LEADER 04136aam 2200541I 450 001 9910710750003321 005 20160421112353.0 024 8 $aGOVPUB-C13-a5564f078640516cd3463395ea61f52a 035 $a(CKB)5470000002478807 035 $a(OCoLC)947049628 035 $a(EXLCZ)995470000002478807 100 $a20160421d2015 ua 0 101 0 $aeng 181 $2rdacontent 182 $2rdamedia 183 $2rdacarrier 200 10$aTechnical evaluation, testing, and validatiaon of the usability of electronic health records $eempirically based use cases for validating safety-enhanced usability and guidelines for standardization /$fSvetlana Z. Lowry; Mala Ramaiah; Sheryl Taylor; Emily S. Patterson; Sandra Spickard Prettyman; Debora Simmons; David Brick; Paul Latkany; Michael C. Gibbons 210 1$aGaithersburg, MD :$cU.S. Dept. of Commerce, National Institute of Standards and Technology,$d2015. 215 $a1 online resource 225 1 $aNISTIR ;$v7804-1 300 $aContributed record: Metadata reviewed, not verified. Some fields updated by batch processes. 300 $aOctober 2015. 300 $aTitle from PDF title page (viewed October 7, 2015). 320 $aIncludes bibliographical references. 330 3 $aThis document provides the empirical rationale for critical patient safety related usability guidelines for standardization and requirements for validation testing to ensure safety-enhanced design. These standardization guidelines are targeted at eliminating never events and associated patient harm by proactively addressing and mitigating the root causes of use errors from Electronic Health Record (EHR) design and implementation elements, as characterized in our framework on the relationship between usability and patient safety (NISTIR 7804). Requirements for validation testing are instantiated through realistic use cases (that were developed in the course of this research) can be applied during design and evaluation of EHR systems and for user performance testing. The ultimate goal is to drive and empower effective and safe human performance in the use of EHRs. This research drew upon five different methods of empirical human performance data collection, utilizing cross-cutting analytic methods, with a diverse set of analysts from different disciplines, backgrounds, and perspectives. Researchers used this mixed method approach in order to capture user expectations, knowledge, and outcomes regarding EHRs. Human factors guidelines for standardization, which were explicitly derived from the empirical evidence obtained through field data collection, are provided to improve the safety-related usability of EHRs in three critical use risk areas. Ultimately, this research demonstrates that patient safety is negatively affected when critical safety tasks are performed with the support of poorly-designed EHRs, in part because mistakes and errors frequently occur, and in part because users who become frustrated and unwilling to trust the systems they are given are more likely to rely on potentially unsafe workarounds. 517 $aTechnical evaluation, testing, and validatiaon of the usability of electronic health records 606 $aMedical records$xData processing 606 $aGuidelines 615 0$aMedical records$xData processing. 615 0$aGuidelines. 700 $aLowry$b Svetlana Z$01387950 701 $aBrick$b David$0781265 701 $aGibbons$b Michael C$0296920 701 $aLatkany$b Paul$01410195 701 $aLowry$b Svetlana Z$01387950 701 $aPatterson$b Emily S$01393404 701 $aPrettyman$b Sandra Spickard$f1957-$01105477 701 $aRamaiah$b Mala$01393405 701 $aSimmons$b Debora$01393406 701 $aTaylor$b Sheryl$01413127 712 02$aInformation Technology Laboratory (National Institute of Standards and Technology) 801 0$bNBS 801 1$bNBS 801 2$bGPO 906 $aBOOK 912 $a9910710750003321 996 $aTechnical evaluation, testing, and validatiaon of the usability of electronic health records$93508758 997 $aUNINA