TY - JOUR
T1 - An appraisal of published usability evaluations of electronic health records via systematic review
AU - Ellsworth, Marc A.
AU - Dziadzko, Mikhail
AU - O'Horo, John C.
AU - Farrell, Ann M.
AU - Zhang, Jiajie
AU - Herasevich, Vitaly
N1 - Publisher Copyright:
© The Author 2016.
PY - 2017/1/1
Y1 - 2017/1/1
N2 - Objective: In this systematic review, we aimed to evaluate methodological and reporting trends present in the current literature by investigating published usability studies of electronic health records (EHRs). Methods: A literature search was conducted for articles published through January 2015 using MEDLINE (Ovid), EMBASE, Scopus, and Web of Science, supplemented by citation and reference list reviews. Studies were included if they tested the usability of hospital and clinic EHR systems in the inpatient, outpatient, emergency department, or operating room setting. Results: A total of 4848 references were identified for title and abstract screening. Full text screening was performed for 197 articles, with 120 meeting the criteria for study inclusion. Conclusion: A review of the literature demonstrates a paucity of quality published studies describing scientifically valid and reproducible usability evaluations at various stages of EHR system development. A lack of formal and standardized reporting of EHR usability evaluation results is a major contributor to this knowledge gap, and efforts to improve this deficiency will be one step of moving the field of usability engineering forward.
AB - Objective: In this systematic review, we aimed to evaluate methodological and reporting trends present in the current literature by investigating published usability studies of electronic health records (EHRs). Methods: A literature search was conducted for articles published through January 2015 using MEDLINE (Ovid), EMBASE, Scopus, and Web of Science, supplemented by citation and reference list reviews. Studies were included if they tested the usability of hospital and clinic EHR systems in the inpatient, outpatient, emergency department, or operating room setting. Results: A total of 4848 references were identified for title and abstract screening. Full text screening was performed for 197 articles, with 120 meeting the criteria for study inclusion. Conclusion: A review of the literature demonstrates a paucity of quality published studies describing scientifically valid and reproducible usability evaluations at various stages of EHR system development. A lack of formal and standardized reporting of EHR usability evaluation results is a major contributor to this knowledge gap, and efforts to improve this deficiency will be one step of moving the field of usability engineering forward.
KW - Electronic health records
KW - Health information technology
KW - Human factors
KW - Usability
UR - http://www.scopus.com/inward/record.url?scp=85014644462&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85014644462&partnerID=8YFLogxK
U2 - 10.1093/jamia/ocw046
DO - 10.1093/jamia/ocw046
M3 - Article
C2 - 27107451
AN - SCOPUS:85014644462
SN - 1067-5027
VL - 24
SP - 218
EP - 226
JO - Journal of the American Medical Informatics Association
JF - Journal of the American Medical Informatics Association
IS - 1
ER -