User-centred, multidimensional assessment method of Clinical Information Systems: a case-study in anaesthesiology

Beuscart-Zéphir, Marie-Catherine; Anceaux, Françoise; Menu, H.; Guerlinger, Sandra; Watbled, Ludivine; Evrard, Fabienne

doi:10.1016/j.ijmedinf.2004.07.005

Cited by 22 publications

(10 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Heuristic evaluation conducted by HFE experts to identify HFE issues of a clinical information system for anesthesiology (Beuscart-Zephir et al 2005)…”

Section: Figurementioning

confidence: 99%

A systematic review of human factors and ergonomics (HFE)-based healthcare system redesign for quality of care and patient safety

2014

View full text Add to dashboard Cite

Healthcare systems need to be redesigned to provide care that is safe, effective and efficient, and meets the multiple needs of patients. This systematic review examines how Human Factors and Ergonomics (HFE) is applied to redesign healthcare work systems and processes and improve quality and safety of care. We identified twelve projects representing 23 studies and addressing different physical, cognitive and organizational HFE issues in a variety of healthcare systems and care settings. Some evidence exists for the effectiveness of HFE-based healthcare system redesign in improving process and outcome measures of quality and safety of care. We assessed risk of bias in 16 studies reporting the impact of HFE-based healthcare system redesign and found varying quality across studies. Future research should further assess the impact of HFE on quality and safety of care, and clearly define the mechanisms by which HFE-based system redesign can improve quality and safety of care. Practitioner Summary Existing evidence shows that HFE-based healthcare system redesign has the potential to improve quality of care and patient safety. Healthcare organizations need to recognize the importance of HFE-based healthcare system redesign to quality of care and patient safety, and invest resources to integrate HFE in healthcare improvement activities.

show abstract

“…Heuristic evaluation conducted by HFE experts to identify HFE issues of a clinical information system for anesthesiology (Beuscart-Zephir et al 2005)…”

Section: Figurementioning

confidence: 99%

A systematic review of human factors and ergonomics (HFE)-based healthcare system redesign for quality of care and patient safety

2014

View full text Add to dashboard Cite

show abstract

“…Within these environments, tasks carried out by healthcare professionals are often context-dependent, unpredictable, interrupted, and rely on clear and timely communication between different stakeholders [40]. Introduction of poorly designed HIT into these complex health care environments can cause disruptions in communication among clinicians and may lead to workarounds [41][42][43][44][45]. These misfits between HIT designs and workflow processes create new opportunities for new sources of error.…”

Section: Use Errors / Technology-induced Errorsmentioning

confidence: 99%

Evolution of Human Factors Research and Studies of Health Information Technologies: The Role of Patient Safety

Beuscart-Zéphir

Borycki

Carayon³

et al. 2013

Yearb Med Inform

View full text Add to dashboard Cite

SummaryObjectives: The objective of this survey paper is to present and explain the impact of recent regulations and patient safety initiatives (EU, US and Canada) on Human Factors (HF) /Usability studies and research focusing on Health Information Technology (HIT). Methods: The authors have selected the most prominent of these recent regulations and initiatives, which rely on validated HF and usability methods and concepts and aim at enhancing the specific process of identification and prevention of technology-induced errors throughout the lifecycle of HIT. Results: The analysis highlights several points of consensus: 1) safety initiatives or regulations applicable to Medical Devices (MD) tend to extend to HIT, 2) Usability is considered a fundamental dimension of HIT safety, 3) HF/Usability methods and the overall Human Centred Design (HCD) approach are considered efficient solutions to ensure the design of safe and usable HIT. However, it appears that MD manufacturers, and a fortiori HIT designers and developers are still far from being able to routinely apply HCD to their products Discussion and conclusion: On the research side, we need to analyze manufacturers' difficulties with the application of the HCD process and imposed standards. For each given category of HIT, we need to identify the fundamental usability dimensions and design principles likely to impact patient safety independently of workplace settings or organizations. These should be described in terms of usability flaws, corresponding usage problems experienced by users and related outcomes. This approach requires good quality and well structured reporting of Human Factors / Usability research studies on HIT.

show abstract

“…Lille Regional University Hospital in France is a large 3,000bed hospital that has begun to integrate a range of usability engineering methods directly into system procurement processes, including usability testing and related methods of usability inspection (Beuscart-Zéphir et al 2001. In order to support the choice and acquisition process for a clinical information system in anesthesiology, several forms of evidence were collected to inform the decision-making (Beuscart-Zéphir et al 2005). This included assessing the following three dimensions of candidate systems: (1) quality management, (2) usability and (3) performance (which focused on assessing the quality and exhaustiveness of documentation -including the percentage of relevant information made available to the anesthetist and the number of alerts generated).…”

Section: Case Study Two: Procurement Involving Usability Testing and mentioning

confidence: 99%

Increasing the Safety of Healthcare Information Systems through Improved Procurement: Toward a Framework for Selection of Safe Healthcare Systems

Kushniruk

Beuscart-Zéphir²,

Grzes³

et al. 2010

hcq

Self Cite

View full text Add to dashboard Cite

In this article, we describe a framework that we have developed for improving the effectiveness of critical decisionmaking in selecting information systems. In our framework, we consider system selection in terms of strength of evidence obtained from the testing of candidate systems in order to reduce risk and increase the likelihood of selection and implementation of an effective and safe system. Two case studies, one from a major North American hospital and one from a major European hospital, are presented to illustrate how methods such as usability testing can be applied to improve system selection as well as customization (through early identification of system-organization mismatches and error-prone system features). It is argued that technologyorganization fit and consideration of the potential for technology-induced error should be important selection criteria in the procurement process. Here, implications are discussed for the development of improved procurement processes to lead to safer healthcare systems.

show abstract

User-centred, multidimensional assessment method of Clinical Information Systems: a case-study in anaesthesiology

Cited by 22 publications

References 6 publications

A systematic review of human factors and ergonomics (HFE)-based healthcare system redesign for quality of care and patient safety

A systematic review of human factors and ergonomics (HFE)-based healthcare system redesign for quality of care and patient safety

Evolution of Human Factors Research and Studies of Health Information Technologies: The Role of Patient Safety

Increasing the Safety of Healthcare Information Systems through Improved Procurement: Toward a Framework for Selection of Safe Healthcare Systems

Contact Info

Product

Resources

About