Abstract
A usability model is a hierarchical structure encompassing the key elements such as users, user interface and interaction between them. It is a generic template which is independent of usability evaluation methods and provides flexibility for adaptation in different contexts and domains. In this paper, a usability model for medical user interfaces, especially for ventilator systems in Intensive Care Unit (ICU), is proposed based on Norman’s action-oriented seven-step model to capture a related medical context. A ventilator system is a therapeutic device, which provides a respiratory support to critically-ill patients. Currently, a usability of user interfaces of ventilator systems is evaluated by typical usability evaluation methods from software industry. These evaluation methods miss out important elements in medical context. Therefore, a need for a specialized usability model for medical user interfaces is fulfilled with a proposed usability model encompassing vital elements such as medical user, user interface, ICU environment and time required. This usability model is validated first, through a human work analysis using videos of selected tasks with medical user interfaces and then, with an overview of critical factors affecting medical user interfaces in ICU. In future, a proposed usability model can be integrated with a suitable usability evaluation method for evaluating medical user interfaces to identify related medical usability problems more effectively.
Chapter PDF
Similar content being viewed by others
Keywords
References
Abran, A., Khelifi, A., Suryn, W., Seffah, A.: Consolidating ISO Usability Models. In: 11th International Software Quality Management Conference (2003)
Atyeo, M.: Usability Evaluation - Comparing Techniques. Presentation by Neo Insight (January 2006)
Babu, R., Singh, R., Ganesh, J.: Understanding Blind Users’ Web Accessibility and Usability Problems. AIS Transaction on Human-Computer Interaction 2(3), 73–94 (2010)
Barr, P.: Usability and Value: Playing Computer Games (2003)
Bhutkar, G., Deshmukh, S.: Medical Devices in Intensive Care Unit. Medical Equipment and Automation (January-February 2012)
Bhutkar, G., Katre, D., Rajhans, N., Deshmukh, S.: Scope of Ergonomic and Usability Issues with Intensive Care Unit (ICU): An Indian Perspective. HFESA Journal - Ergonomics Australia 22(1), 26–32 (2008)
Bhutkar, G., Poovaiah, R., Katre, D., Karmarkar, S.: Semiotic Analysis combined with Usability and Ergonomic Testing for Evaluation of Icons in Medical User Interface. In: IndiaHCI 2011- Third International Conference on Human Computer Interaction, pp. 57–67. ACM, USA (2011)
Bhutkar, G., Rajhans, N., Katre, D., Dhabe, P., Dhore, M., Barbadekar, B.: Analysis and Design of ICU Knowledge Management System (IKMS) for Indian Environment with Usability Perspective. In: IEEE International Conference on Computer and Automation Engineering (ICCAE), Singapore, February 2, pp. 329–333 (2010)
Bhutkar, G., Ray, G., Katre, D., Deshmukh, S.: Long-Distance Visibility Testing of Visual Alerts in Medical User Interfaces in ICU. In: International Conference on Ergonomics and Human Factors - HWWE 2011, IIT Chennai (December 2011)
Clemmensen, T.: A Human Work Interaction Design (HWID) Case Study in e-Government and Public Information Systems. IJPIS 3, 105–113 (2011)
Draft Guidance-HUD Designations Guidance. FDA (2011)
Federici, S., Borsci, S.: Usability Evaluation: Models, Methods and Applications. International Encyclopedia of Rehabilitation (2010)
Finke, M., Kaviani, N., Wang, I., Tsao, V., Fels, S., Lea, R.: Investigating Distributed User Interfaces across Interactive Large Displays and Mobile Devices (2010)
Ford: Conceptual Model of Usability. Researching on the Effects of Culture on Usability, ch. 6, pp. 152–174 (2009)
Gokin, P.: Human Factor Issues in Designing Alarms and Monitors for Critical Care Environments. Course HF 755B (2005)
Forlines, C., Wigdor, D., Shen, C., Balakrishnan, R.: Direct Touch vs. Mouse Input for Tabletop Displays. In: Conference on Human Factors in Computer Systems (CHI) (April 2007)
Goldkuhl, G., Agerfalk, P.: Actability: A Way to Understand Information Systems Pragmatics. Coordination and Communication Using Signs: Studies in Organisational Semiotics (2000)
Gould, T., de Beer, J.: Principles of Artificial Ventilation. Anesthesia and Intensive Care Medicine 8(3), 91–101 (2007)
Hartson, H., Andre, T., Wellige, R.: Criteria for Evaluating Usability Evaluation Methods. International Journal of Human Computer Interaction 15(1), 145–181 (2003)
Hindu Janajagruti Samiti: What is the Benefit of Applying Kumkum than a Bindi?, http://www.hindujagruti.org/hinduism/knowledge/article/what-is-the-benefit-of-applying-kumkum-than-a-bindi.html (retrieved on December 24, 2012)
India Profile: Bindis - Traditional and Trendy, http://www.indiaprofile.com/fashion/bindis.htm (retrieved on December 24, 2012)
Jaspers, M.: A Comparison of Usability Methods for Testing Interactive Health Technologies: Methodological Aspects and Empirical Evidence. International Journal of Medical Informatics 78, 340–353 (2009)
Katre, D., Bhutkar, G., Karmarkar, S.: Usability Heuristics and Qualitative Indicators for the Usability Evaluation of Touch Screen Ventilator Systems. In: Katre, D., Orngreen, R., Yammiyavar, P., Clemmensen, T. (eds.) HWID 2009. IFIP AICT, vol. 316, pp. 83–97. Springer, Heidelberg (2010)
Kaufman, D., Patel, V., Hilliman, C., Morin, P., Pevzner, J., Weinstock, R., Goland, R., Shea, S., Starren, J.: Usability in the Real-World: Assessing Medical Information Technologies in Patients’ Homes. Journal of Biomedical Informatics 36, 45–60 (2003)
Kim, B., Dong, Y., Kim, S., Lee, K.-P.: Development of Integrated Analysis System and Tool of Perception, Recognition, and Behavior for Web Usability Test: With Emphasis on Eye-Tracking, Mouse-Tracking, and Retrospective Think Aloud. In: Aykin, N. (ed.) HCII 2007. LNCS, vol. 4559, pp. 113–121. Springer, Heidelberg (2007)
Kothari C.: Research Methodology - Methods and Techniques, 2nd revised edn., p. 96. New Age International Publishers (2010)
Liu, Y., Osvalder, A., Dahlman, S.: Exploring User Background Settings in Cognitive Walkthrough Evaluation of Medical Prototype Interfaces: A Case Study. International Journal of Industrial Ergonomics 35, 379–390 (2005)
Malhotra, S., Jordan, D., Patel, V.: Workflow Modeling in Critical Care: Piecing your Own Puzzle. In: AMIA 2005, pp. 480–484 (2005)
Martin, J., Murphy, E., Crowe, J., Norris, B.: Capturing User Requirements in Medical Device Development: The Role of Ergonomics. Physiological Measurement 27(8), 49–62 (2006)
Norman, D.: Categories of Action Slips. Psychological Review 88(1), 1–15 (1981)
Norman, D.: The Design of Everyday Things, pp. 45–53. Basic Books (2002)
Rasmussen, J., Pejtersen, A., Goodstein, L.: Cognitive Systems Engineering. Wiley, New York (1994)
Reader, T., Flin, R., Mearns, K., Cuthbertson, B.: Interdisciplinary Communication in the Intensive Care Unit. British Journal of Anaesthesia 98(3), 347–352 (2007)
Rizzo, A., Marchigiani, E., Andreadis, A.: The AVANTI Project: Prototyping and Evaluation with a Cognitive Walkthrough based on the Norman’s Model of Action. In: ACM Conference on Designing Interactive Systems, Amsterdam, Netherlands (August 1997)
Rogers, W., Mykityshyn, A., Campbell, R., Fisk, A.: Analysis of a Simple Medical Device. Ergonomics in Design, 6–14 (Winter 2001)
Salovaara, A.: Inventing New Uses for Tools: A Cognitive Foundation for Studies on Appropriation. Human Technology 4(2), 209–228 (2008)
Sayed, K., Sleem, W.: Nurse-Physician Collaboration: A Comparative Study of the Attitudes of Nurses and Physicians at Mansoura University Hospital. Life Science Journal 8(2), 141–146 (2011)
Serdijn, W.: Moving Therapeutic, Monitoring and Diagnostic Wireless Medical Devices into the Homes and into the Body. Handouts for ISMICT (April 2011)
Sherry, L., Feary, M., Polson, P., Mumaw, R., Palmer, E.: A Cognitive Engineering Analysis of the Vertical Navigation (VNAV) Function. Project Report NASA/TM (April 2001)
Smith, M., Higgs, J., Ellis, E.: Factors Influencing Clinical Decision Making, ch. 8, pp. 89–100 (2008)
Staggers, N., Troseth, M.: Group: Designing Usable Clinical Information Systems. The Tiger Initiative Usability Report, 1-25 (2009)
Wiklund, M., Kendler, J., Strochlic, A.: Usability Testing of Medical Devices. CRC Press, Taylor & Francis (2011)
Wiklund, M., Wilcox, S.: Designing Usability into Medical Devices. CRC Press, Taylor & Francis (2005)
Winter, S., Wagner, S., Deissenboeck, F.: A Comprehensive Model of Usability. In: Gulliksen, J., Harning, M.B., van der Veer, G.C., Wesson, J. (eds.) EIS 2007. LNCS, vol. 4940, Springer, Heidelberg (2008)
Zhang, J., Johnson, T., Patel, V., Paige, D., Kubose, T.: Using Usability Heuristics to evaluate Patient Safety of Medical Devices. Journal of Biomed. Informatics 36, 23–30 (2003)
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2013 IFIP International Federation for Information Processing
About this paper
Cite this paper
Bhutkar, G., Katre, D., Ray, G.G., Deshmukh, S. (2013). Usability Model for Medical User Interface of Ventilator System in Intensive Care Unit. In: Campos, P., Clemmensen, T., Nocera, J.A., Katre, D., Lopes, A., Ørngreen, R. (eds) Human Work Interaction Design. Work Analysis and HCI. HWID 2012. IFIP Advances in Information and Communication Technology, vol 407. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-41145-8_5
Download citation
DOI: https://doi.org/10.1007/978-3-642-41145-8_5
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-41144-1
Online ISBN: 978-3-642-41145-8
eBook Packages: Computer ScienceComputer Science (R0)