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The most used methods for evaluating health information technology systems usability: A scoping review
Fatemeh Abareshi1, Farid Zand2, Roxana Sharifian3
1Research Center for Health Sciences, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran.
Work (Reading, Mass.)
|May 15, 2025
Summary
Health Information Technology (HIT) usability is crucial for healthcare efficiency. Self-response surveys are common, but physiological methods like eye tracking are underused for evaluating HIT systems.
Area of Science:
- Health Informatics
- Human-Computer Interaction
- Ergonomics
Background:
- Health Information Technology (HIT) systems are essential in modern healthcare.
- Poor usability of HIT systems leads to increased errors, cognitive load, and negatively impacts healthcare workers' efficiency and well-being.
Purpose of the Study:
- To identify and summarize common HIT system evaluation methods.
- To analyze the impact of these evaluation methods on work environments and ergonomic practices.
Main Methods:
- A comprehensive scoping review of literature from January 2000 to April 2024.
- Utilized the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines.
- Searched four databases, including manual reference list checks, to identify 48 relevant English-language articles reporting empirical usability testing results for HIT.
Main Results:
- The most frequently applied usability testing method was self-response surveys.
- Qualitative and quantitative methods were commonly employed in HIT usability evaluations.
- Physiological methods, such as eye tracking, were infrequently utilized and their link to usability remains unclear.
Conclusions:
- There is a significant underutilization of physiological methods in HIT usability testing.
- Integrating ergonomic principles into HIT design is essential for improving usability.
- Enhancing HIT usability supports better working conditions for healthcare professionals.
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