User-centered Design in Real Time: Utilization of an Insider Position to Inform Design and Adoption
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View abstract on PubMed
Summary
This summary is machine-generated.Incorporating physician feedback into Electronic Health Records (EHR) design improves usability and reduces clinician burnout. A new testing framework effectively gathered clinician input for better EHR system development.
Area Of Science
- Health Informatics
- Human-Computer Interaction
- Clinical Workflow Optimization
Background
- Electronic Health Records (EHRs) enhance healthcare but often suffer from poor usability and increased documentation burden, contributing to clinician burnout.
- Physician input is crucial for improving EHR design and reducing user burden, yet gathering this feedback from busy clinicians presents challenges.
Purpose Of The Study
- To establish a practical, repeatable framework for incorporating user-centered design elements into a vendor EHR system.
- To integrate meaningful clinician involvement and feedback throughout the EHR development lifecycle.
Main Methods
- A one-year pilot program provided physician volunteers with dedicated EHR access to test new features before deployment.
- Real-time feedback was collected via a shared platform involving clinicians, institutional IT support, and vendor executives.
- Surveys were used to gather physician feedback on the testing process itself.
Main Results
- Thirteen physicians and 15 support staff tested 8 new EHR features using a dedicated EHR position.
- A Teams chat function facilitated 1024 messages from 28 users, providing real-time feedback.
- Six features were adopted directly, while 2 required modifications for improved functionality, with most users finding the method effective.
Conclusions
- EHR workflows are more effective and better adopted when designed with input from clinical users.
- An 'insider' testing position proved effective for gathering valuable insights without overburdening clinicians.
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