHR. While three physician groups showed comparable performance metrics, these groups encountered numerous usability issues that should be addressed for effective EHR training and patient care.

Original languageEnglish (US)
Title of host publicationHEALTHINF 2016 - 9th International Conference on Health Informatics, Proceedings; Part of 9th International Joint Conference on Biomedical Engineering Systems and Technologies, BIOSTEC 2016
EditorsJames Gilbert, Haim Azhari, Hesham Ali, Carla Quintao, Jan Sliwa, Carolina Ruiz, Ana Fred, Hugo Gamboa
PublisherSciTePress
Pages68-75
Number of pages8
ISBN (Electronic)9789897581700
DOIs
StatePublished - 2016
Event9th International Conference on Health Informatics, HEALTHINF 2016 - Part of 9th International Joint Conference on Biomedical Engineering Systems and Technologies, BIOSTEC 2016 - Rome, Italy
Duration: Feb 21 2016Feb 23 2016

Publication series

NameHEALTHINF 2016 - 9th International Conference on Health Informatics, Proceedings; Part of 9th International Joint Conference on Biomedical Engineering Systems and Technologies, BIOSTEC 2016

Other

Other9th International Conference on Health Informatics, HEALTHINF 2016 - Part of 9th International Joint Conference on Biomedical Engineering Systems and Technologies, BIOSTEC 2016
CountryItaly
CityRome
Period2/21/162/23/16

Keywords

  • Electronic health record
  • Primary care
  • Usability

ASJC Scopus subject areas

  • Biomedical Engineering
  • Electrical and Electronic Engineering

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  • Cite this

    Clarke, M. A., Belden, J. L., & Kim, M. S. (2016). Comparing electronic health record usability of primary care physicians by clinical year. In J. Gilbert, H. Azhari, H. Ali, C. Quintao, J. Sliwa, C. Ruiz, A. Fred, & H. Gamboa (Eds.), HEALTHINF 2016 - 9th International Conference on Health Informatics, Proceedings; Part of 9th International Joint Conference on Biomedical Engineering Systems and Technologies, BIOSTEC 2016 (pp. 68-75). (HEALTHINF 2016 - 9th International Conference on Health Informatics, Proceedings; Part of 9th International Joint Conference on Biomedical Engineering Systems and Technologies, BIOSTEC 2016). SciTePress. https://doi.org/10.5220/0005692900680075