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Considerations on the Usability of SClínico

  • Conference paper
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Biomedical Engineering Systems and Technologies (BIOSTEC 2018)

Part of the book series: Communications in Computer and Information Science ((CCIS,volume 1024))

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Abstract

To increase the quality of the health care services and, at the same time, to control their costs, the use of Electronic Health Records (EHR) has substantially increased during the last years. Usability of EHR systems is a key factor to increase their efficiency. The SClínico is an EHR system widely used in public hospitals and primary care centres of the Portuguese National Health Service and the present article reports the assessment of its usability. This usability assessment consisted in three stages: in the first stage, an exploratory assessment was carried out, while in the second stage a quantitative assessment was performed using a validated usability assessment instrument, and, finally, in the third stage a focus group involving clinicians and usability experts was conducted. The results showed that SClínico presents important usability issues and, therefore, recommendations are suggested to overcome the identified issues.

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References

  1. SPMS: Serviços Partilhados do Ministério da Saúde - SPMS - SClinico Hospitalar. http://spms.min-saude.pt/product/sclinicohospitalar/. Accessed 17 July 2017

  2. SPMS: Serviços Partilhados do Ministério da Saúde - SPMS - SClinico Cuidados Primários. http://spms.min-saude.pt/product/sclinicocsp/. Accessed 17 July 2017

  3. Zahabi, M., Kaber, D.B., Swangnetr, M.: Usability and safety in electronic medical records interface design: a review of recent literature and guideline formulation. Hum. Factors 57, 805–834 (2015). https://doi.org/10.1177/0018720815576827

    Article  Google Scholar 

  4. Bhutkar, G., Konkani, A., Katre, D., Ray, G.G.: A review: healthcare usability evaluation methods. Biomed. Instrum. Technol. Suppl. 45–53 (2013). https://doi.org/10.2345/0899-8205-47.s2.45

    Article  Google Scholar 

  5. Pavão, J., et al.: SClinico: usability study. In: Proceedings of the 11th International Joint Conference on Biomedical Engineering Systems and Technologies, pp. 48–56. SCITEPRESS - Science and Technology Publications (2018)

    Google Scholar 

  6. Rouleau, G., Gagnon, M.-P., Côté, J.: Impacts of information and communication technologies on nursing care: an overview of systematic reviews (protocol). Syst Rev. 4, 75 (2015). https://doi.org/10.1186/s13643-015-0062-y

    Article  Google Scholar 

  7. Furukawa, M.F., King, J., Patel, V., Hsiao, C.-J., Adler-Milstein, J., Jha, A.K.: Despite substantial progress in EHR adoption, health information exchange and patient engagement remain low in office settings. Health Aff. 33, 1672–1679 (2014). https://doi.org/10.1377/hlthaff.2014.0445

    Article  Google Scholar 

  8. Marin, H.D.F.: Sistemas de informação em saúde: considerações gerais. J. Health Inform. 2, 20–24 (2010). https://doi.org/10.1590/S0102-311X2012000800014

    Article  Google Scholar 

  9. Marquié, J.-C.C., Tucker, P., Folkard, S., Gentil, C., Ansiau, D.: Chronic effects of shift work on cognition: findings from the VISAT longitudinal study. Occup Env. Med. 72, 258–264 (2015). https://doi.org/10.1136/oemed-2013-101993

    Article  Google Scholar 

  10. Mair, F.S., May, C., O’Donnell, C., Finch, T., Sullivan, F., Murray, E.: Factors that promote or inhibit the implementation of e-health systems: an explanatory systematic review. Bull. World Health Organ. 90, 357–364 (2012). https://doi.org/10.2471/BLT.11.099424

    Article  Google Scholar 

  11. Kruse, C.S., Kothman, K., Anerobi, K., Abanaka, L.: Adoption factors of the electronic health record: a systematic review. JMIR Med. Inform. 4, e19 (2016). https://doi.org/10.2196/medinform.5525

    Article  Google Scholar 

  12. Kruse, C.S., Kristof, C., Jones, B., Mitchell, E., Martinez, A.: Barriers to electronic health record adoption: a systematic literature review. J. Med. Syst. 40, 252 (2016). https://doi.org/10.1007/s10916-016-0628-9

    Article  Google Scholar 

  13. Adler-Milstein, J., Holmgren, A.J., Kralovec, P., Worzala, C., Searcy, T., Patel, V.: Electronic health record adoption in US hospitals: the emergence of a digital “advanced use” divide. J. Am. Med. Inform. Assoc. 24, 1142–1148 (2017). https://doi.org/10.1093/jamia/ocx080

    Article  Google Scholar 

  14. ISO/IEC 9241-14: ISO/IEC 9241-14: 1998 (E) Ergonomic requirements for office work with visual display terminals (VDT)s – Part 14 Menu dialogue (1998). https://www.iso.org/obp/ui/#iso:std:16886:en

  15. American Medical Association: Improving Care: Priorities to Improve Electronic Health Record Usability (2014)

    Google Scholar 

  16. Feng, R.-C., Chang, P.: Usability of the clinical care classification system for representing nursing practice according to specialty. Comput. Inform. Nurs. 33, 448–455 (2015)

    Article  Google Scholar 

  17. Villa, L.B., Cabezas, I.: A review on usability features for designing electronic health records. In: 2014 IEEE 16th International Conference on e-Health Networking, Applications and Services, HealthCom 2014, pp. 49–54 (2015)

    Google Scholar 

  18. Choi, M., Lee, H.S., Park, J.H.: Usability of academic electronic medical record application for nursing students’ clinical practicum. Health Inf. Res. 21, 191–195 (2015). https://doi.org/10.4258/hir.2015.21.3.191

    Article  Google Scholar 

  19. Czaja, S.J., Zarcadoolas, C., Vaughon, W.L., Lee, C.C., Rockoff, M.L., Levy, J.: The usability of electronic personal health record systems for an underserved adult population. Hum. Factors 57, 491–506 (2015). https://doi.org/10.1177/0018720814549238

    Article  Google Scholar 

  20. Clarke, M.A., Belden, J.L., Kim, M.S.: Determining differences in user performance between expert and novice primary care doctors when using an electronic health record (EHR). J Eval Clin Pr. 20, 1153–1161 (2014). https://doi.org/10.1111/jep.12277

    Article  Google Scholar 

  21. Johnston, D., Crowle, P.K.: EHR usability toolkit: a background report on usability and electronic health records. Agency for Healthcare Research and Quality, Rockville (2011)

    Google Scholar 

  22. Zhang, J., Walji, M. (eds.): Better EHR: Usability, Workflow and Cognitive Support in Electronic Health Records. National Center for Cognitive Informatics & Decision Making in Healthcare (2014). ISBN: 978-0-692-26296-2

    Google Scholar 

  23. Saitwal, H., Feng, X., Walji, M., Patel, V., Zhang, J.: Assessing performance of an electronic health record (EHR) using cognitive task analysis. Int J Med Inf. 79, 501–506 (2010). https://doi.org/10.1016/j.ijmedinf.2010.04.001

    Article  Google Scholar 

  24. Edwards, P.J., Moloney, K.P., Jacko, J.A., Sainfort, F.: Evaluating usability of a commercial electronic health record: a case study. Int. J. Hum Comput Stud. 66, 718–728 (2008). https://doi.org/10.1016/j.ijhcs.2008.06.002

    Article  Google Scholar 

  25. Middleton, B., et al.: Enhancing patient safety and quality of care by improving the usability of electronic health record systems: recommendations from AMIA. J. Am. Med. Inform. Assoc. 20, e2–e8 (2013). https://doi.org/10.1136/amiajnl-2012-001458

    Article  Google Scholar 

  26. Lowry, S.Z., et al.: Technical Evaluation, Testing, and Validation of the Usability of Electronic Health Records (2012)

    Google Scholar 

  27. Martins, A.I.., Queirós, A.., Silva, A.G.., Rocha, N.P.: Usability evaluation methods: a systematic review. In: Human Factors in Software Development and Design, pp. 250–273 (2014)

    Google Scholar 

  28. Rosa, A., Martins, A., Costa, V., Queiros, A., Silva, A., Rocha, N.: European Portuguese validation of the post-study system usability questionnaire (PSSUQ). In: 2015 10th Iberian Conference on Information Systems and Technologies (CISTI), pp. 1–5 (2015)

    Google Scholar 

  29. Lewis, J.: Psychometric evaluation of the PSSUQ using data from five years of usability studies. Int. J. Hum. Comput. Interact. 14, 463–488 (2002). https://doi.org/10.1207/S15327590IJHC143&4_11

    Article  Google Scholar 

  30. Covêlo, M.: Interface para Aplicação Informática de Suporte Clínico em Ambiente Hospitalar (2016). http://hdl.handle.net/10348/5694

  31. Wilkinson, S.: A practical guide to research methods. In: Smith, J. (ed.) Qualitative Psychology: A Practical Guide to Research Methods. SAGE Publications (2003)

    Google Scholar 

  32. Caplan, S.: Using focus group methodology for ergonomic design. Ergonomics 33, 527–533 (1990). https://doi.org/10.1080/00140139008927160

    Article  Google Scholar 

  33. World Medical Association: Declaration of Helsinki - Ethical Principles for Medical Research Involving Human Subjects (2013)

    Google Scholar 

  34. International Epidemiological Association: Good Epidemiological Practice (GEP). IEA Guidelines for Proper Conduct in Epidemiologic Research. http://ieaweb.org/good-epidemiological-practice-gep/. Accessed 13 June 2018

  35. Pavão, J., et al.: Usability study of SClinico. In: 2016 11th Iberian Conference on Information Systems and Technologies (CISTI), pp. 1–6 (2016)

    Google Scholar 

  36. Yan, R.: Icon design study in computer interface. Procedia Eng. 15, 3134–3138 (2011). https://doi.org/10.1016/J.PROENG.2011.08.588

    Article  Google Scholar 

  37. Elam, K.: Grid Systems: Principles of Organizing Type. Princeton Architectural Press, New York (2004)

    Google Scholar 

  38. Lupton, E., Phillips, J.C.: Graphic Design: The New Basics. Princeton Architectural Press, New York (2008)

    Google Scholar 

  39. Hansen, D., Shneiderman, B., Smith, M.A.: Analyzing Social Media Networks with NodeXL: Insights from a Connected World (2010)

    Google Scholar 

  40. Behler, R.: Military Healthcare System (MHS) GENESIS Initial Operational test and Evaluation (IOT&E) Report (2018). https://www.nextgov.com/media/gbc/docs/pdfs_edit/051118letterng.pdf. Accessed 17 July 2018

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Acknowledgments

The authors thank the administration board of CHTMAD for all the support provided, as well as all the clinicians of this hospital center who have accepted to participate in the study reported in this article.

Author information

Authors and Affiliations

  1. Science and Technology School, INESC-TEC, University of Trás-os-Montes and Alto Douro, Quinta de Prados, 5000-801, Vila Real, Portugal

    João Pavão & Luís Torres Pereira

  2. Science and Technology School, University of Trás-os-Montes and Alto Douro, Quinta de Prados, 5000-801, Vila Real, Portugal

    Rute Bastardo

  3. Centre for the Research and Technology of Agro-Environmental and Biological Sciences, CITAB, University of Trás-os-Montes and Alto Douro, Quinta de Prados, 5000-801, Vila Real, Portugal

    Paula Oliveira

  4. Centro Hospitalar of Trás-os-Montes e Alto Douro, Av. da Noruega, Lordelo, 5000-508, Vila Real, Portugal

    Victor Costa

  5. IEETA, University of Aveiro, Campo Universitário de Santiago, 3810-193, Aveiro, Portugal

    Ana Isabel Martins

  6. Health Sciences School, IEETA, University of Aveiro, Campo Universitário de Santiago, 3810-193, Aveiro, Portugal

    Alexandra Queirós

  7. Department of Medical Sciences, IEETA, University of Aveiro, Campo Universitário de Santiago, 3810-193, Aveiro, Portugal

    Nelson Pacheco Rocha

Authors
  1. João Pavão
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  2. Rute Bastardo
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  3. Luís Torres Pereira
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  4. Paula Oliveira
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  5. Victor Costa
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  6. Ana Isabel Martins
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  7. Alexandra Queirós
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  8. Nelson Pacheco Rocha
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Corresponding author

Correspondence to Nelson Pacheco Rocha .

Editor information

Editors and Affiliations

  1. University of Sao Paulo, São Paulo, Brazil

    Alberto Cliquet Jr.

  2. University of Saskatchewan, Saskatoon, Canada

    Sheldon Wiebe

  3. College of Charleston, Charleston, SC, USA

    Paul Anderson

  4. University of Rome Tor Vergata, Rome, Italy

    Giovanni Saggio

  5. Aberystwyth University, Aberystwyth, UK

    Reyer Zwiggelaar

  6. LIBPhys, New University of Lisbon, Lisbon, Portugal

    Hugo Gamboa

  7. Instituto de Telecomunicações and Instituto Superior Técnico, Lisbon, Portugal

    Ana Fred

  8. Madeira Interactive Technologies Institute, Universidade da Madeira, Funchal, Portugal

    Sergi Bermúdez i Badia

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Pavão, J. et al. (2019). Considerations on the Usability of SClínico. In: Cliquet Jr., A., et al. Biomedical Engineering Systems and Technologies. BIOSTEC 2018. Communications in Computer and Information Science, vol 1024. Springer, Cham. https://doi.org/10.1007/978-3-030-29196-9_14

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  • DOI: https://doi.org/10.1007/978-3-030-29196-9_14

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-29195-2

  • Online ISBN: 978-3-030-29196-9

  • eBook Packages: Computer ScienceComputer Science (R0)

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