Working with Health IT Systems

Fundamentals of Usability in HIT

SystemsWhat Does it Matter?
Lecture a

This material (Comp7_Unit 5a) was developed by Johns Hopkins University, funded by the Department of Health and Human
Services, Office of the National Coordinator for Health Information Technology under Award Number IU24OC00013.
Fundamentals of Usability in HIT
SystemsWhat Does it Matter?
Learning ObjectivesLecture a
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Health IT Workforce Curriculum
Version 3.0/Spring 2012
Working with Health IT Systems
Fundamentals of UsabilityWhat Does it Matter?
Lecture a
Define usability and its relationship to HIT
systems.
Explain the impact of HIT usability on user
satisfaction, adoption, and workarounds
including error rates and unintended
consequences.
Provide alternatives to HIT
usability bottlenecks.




Usability Defined
The extent to which a product can be used by
specified users to achieve specified goals with
effectiveness, efficiency and satisfaction in a
specified context of use. (ISO 9241-11)
(Ergonomic Requirements for Office Work with Visual Display Terminals (VDTs)
Part 11 Guidance on Usability. ISO/IEC 9241)
Usability is the study of the ease with which
people can employ a particular tool or other
human-made object to achieve a particular goal.



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Health IT Workforce Curriculum
Version 3.0/Spring 2012
Working with Health IT Systems
Fundamentals of UsabilityWhat Does it Matter?
Lecture a
Jakob Nielsen
Usabilitya quality attribute that assesses
how easy user interfaces are to use
5 6 Components:
Learnability
Efficiency
Memorability
Errors
Satisfaction
Utility

http://www.usability.gov/basics

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Health IT Workforce Curriculum
Version 3.0/Spring 2012
Working with Health IT Systems
Fundamentals of UsabilityWhat Does it Matter?
Lecture a
User-Centered Design
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Health IT Workforce Curriculum
Version 3.0/Spring 2012
Working with Health IT Systems
Fundamentals of UsabilityWhat Does it Matter?
Lecture a
User-Centered Design
ISO 13407:Human-Centered Design
Process
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Health IT Workforce Curriculum
Version 3.0/Spring 2012
Working with Health IT Systems
Fundamentals of UsabilityWhat Does it Matter?
Lecture a
User Centered Design
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Health IT Workforce Curriculum
Version 3.0/Spring 2012
Working with Health IT Systems
Fundamentals of UsabilityWhat Does it Matter?
Lecture a

Iteration in Design

If you dislike change, you're going to dislike irrelevance even more

Eric Shinseki: 7
th
US Secretary of Veterans Affairs
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Health IT Workforce Curriculum
Version 3.0/Spring 2012
Working with Health IT Systems
Fundamentals of UsabilityWhat Does it Matter?
Lecture a
Usability in HIT
Understanding the user base
Mobile workers
Highly disruptive & stressful situations
Cognitive overload
Restriction of physical spaceportability
important
Time compression
Frequent turnover (patients & providers)
Workarounds are common


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Health IT Workforce Curriculum
Version 3.0/Spring 2012
Working with Health IT Systems
Fundamentals of UsabilityWhat Does it Matter?
Lecture a
Fundamentals of Usability in HIT
SystemsWhat Does it Matter?
SummaryLecture a
Consequences of poor usability
Six quality attributes of usability
ISOs User-Centered Design
Challenges of clinical computing and how
usability relates
Knowing the principles, designing with the user
in mind & testing designs are critical
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Health IT Workforce Curriculum
Version 3.0/Spring 2012
Working with Health IT Systems
Fundamentals of UsabilityWhat Does it Matter?
Lecture a
Fundamentals of Usability in HIT
SystemsWhat Does it Matter?
ReferencesLecture a
References
Ergonomic Requirements for Office Work with Visual Display Terminals (VDTs) Part 11 Guidance on Usability.
ISO/IEC 9241.
Jakob Nielson: useit.com: Jakob Nielsen's Website. Available from: http://www.useit.com/
Koppel, R. P., Wetterneck, T. M., Telles, J. L., & Karsh, B.-T. (2008). Workarounds to Barcode Medication
Administration Systems: Their Occurrences, Causes, and Threats to Patient Safety. Journal of the American
Medical Informatics Association, 408-421.
National Review Online, "Marines Turned Soldiers December 10, 2001. 4 Star General Eric Shinseki, U.S.
Secretary of Veterans Affairs. Available from: http://old.nationalreview.com/comment/comment-
owens121001.shtml
National Transportation Safety Board Executive Summary of its final report into the Denver crash. January 26,
1999. Available from: http://www.avweb.com/other/ntsb9905.html
Nielsen, Jakob. Definition of Usability. Available from: http://www.useit.com/alertbox/20030825.html
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Health IT Workforce Curriculum
Version 3.0/Spring 2012
Working with Health IT Systems
Fundamentals of UsabilityWhat Does it Matter?
Lecture a
Fundamentals of Usability in HIT
SystemsWhat Does it Matter?
ReferencesLecture a
Images
Slide 2: Door Alarm. Available from: http://www.flickr.com/photos/brettlider/5615190034/sizes/m/in/photostream/
AttributionShare Alike 2.0 Generic (CC BY-SA 2.0) Brett L.'s Photostream.
Slide 4: Man in Front of PC Screen, Face in Hands. Courtesy Federal Drug Administration(FDA). Available from:
http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/psn/printer.cfm?id=497
Slide 5: Image 1Notification window: "This is a generic notification box. You should not be seeing this box.
Image 2Error message : Error opening this file. Courtesy Dr. Patricia Abbott
Slide 6: User-centered Design. Adapted from ISO standard 13407 by Dr. Patricia Abbott
Slide 7 : Image 1The Six Iterative Steps of User-Centered Design.
Image 2Older Asian Woman. Courtesy Mark Blatt, M.D. (HIMSS Presentation;
MCA; 2009)
Slide 8: Eric Shinseki: 7
th
US Secretary of Veterans Affairs. Courtesy Veterans Administration. Available from:
http://www1.va.gov/opa/bios/
Slide 9: Doctors and Medics in a Makeshift Field Hospital During a Mass-Casualty Exercise on Fort Bragg, N.C.
Courtesy US Army. Available from: http://Army.mil.images


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Health IT Workforce Curriculum
Version 3.0/Spring 2012
Working with Health IT Systems
Fundamentals of UsabilityWhat Does it Matter?
Lecture a