J Am Med Inform Assoc - Using a medical simulation center as an electronic health record usability laboratory.

Tópicos

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{ ehr(2073) health(1662) electron(1139) }
{ design(1359) user(1324) use(1319) }
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{ care(1570) inform(1187) nurs(1089) }
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{ medic(1828) order(1363) alert(1069) }
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{ cost(1906) reduc(1198) effect(832) }
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{ research(1218) medic(880) student(794) }
{ model(2656) set(1616) predict(1553) }
{ data(2317) use(1299) case(1017) }
{ age(1611) year(1155) adult(843) }
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{ group(2977) signific(1463) compar(1072) }
{ sampl(1606) size(1419) use(1276) }
{ data(3008) multipl(1320) sourc(1022) }
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{ activ(1138) subject(705) human(624) }
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{ use(1733) differ(960) four(931) }
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{ method(2212) result(1239) propos(1039) }

Resumo

Usability testing is increasingly being recognized as a way to increase the usability and safety of health information technology (HIT). Medical simulation centers can serve as testing environments for HIT usability studies. We integrated the quality assurance version of our emergency department (ED) electronic health record (EHR) into our medical simulation center and piloted a clinical care scenario in which emergency medicine resident physicians evaluated a simulated ED patient and documented electronically using the ED EHR. Meticulous planning and close collaboration with expert simulation staff was important for designing test scenarios, pilot testing, and running the sessions. Similarly, working with information systems teams was important for integration of the EHR. Electronic tools are needed to facilitate entry of fictitious clinical results while the simulation scenario is unfolding. EHRs can be successfully integrated into existing simulation centers, which may provide realistic environments for usability testing, training, and evaluation of human-computer interactions.

Resumo Limpo

usabl test increas recogn way increas usabl safeti health inform technolog hit medic simul center can serv test environ hit usabl studi integr qualiti assur version emerg depart ed electron health record ehr medic simul center pilot clinic care scenario emerg medicin resid physician evalu simul ed patient document electron use ed ehr meticul plan close collabor expert simul staff import design test scenario pilot test run session similar work inform system team import integr ehr electron tool need facilit entri fictiti clinic result simul scenario unfold ehr can success integr exist simul center may provid realist environ usabl test train evalu humancomput interact

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