The University of Sydney School of Pharmacy, Sydney, Australia.
The University of Queensland School of Pharmacy, Brisbane, Australia.
J Med Internet Res. 2024 Sep 12;26:e55247. doi: 10.2196/55247.
With the widespread adoption of digital health records, including electronic discharge summaries (eDS), it is important to assess their usability in order to understand whether they meet the needs of the end users. While there are established approaches for evaluating the usability of electronic health records, there is a lack of knowledge regarding suitable evaluation methods specifically for eDS.
This literature review aims to identify the usability evaluation approaches used in eDS.
We conducted a comprehensive search of PubMed, CINAHL, Web of Science, ACM Digital Library, MEDLINE, and ProQuest databases from their inception until July 2023. The study information was extracted and reported in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses). We included studies that assessed the usability of eDS, and the systems used to display eDS.
A total of 12 records, including 11 studies and 1 thesis, met the inclusion criteria. The included studies used qualitative, quantitative, or mixed methods approaches and reported the use of various usability evaluation methods. Heuristic evaluation was the most used method to assess the usability of eDS systems (n=7), followed by the think-aloud approach (n=5) and laboratory testing (n=3). These methods were used either individually or in combination with usability questionnaires (n=3) and qualitative semistructured interviews (n=4) for evaluating eDS usability issues. The evaluation processes incorporated usability metrics such as user performance, satisfaction, efficiency, and impact rating.
There are a limited number of studies focusing on usability evaluations of eDS. The identified studies used expert-based and user-centered approaches, which can be used either individually or in combination to identify usability issues. However, further research is needed to determine the most appropriate evaluation method which can assess the fitness for purpose of discharge summaries.
随着数字健康记录（包括电子出院小结）的广泛采用，评估其可用性以了解它们是否满足最终用户的需求变得尤为重要。虽然已经有评估电子健康记录可用性的既定方法，但对于专门用于电子出院小结的合适评估方法，我们的了解还很有限。
本文献综述旨在确定电子出院小结中使用的可用性评估方法。
我们对 PubMed、CINAHL、Web of Science、ACM 数字图书馆、MEDLINE 和 ProQuest 数据库进行了全面搜索，检索时间从建库起至 2023 年 7 月。按照 PRISMA（系统评价和荟萃分析的首选报告项目）报告研究信息，提取并报告研究资料。我们纳入了评估电子出院小结及其显示系统可用性的研究。
共有 12 篇记录，包括 11 项研究和 1 篇论文，符合纳入标准。纳入的研究使用了定性、定量或混合方法，并报告了各种可用性评估方法的使用情况。启发式评估是评估电子出院小结系统可用性最常用的方法（n=7），其次是出声思维法（n=5）和实验室测试（n=3）。这些方法单独使用或与可用性问卷（n=3）和定性半结构化访谈（n=4）结合使用，评估电子出院小结的可用性问题。评估过程中纳入了用户绩效、满意度、效率和影响评分等可用性指标。
目前针对电子出院小结可用性评估的研究数量有限。已识别的研究使用了基于专家和以用户为中心的方法，这些方法可以单独使用或结合使用，以确定可用性问题。然而，还需要进一步的研究来确定最合适的评估方法，以评估出院小结是否符合其用途。
