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Usability evaluation of an emergency department information system prototype designed using cognitive systems

Lindsey N Clark1, Natalie C Benda2, Sudeep Hegde3

  • 1National Center for Human Factors in Healthcare, MedStar Institute for Innovation, MedStar Health, Washington D.C., USA.

Applied Ergonomics
|February 8, 2017
PubMed
Summary

Novel emergency department information system (EDIS) displays, designed with cognitive systems engineering, were positively rated for usability and usefulness by emergency medicine staff. Different user roles, like nurses and providers, showed distinct information needs for EDIS components.

Keywords:
Electronic department information systemsHuman factors methodsPatient tracking systemsUsability

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Area of Science:

  • Human-Computer Interaction
  • Health Informatics
  • Cognitive Systems Engineering

Background:

  • Emergency Department Information Systems (EDIS) are crucial for patient care tracking and resource management.
  • Effective EDIS design requires understanding cognitive performance and usability for emergency medicine staff.
  • Previous EDIS designs may not fully support the complex cognitive demands of emergency departments.

Purpose of the Study:

  • To evaluate novel display concepts for an emergency department information system (EDIS).
  • To assess the usability and cognitive support of EDIS displays designed using cognitive systems engineering methods.
  • To identify differences in user perceptions based on professional roles (nurses vs. providers).

Main Methods:

  • Utilized cognitive systems engineering methods for designing EDIS display concepts.
  • Recruited emergency medicine staff to perform patient planning and orientation tasks.
  • Collected user ratings on cognitive performance support, usability, usefulness, and predicted frequency of use for 18 EDIS components.

Main Results:

  • Mean user ratings were positive for cognitive performance support, usability, usefulness, and frequency of use.
  • The novel EDIS concepts demonstrated successful application of design methods.
  • Significant differences were found in the perceptions of usability and usefulness between nurse and provider roles.

Conclusions:

  • The developed EDIS display concepts are useful, usable, and provide cognitive support for emergency medicine staff.
  • Cognitive systems engineering methods are effective for designing advanced EDIS.
  • Recognizing differing information needs between user roles is essential for optimizing EDIS design and implementation.