Healthcare Systems Engineering Institute, Northeastern University, Boston, MA, USA; Brigham and Women's Hospital, Boston, MA, USA.
Partners Healthcare, Incorporated, Boston, MA, USA.
Appl Ergon. 2020 May;85:103047. doi: 10.1016/j.apergo.2020.103047. Epub 2020 Jan 31.
For health information technology to realize its potential to improve flow, care, and patient safety, applications should be intuitive to use and burden neutral for frontline clinicians. We assessed the impact of a patient safety dashboard on clinician cognitive and work load within a simulated information-seeking task for safe inpatient opioid medication management. Compared to use of an electronic health record for the same task, the dashboard was associated with significantly reduced time on task, mouse clicks, and mouse movement (each p < 0.001), with no significant increases in cognitive load nor task inaccuracy. Cognitive burden was higher for users with less experience, possibly partly attributable to usability issues identified during this study. Findings underscore the importance of assessing the usability, cognitive, and work load analysis during the design and implementation of health information technology applications.
为了使医疗信息技术能够充分发挥改善流程、护理和患者安全的潜力,应用程序应该易于使用,并且不会给一线临床医生增加负担。我们评估了一个患者安全仪表板对模拟信息搜索任务中临床医生认知和工作负荷的影响,该任务是安全的住院阿片类药物管理。与使用电子健康记录执行相同任务相比,该仪表板与任务时间、鼠标点击和鼠标移动显著减少(均 p<0.001)相关,认知负荷和任务准确性没有显著增加。经验较少的用户认知负担更高,这可能部分归因于在这项研究中发现的可用性问题。研究结果强调了在设计和实施医疗信息技术应用程序时评估可用性、认知和工作负荷分析的重要性。