Design of Electronic Medical Record User Interfaces: A Matrix-Based Method for Improving Usability

This study examines a new approach of using the Design Structure Matrix (DSM) modeling technique to improve the design of Electronic Medical Record (EMR) user interfaces. The usability of an EMR medication dosage calculator used for placing orders in an academic hospital setting was investigated. Th...

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Main Authors: Kushtrim Kuqi, Tim Eveleigh, Thomas Holzer, Shahryar Sarkani, James E. Levin, Rebecca S. Crowley
Format: Article
Language:English
Published: Hindawi Limited 2013-01-01
Series:Journal of Healthcare Engineering
Online Access:http://dx.doi.org/10.1260/2040-2295.4.3.427
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spelling doaj-03a38ca53beb4d6e83197def542095732020-11-24T20:59:48ZengHindawi LimitedJournal of Healthcare Engineering2040-22952013-01-014342745110.1260/2040-2295.4.3.427Design of Electronic Medical Record User Interfaces: A Matrix-Based Method for Improving UsabilityKushtrim Kuqi0Tim Eveleigh1Thomas Holzer2Shahryar Sarkani3James E. Levin4Rebecca S. Crowley5Department of Engineering Management and Systems Engineering, The George Washington University, Washington DC, USADepartment of Engineering Management and Systems Engineering, The George Washington University, Washington DC, USADepartment of Engineering Management and Systems Engineering, The George Washington University, Washington DC, USADepartment of Engineering Management and Systems Engineering, The George Washington University, Washington DC, USAChildren’s Hospital of Pittsburgh, University of Pittsburgh Medical Center, Pittsburgh, PA, USADepartment of Biomedical Informatics, University of Pittsburgh School of Medicine, Pittsburgh, PA, USAThis study examines a new approach of using the Design Structure Matrix (DSM) modeling technique to improve the design of Electronic Medical Record (EMR) user interfaces. The usability of an EMR medication dosage calculator used for placing orders in an academic hospital setting was investigated. The proposed method captures and analyzes the interactions between user interface elements of the EMR system and groups elements based on information exchange, spatial adjacency, and similarity to improve screen density and time-on-task. Medication dose adjustment task time was recorded for the existing and new designs using a cognitive simulation model that predicts user performance. We estimate that the design improvement could reduce time-on-task by saving an average of 21 hours of hospital physicians’ time over the course of a month. The study suggests that the application of DSM can improve the usability of an EMR user interface.http://dx.doi.org/10.1260/2040-2295.4.3.427
collection DOAJ
language English
format Article
sources DOAJ
author Kushtrim Kuqi
Tim Eveleigh
Thomas Holzer
Shahryar Sarkani
James E. Levin
Rebecca S. Crowley
spellingShingle Kushtrim Kuqi
Tim Eveleigh
Thomas Holzer
Shahryar Sarkani
James E. Levin
Rebecca S. Crowley
Design of Electronic Medical Record User Interfaces: A Matrix-Based Method for Improving Usability
Journal of Healthcare Engineering
author_facet Kushtrim Kuqi
Tim Eveleigh
Thomas Holzer
Shahryar Sarkani
James E. Levin
Rebecca S. Crowley
author_sort Kushtrim Kuqi
title Design of Electronic Medical Record User Interfaces: A Matrix-Based Method for Improving Usability
title_short Design of Electronic Medical Record User Interfaces: A Matrix-Based Method for Improving Usability
title_full Design of Electronic Medical Record User Interfaces: A Matrix-Based Method for Improving Usability
title_fullStr Design of Electronic Medical Record User Interfaces: A Matrix-Based Method for Improving Usability
title_full_unstemmed Design of Electronic Medical Record User Interfaces: A Matrix-Based Method for Improving Usability
title_sort design of electronic medical record user interfaces: a matrix-based method for improving usability
publisher Hindawi Limited
series Journal of Healthcare Engineering
issn 2040-2295
publishDate 2013-01-01
description This study examines a new approach of using the Design Structure Matrix (DSM) modeling technique to improve the design of Electronic Medical Record (EMR) user interfaces. The usability of an EMR medication dosage calculator used for placing orders in an academic hospital setting was investigated. The proposed method captures and analyzes the interactions between user interface elements of the EMR system and groups elements based on information exchange, spatial adjacency, and similarity to improve screen density and time-on-task. Medication dose adjustment task time was recorded for the existing and new designs using a cognitive simulation model that predicts user performance. We estimate that the design improvement could reduce time-on-task by saving an average of 21 hours of hospital physicians’ time over the course of a month. The study suggests that the application of DSM can improve the usability of an EMR user interface.
url http://dx.doi.org/10.1260/2040-2295.4.3.427
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