Lyerla Frank, Durbin Christine R, Henderson Rochelle
Author Affiliations: Departments of Primary Care and Health Systems (Drs Lyerla and Durbin), Southern Illinois University Edwardsville School of Nursing; and Public Administration and Policy Analysis, Southern Illinois University Edwardsville (Dr Henderson).
Comput Inform Nurs. 2018 Aug;36(8):393-397. doi: 10.1097/CIN.0000000000000432.
Assessing usability of an electronic medical record is useful for organizations wishing to customize their electronic medical record and determine the impact on usability. The purpose of this article is to describe the development of a protocol to measure electronic medical record usability from a nursing perspective and to develop a scoring methodology. The Technical Evaluation, Testing, and Validation of the Usability of Electronic Health Records (NISTIR 7804), published by the National Institute of Standards and Technology, guided protocol development. Usability was determined by measuring effectiveness, efficiency, and satisfaction. Satisfaction was measured by the System Usability Scale, while effectiveness and efficiency were measured via performance testing by participants, who completed one of three scenarios. A protocol and scoring formula were developed and used to assess nursing usability, resulting in an overall "C" grade for the electronic medical record. Protocol implementation and the scoring/grading calculations can be replicated to assess electronic medical record usability. The three scenarios used in this protocol will be made available upon request from the primary author to promote the use of electronic medical record usability assessment. Using and expanding upon the government's recommended usability assessment guidelines, we were successful in measuring nursing electronic medical record usability and rating an electronic medical record.
评估电子病历的可用性对于希望定制其电子病历并确定对可用性影响的组织来说很有用。本文的目的是描述从护理角度衡量电子病历可用性的协议的制定，并开发一种评分方法。美国国家标准与技术研究院发布的《电子健康记录可用性的技术评估、测试和验证》（NISTIR 7804）指导了协议的制定。可用性通过衡量有效性、效率和满意度来确定。满意度通过系统可用性量表来衡量，而有效性和效率则通过参与者的性能测试来衡量，参与者完成三种情景之一。制定了一个协议和评分公式并用于评估护理可用性，结果电子病历整体评为“C”级。协议实施以及评分/分级计算可以复制以评估电子病历的可用性。本协议中使用的三种情景将应第一作者的要求提供，以促进电子病历可用性评估的使用。通过使用并扩展政府推荐的可用性评估指南，我们成功地衡量了护理电子病历的可用性并对一份电子病历进行了评级。
