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This study developed a protocol to assess electronic medical record (EMR) usability for nurses, finding the EMR received a "C" grade. This method can be replicated to evaluate EMR impact and guide customization for better usability.

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Area of Science:

  • Health Informatics
  • Human-Computer Interaction
  • Nursing Informatics

Background:

  • Electronic medical records (EMRs) are crucial in healthcare, but their usability significantly impacts nursing workflows and patient care.
  • Organizations need methods to customize EMRs and assess their impact on usability.
  • Existing guidelines, like NISTIR 7804, provide a foundation for usability assessment.

Purpose of the Study:

  • To develop a protocol for measuring electronic medical record (EMR) usability from a nursing perspective.
  • To create a scoring methodology for quantifying EMR usability.
  • To evaluate a specific EMR's usability using the developed protocol.

Main Methods:

  • Protocol development guided by NISTIR 7804 (Technical Evaluation, Testing, and Validation of the Usability of Electronic Health Records).
  • Usability measured via effectiveness, efficiency (performance testing with scenarios), and satisfaction (System Usability Scale).
  • A scoring formula was created to grade the EMR based on these metrics.

Main Results:

  • A replicable protocol and scoring formula for assessing nursing EMR usability were successfully developed.
  • The evaluated electronic medical record received an overall usability grade of "C".
  • The developed protocol and scoring methodology can be implemented by other organizations.

Conclusions:

  • The study successfully measured and rated nursing EMR usability by adapting and expanding upon government guidelines.
  • The developed protocol provides a standardized approach for evaluating EMR usability in clinical settings.
  • Further use and expansion of this protocol can lead to improved EMR design and implementation.