Usability of Electronic Medical Record System: An Application in Its Infancy with a Crying Need

  • Hal Miller-Jacobs
  • John Smelcer
Part of the Lecture Notes in Computer Science book series (LNCS, volume 4558)


There is almost universal agreement on the benefits of an Electronic Medical Records (EMR) System, yet successful implementations are few. While EMR systems focus on the important areas of functionality, interoperability and security, the area of usability has been overlooked. No electronic medical records system can be viable unless it addresses usability. We have had the opportunity to work with several systems and have employed field data gathering, expert reviews, usability testing and ScoreCarding to enhance the usability of EMR systems. Unless usability becomes more widespread and is given a higher priority, the benefits of an EMR system will remain elusive.


Usability Electronic Medical Records Electronic Health Records field data gathering expert reviews usability testing ScoreCarding 


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  1. 1.
    Barrett, M.J., Holmes, B.J., McAulay, S.E.: Electronic Medical Records: A Buyer’s Guide for Small Physician Practices. Forrester Research (2003),
  2. 2.
    Certification Commission for Healthcare Information Technology (CCHIT), Overview of Mission (January 29, 2007),
  3. 3.
    Connolly, Ceci, Cedars-Sinai Doctors Cling to Pen & Paper, Washington Post, p. A01 (March 21, 2005)Google Scholar
  4. 4.
    Evans, D.C., Nichol, W.P., Perlin, J.B.: Effect of the Implementation of an Enterprise-Wide Electronic Health Record on Productivity in the Veterans Health Administration. Health Economics, Policy and Law. 1, 163–169 (2006)CrossRefGoogle Scholar
  5. 5.
    Freudenheim, Milt, Doctors Collaborate to Find a Less Costly Way to Add Electronic Medical Records, New York Times, p. C4 (September 19, 2005)Google Scholar
  6. 6.
    Lohr, Steve, U.S. Awards Contracts to Help Automate Health Records, New York Times (November 11, 2005) Google Scholar
  7. 7.
  8. 8.
    Scott, J.T., Rundall, T.G., Vogt, T.M., Hsu, J.: Kaiser Permanente’s experience of implementing an electronic medical record: a qualitative study. BMJ 331, 1313–1316 (2005)CrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2007

Authors and Affiliations

  • Hal Miller-Jacobs
    • 1
  • John Smelcer
    • 1
  1. 1.Human Factors International 

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