Safety-enhanced Design

EHR Safety-enhanced design (§170.315.g.3) (aka Usability) Testing for ONC 2015 Certification

The Office of the National Coordinator for Health Information Technology has made several enhancements to the Safety-enhanced (aka usability) testing portion of the certification criteria.

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) established a Merit-based Incentive Payment System (MIPS) that, in part, is based upon compliance with certain rules. The following describes what is required to obtain the ONC 2015 Edition Certification for Safety-enhanced Design (§170.315.g.3) for an EHR.

User-Centered Design (aka. Design Thinking) for Healthcare IT Usability Improvement

The usability (or lack thereof) of Healthcare IT has been in the news a lot again.

This time a research report published in JAMA (Howe JL ; Adams KT ; Hettinger AZ; et al. Electronic health record usability issues and potential contribution to patient harm. JAMA. 2018; 319: 1276-1278) researchers analyzed voluntary error reports associated with Electronic Health Record (EHR) systems and found that problems with EHR usability may have directly resulted in patient harm.

The top 5 EHR usability problems and how to fix them!

This year at HIMSS in Las Vegas there was no shortage of talk about the “lack of usability” in EHRs.  In the final HIMSS16 show daily (Thursday March 3, 2016) there were four articles (“When EHRs cause Harm,” “5 UX steps to Healthy Clinical apps,” “Nurse: We face severe IT usability problems,” and “The leading health IT issues? Poor usability and missing safeguards”) that addressed some aspect of EHR usability.

For The Usability People, LLC the time for talk has long been over.  Many of you already know that we have been on an active campaign--by giving talks at conferences, on social media, and with our many Healthcare clients--to improve the usability of Health IT.  We don’t want more talk, we want to DO SOMETHING about this important healthcare issue.  Usability in healthcare it can save lives. 

 

Seven plus or minus 2 things the Health IT Industry should know about Cognitive Psychology

The capacity of the human brain to process information has remained not changed—even as the number of types of users for software-based Internet connected devices has increased at an exponential rate. The field of psychology, especially cognitive psychology has, among other things, focused on understanding the processes by which we store information, make decisions, and communicate with others.

The best error message is one that you don't have to show!

Avoid errors by providing embedded assistance on more complex controls.

Deep within many of the systems we evaluated lies a complex, and sometimes non-standard UI control feature that is critical to performing an important task.

In the ONC 2014 Edition Summative tests, this control was usually related to the “Clinical information reconciliation task.” The control was usually some type of “Shuttle” widget where the user selects multiple items from one or more lists and places them into a single reconciled list (of Problems, Allergies, and Medications)

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