Department of Pharmacy Practice, Purdue University College of Pharmacy West Lafayette, Indiana, United States.
Department of Pharmacy Practice, Purdue University College of Pharmacy, and Regenstrief Center for Healthcare Engineering, West Lafayette, Indiana, United States.
Appl Clin Inform. 2023 Aug;14(4):811-821. doi: 10.1055/a-2145-6980. Epub 2023 Aug 1.
Few community pharmacies have access to health information exchange (HIE) data. We conducted a first-of-its-kind usability evaluation of an HIE interface prototype (referred to throughout as the "HIE-Pioneer mock-up") developed with pharmacists and pharmacy technicians to aid future implementation in community pharmacies.
Community pharmacists and pharmacy technicians were recruited to complete usability evaluations with the HIE-Pioneer mock-up. Each usability evaluation lasted up to 60 minutes. System usability scale (SUS) scores were collected from each participant following each usability evaluation session and summarized with descriptive statistics. Usability evaluation videos were reviewed for common usability attributes, such as the impact of identified usability problems, learnability, and efficiency. Time on task, task success rates, and prototype utilization were also recorded.
Sixteen total participants completed usability testing across three community pharmacies. The average SUS score was 69.7 (scale 0-100, where 100 is the best), with pharmacists on average reporting higher satisfaction than technicians (74.1 vs. 65.3, respectively). Altogether, we identified 23 distinct usability problems. Key problems identified included needed clarification in tool label names and accessibility of HIE links within the existing workflow. Overall, the usability of the HIE-Pioneer mock-up generally fostered pharmacy professionals' ease of learning and efficiency.
Our study identified key areas, and potential solutions, to improve the usability of the HIE-Pioneer mock-up. Overall, pharmacy professionals viewed the HIE-Pioneer mock-up positively, with good satisfaction ratings. The HIE-Pioneer mock-up provides a blueprint for future HIE implementation in community pharmacy settings, which would increase community pharmacy teams' access to HIE data nationwide. Community pharmacy access to bi-directional HIE is expected to improve communication among more health care professionals involved in patient care and equip pharmacy professionals with needed information for improved clinical decision-making.
很少有社区药店能够访问健康信息交换 (HIE) 数据。我们对一款与药剂师和药剂技术员共同开发的 HIE 界面原型（以下简称“HIE-Pioneer 模拟版”）进行了首次使用评估，旨在帮助未来在社区药店中实施。
招募社区药剂师和药剂技术员使用 HIE-Pioneer 模拟版进行使用评估。每次使用评估持续长达 60 分钟。每次使用评估结束后，从每位参与者那里收集系统可用性量表 (SUS) 分数，并使用描述性统计进行总结。评估视频中还审查了常见的可用性属性，例如已识别的可用性问题的影响、可学习性和效率。还记录了任务时间、任务成功率和原型利用率。
共有 16 名参与者在三家社区药店完成了使用测试。平均 SUS 得分为 69.7（范围为 0-100，其中 100 为最佳），药剂师的满意度平均高于技术员（分别为 74.1 和 65.3）。总的来说，我们发现了 23 个不同的可用性问题。确定的主要问题包括工具标签名称需要澄清以及 HIE 链接在现有工作流程中的可访问性。总体而言，HIE-Pioneer 模拟版的易用性普遍促进了药剂专业人员的学习轻松度和效率。
我们的研究确定了关键领域和潜在解决方案，以提高 HIE-Pioneer 模拟版的可用性。总体而言，药剂专业人员对 HIE-Pioneer 模拟版的评价积极，满意度评分较高。HIE-Pioneer 模拟版为未来在社区药店环境中实施 HIE 提供了蓝图，这将增加全国社区药店团队访问 HIE 数据的机会。社区药店对双向 HIE 的访问有望改善参与患者护理的更多医疗保健专业人员之间的沟通，并为药剂专业人员提供所需的信息，以做出更好的临床决策。
