Kushniruk Andre W, Borycki Elizabeth M, Kuwata Shigeki, Kannry Joseph
School of Health Information Science, University of Victoria, Victoria, British Columbia, Canada.
Stud Health Technol Inform. 2011;169:915-9.
The effective evaluation of health information technology (HIT) is currently a major challenge. It is essential that applications we develop are usable, meet user information needs and are shown to be safe. Furthermore, to provide appropriate feedback to designers of systems new methods for both formative and summative evaluation are needed as applications become more complex and distributed. To ensure system usability a variety of methods have emerged from the area of usability engineering that have been adapted to healthcare. The authors have applied methods of usability engineering, working with hospitals and other healthcare organizations designing and evaluating a range of HIT applications. We describe how our approach to doing portable low-cost usability testing has evolved to the use of clinical simulations conducted in-situ, within real hospital and clinical units to rapidly evaluate the usability and safety of healthcare information systems both before and after system release. We discuss how this approach was extended to development of methods for conducting in-situ clinical simulations in a range of clinical settings.
健康信息技术（HIT）的有效评估目前是一项重大挑战。我们开发的应用程序必须可用、满足用户信息需求并证明是安全的。此外，随着应用程序变得更加复杂和分布式，为了向系统设计者提供适当的反馈，需要用于形成性评估和总结性评估的新方法。为确保系统可用性，可用性工程领域出现了多种已应用于医疗保健领域的方法。作者应用可用性工程方法，与医院和其他医疗保健组织合作，设计和评估一系列HIT应用程序。我们描述了我们进行便携式低成本可用性测试的方法是如何演变为在真实医院和临床科室现场进行临床模拟，以便在系统发布前后快速评估医疗保健信息系统的可用性和安全性。我们讨论了这种方法如何扩展到在一系列临床环境中进行现场临床模拟的方法的开发。
