Usability Evaluation of a Dashboard for Home Care Nurses

Dowding, Dawn; Merrill, Jacqueline; Barrón, Yolanda; Onorato, Nicole; Jonas, Karyn; Russell, David

doi:10.1097/cin.0000000000000484

Cited by 28 publications

(46 citation statements)

References 29 publications

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“…74 The use of visualization techniques such as dashboards are proposed to improve the summary of information and support the decision-making process. 75 Usercentered designs are likely not the sole solution. Adapting the EHR to the current clinical context will likely contribute to usability and operability.…”

Section: Mean Time Spent On Ehr Interaction Wasmentioning

confidence: 99%

Interaction Time with Electronic Health Records: A Systematic Review

et al. 2021

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Background The amount of time that health care clinicians (physicians and nurses) spend interacting with the electronic health record is not well understood. Objective This study aimed to evaluate the time that health care providers spend interacting with electronic health records (EHR). Methods Data are retrieved from Ovid MEDLINE(R) and Epub Ahead of Print, In-Process and Other Non-Indexed Citations and Daily, (Ovid) Embase, CINAHL, and SCOPUS. Study Eligibility Criteria Peer-reviewed studies that describe the use of EHR and include measurement of time either in hours, minutes, or in the percentage of a clinician's workday. Papers were written in English and published between 1990 and 2021. Participants All physicians and nurses involved in inpatient and outpatient settings. Study Appraisal and Synthesis Methods A narrative synthesis of the results, providing summaries of interaction time with EHR. The studies were rated according to Quality Assessment Tool for Studies with Diverse Designs. Results Out of 5,133 de-duplicated references identified through database searching, 18 met inclusion criteria. Most were time-motion studies (50%) that followed by logged-based analysis (44%). Most were conducted in the United States (94%) and examined a clinician workflow in the inpatient settings (83%). The average time was nearly 37% of time of their workday by physicians in both inpatient and outpatient settings and 22% of the workday by nurses in inpatient settings. The studies showed methodological heterogeneity. Conclusion This systematic review evaluates the time that health care providers spend interacting with EHR. Interaction time with EHR varies depending on clinicians' roles and clinical settings, computer systems, and users' experience. The average time spent by physicians on EHR exceeded one-third of their workday. The finding is a possible indicator that the EHR has room for usability, functionality improvement, and workflow optimization.

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Section: Mean Time Spent On Ehr Interaction Wasmentioning

confidence: 99%

Interaction Time with Electronic Health Records: A Systematic Review

et al. 2021

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“…The usability study involved an evaluation of the OID that focused on the effectiveness of the dashboard and satisfaction from its use, these are primary outcomes that have been similarly employed by other dashboard evaluations. [37][38][39] Wu et al define effectiveness as the accuracy and completeness of achieving goals and satisfaction as subjective opinions of use. Given the use of dashboards to discover insights through exploration, we recognize the challenges with operationalizing an efficiency metric on dashboard use and chose to informally track this metric.…”

Section: Iterative Testing Of Prototype and Usability Evaluationmentioning

confidence: 99%

Visualizing Opportunity Index Data Using a Dashboard Application: A Tool to Communicate Infant Mortality-Based Area Deprivation Index Information

et al. 2020

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Background An area deprivation index (ADI) is a geographical measure that accounts for socioeconomic factors (e.g., crime, health, and education). The state of Ohio developed an ADI associated with infant mortality: Ohio Opportunity Index (OOI). However, a powerful tool to present this information effectively to stakeholders was needed. Objectives We present a real use-case by documenting the design, development, deployment, and training processes associated with a dashboard solution visualizing ADI data. Methods The Opportunity Index Dashboard (OID) allows for interactive exploration of the OOI and its seven domains—transportation, education, employment, housing, health, access to services, and crime. We used a user-centered design approach involving feedback sessions with stakeholders, who included representatives from project sponsors and subject matter experts. We assessed the usability of the OID based on the effectiveness, efficiency, and satisfaction dimensions. The process of designing, developing, deploying, and training users in regard to the OID is described. Results We report feedback provided by stakeholders for the OID categorized by function, content, and aesthetics. The OID has multiple, interactive components: choropleth map displaying OOI scores for a specific census tract, graphs presenting OOI or domain scores between tracts to compare relative positions for tracts, and a sortable table to visualize scores for specific county and census tracts. Changes based on parameter and filter selections are described using a general use-case. In the usability evaluation, the median task completion success rate was 83% and the median system usability score was 68. Conclusion The OID could assist health care leaders in making decisions that enhance care delivery and policy decision making regarding infant mortality. The dashboard helps communicate deprivation data across domains in a clear and concise manner. Our experience building this dashboard presents a template for developing dashboards that can address other health priorities.

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“…In parallel with the introduction of digital systems in the workplace, the field of human-computer interaction (HCI) has developed, and the usability (ie, the efficient, effective, and satisfactory use of a system with respect to the specified user, goal, and use context [17]) of digital systems in health care has become a broadly used concept [18][19][20][21][22][23][24][25][26]. The idea of involving users in software development to ensure the creation of systems with relevant functionality and high usability had already been introduced in the eighties [27].…”

Section: Introductionmentioning

confidence: 99%

Why Are Digital Health Care Systems Still Poorly Designed, and Why Is Health Care Practice Not Asking for More? Three Paths Toward a Sustainable Digital Work Environment

Persson¹,

Rydenfält²

2021

J Med Internet Res

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Knowledge of how to design digital systems that are ergonomically sound, high in usability, and optimized for the user, context, and task has existed for some time. Despite this, there are still too many examples of new digital health care systems that are poorly designed and that could negatively affect both the work environment of health care staff and patient safety. This could be because of a gap between the theoretical knowledge of design and ergonomics and the practical implementation of this knowledge in procuring and developing digital health care systems. Furthermore, discussions of digitalization are often at a general level and risk neglecting the nature of direct interaction with the digital system. This is problematic since it is at this detailed level that work environment and patient safety issues materialize in practice. In this paper, we illustrate such issues with two scenarios concerned with contemporary electronic health care records, based on field studies in two health care settings. We argue that current methods and tools for designing and evaluating digital systems in health care must cater both to the holistic level and to the details of interaction and ergonomics. It must also be acknowledged that health care professionals are neither designers nor engineers, so expectations of them during the development of digital systems must be realistic. We suggest three paths toward a more sustainable digital work environment in health care: (1) better tools for evaluating the digital work environment in the field; (2) generic formulations of qualitative requirements related to usability and for adaptation to the user, context, and task, to be used in procurement; and (3) the introduction of digital ergonomics as an embracing concept capturing several of the ergonomic challenges (including physical, cognitive, and organizational aspects) involved in implementing and using digital systems.

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Usability Evaluation of a Dashboard for Home Care Nurses

Cited by 28 publications

References 29 publications

Interaction Time with Electronic Health Records: A Systematic Review

Interaction Time with Electronic Health Records: A Systematic Review

Visualizing Opportunity Index Data Using a Dashboard Application: A Tool to Communicate Infant Mortality-Based Area Deprivation Index Information

Why Are Digital Health Care Systems Still Poorly Designed, and Why Is Health Care Practice Not Asking for More? Three Paths Toward a Sustainable Digital Work Environment

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