Jeff Belden MD. EHR Usability. Style Guide. Early edition



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Transcription:

Jeff Belden MD EHR Usability Style Guide Early edition

ibook

ibook & PDF

Suggest

Illustrate

Inspire

EHR Vendors

any HIT developer

Usability Pros

Our Process

On-site design workshops

Vendor participation in workshops

Our Team 2 physician UX geeks 3 HCI Experts 3 Designers (Involution Studios) 3+ Vendors (at workshops)

Medication List released Oct 2013

Preview

Writing Style Science Journalism

for example...

You can reduce the risk of error (missing one in the list) and lighten the mental effort (cognitive load) quite a bit by smart design features. In order of complexity, here are some solutions: Allow sorting the medication list by associated diagnosis. This groups them together and makes for far less reading, searching, and and relying on humans limited working memory (which can only hold 3 to 4 items).

You can reduce the risk of error (missing one in the list) and lighten the mental effort (cognitive load) quite a bit by smart design features. In order of complexity, here are some solutions: Allow sorting the medication list by associated diagnosis. This groups them together and makes for far less reading, searching, and and relying on humans limited working memory (which can only hold 3 to 4 items).

Clinical scenarios

Returning to the clinical scenario: What happened before today? The physician had determined that the blood pressure was too high, and an additional drug would be necessary. He wondered why lisinopril had not been chosen. So, turning to the timeline view, he toggles for Active Medications to Active + Inactive Medications view. He sees that lisinopril had been prescribed, but only for a few months. He wonders, Why was it stopped?

Returning to the clinical scenario: What happened before today? The physician had determined that the blood pressure was too high, and an additional drug would be necessary. He wondered why lisinopril had not been chosen. So, turning to the timeline view, he toggles for Active Medications to Active + Inactive Medications view. He sees that lisinopril had been prescribed, but only for a few months. He wonders, Why was it stopped?

Galleries

Prototypes

start with sketches

start with sketches

then mockups

then mockups

make interactive

make interactive

Live Widget Demo Demo

Coming Attractions Medication Drug eprescribing Allergy Alerts Reconciliation (& List CDS) (& CPOE)

Feedback

Survey tool

Expert Review Human factors researchers Data visualization researchers Physician usability experts Nursing informaticist Pharmacist

Target Audience Review

Praise for the first draft

It looks really good. Janet Campbell Epic it s terrific. strikes a good balance. both immediate practical and more advanced. the visual examples clearly communicate key points and reinforces the narrative. Glen Moy California HealthCare Foundation I really like the interactive list demo you're working on! Integrating a mini-timeline within the list of meds is brilliant! Jon Duke MD Regenstrief Institute Thanks for the opportunity to participate in this it is really great. John Beasley MD U of Wisconsin This would be great for any of our associates, whether C-suite, mid-level managers, or engineers! Megan Jacoby Cerner

and Constructive criticism

Coordinating - ONC SHARP-C Safety-Enhanced Design Briefs

Coordinating - ONC SHARP-C EHR Usability Website ehrusability.org

Thanks Funding sponsors California HealthCare Foundation SHARP-C project of ONC In-kind sponsorship EHRA Clinician Experience Workgroup EHRA Board Participating vendors at design workshops

Thanks Workshop 1 vendors NextGen athenahealth Workshop 2 vendors Cerner MedSocket PDS Cortex

Team members University of Missouri-Columbia Jeff Belden (Leader) Richelle Koopman Joi Moore Nathan Lowrance Involution Studios Juhan Sonin Jen Patel Shreeya Gangwal University of Maryland University of Texas-Houston Catherine Plaisant Todd Johnson

Questions & more Volunteer as a target audience reviewer bit.ly/ehrstyle Online widgets in development bit.ly/webehrguide My blog toomanyclicks.com My email jeffbelden@gmail.com