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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Detection and characterization of usability problems in structured data entry interfaces in dentistry</title><author><name sortKey="Walji, Muhammad F" sort="Walji, Muhammad F" uniqKey="Walji M" first="Muhammad F" last="Walji">Muhammad F. Walji</name><affiliation><nlm:aff id="A1">The University of Texas Health Science Center at Houston</nlm:aff></affiliation></author><author><name sortKey="Kalenderian, Elsbeth" sort="Kalenderian, Elsbeth" uniqKey="Kalenderian E" first="Elsbeth" last="Kalenderian">Elsbeth Kalenderian</name><affiliation><nlm:aff id="A2">Harvard School of Dental Medicine</nlm:aff></affiliation></author><author><name sortKey="Tran, Duong" sort="Tran, Duong" uniqKey="Tran D" first="Duong" last="Tran">Duong Tran</name><affiliation><nlm:aff id="A1">The University of Texas Health Science Center at Houston</nlm:aff></affiliation></author><author><name sortKey="Kookal, Krishna K" sort="Kookal, Krishna K" uniqKey="Kookal K" first="Krishna K" last="Kookal">Krishna K. Kookal</name><affiliation><nlm:aff id="A1">The University of Texas Health Science Center at Houston</nlm:aff></affiliation></author><author><name sortKey="Nguyen, Vickie" sort="Nguyen, Vickie" uniqKey="Nguyen V" first="Vickie" last="Nguyen">Vickie Nguyen</name><affiliation><nlm:aff id="A1">The University of Texas Health Science Center at Houston</nlm:aff></affiliation></author><author><name sortKey="Tokede, Oluwabunmi" sort="Tokede, Oluwabunmi" uniqKey="Tokede O" first="Oluwabunmi" last="Tokede">Oluwabunmi Tokede</name><affiliation><nlm:aff id="A2">Harvard School of Dental Medicine</nlm:aff></affiliation></author><author><name sortKey="White, Joel M" sort="White, Joel M" uniqKey="White J" first="Joel M" last="White">Joel M. White</name><affiliation><nlm:aff id="A3">University of California, San Francisco</nlm:aff></affiliation></author><author><name sortKey="Vaderhobli, Ram" sort="Vaderhobli, Ram" uniqKey="Vaderhobli R" first="Ram" last="Vaderhobli">Ram Vaderhobli</name><affiliation><nlm:aff id="A3">University of California, San Francisco</nlm:aff></affiliation></author><author><name sortKey="Ramoni, Rachel" sort="Ramoni, Rachel" uniqKey="Ramoni R" first="Rachel" last="Ramoni">Rachel Ramoni</name><affiliation><nlm:aff id="A4">Harvard Medical School</nlm:aff></affiliation></author><author><name sortKey="Stark, Paul C" sort="Stark, Paul C" uniqKey="Stark P" first="Paul C" last="Stark">Paul C. Stark</name><affiliation><nlm:aff id="A5">Tufts University</nlm:aff></affiliation></author><author><name sortKey="Kimmes, Nicole S" sort="Kimmes, Nicole S" uniqKey="Kimmes N" first="Nicole S." last="Kimmes">Nicole S. Kimmes</name><affiliation><nlm:aff id="A6">Creighton University</nlm:aff></affiliation></author><author><name sortKey="Schoonheim Klein, Meta E" sort="Schoonheim Klein, Meta E" uniqKey="Schoonheim Klein M" first="Meta E." last="Schoonheim-Klein">Meta E. Schoonheim-Klein</name><affiliation><nlm:aff id="A7">Academic Centre for Dentistry at Amsterdam (ACTA)</nlm:aff></affiliation></author><author><name sortKey="Patel, Vimla L" sort="Patel, Vimla L" uniqKey="Patel V" first="Vimla L" last="Patel">Vimla L. Patel</name><affiliation><nlm:aff id="A8">The New York Academy of Medicine</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">22749840</idno><idno type="pmc">3492538</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3492538</idno><idno type="RBID">PMC:3492538</idno><idno type="doi">10.1016/j.ijmedinf.2012.05.018</idno><date when="2012">2012</date><idno type="wicri:Area/Pmc/Corpus">002794</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002794</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Detection and characterization of usability problems in structured data entry interfaces in dentistry</title><author><name sortKey="Walji, Muhammad F" sort="Walji, Muhammad F" uniqKey="Walji M" first="Muhammad F" last="Walji">Muhammad F. Walji</name><affiliation><nlm:aff id="A1">The University of Texas Health Science Center at Houston</nlm:aff></affiliation></author><author><name sortKey="Kalenderian, Elsbeth" sort="Kalenderian, Elsbeth" uniqKey="Kalenderian E" first="Elsbeth" last="Kalenderian">Elsbeth Kalenderian</name><affiliation><nlm:aff id="A2">Harvard School of Dental Medicine</nlm:aff></affiliation></author><author><name sortKey="Tran, Duong" sort="Tran, Duong" uniqKey="Tran D" first="Duong" last="Tran">Duong Tran</name><affiliation><nlm:aff id="A1">The University of Texas Health Science Center at Houston</nlm:aff></affiliation></author><author><name sortKey="Kookal, Krishna K" sort="Kookal, Krishna K" uniqKey="Kookal K" first="Krishna K" last="Kookal">Krishna K. Kookal</name><affiliation><nlm:aff id="A1">The University of Texas Health Science Center at Houston</nlm:aff></affiliation></author><author><name sortKey="Nguyen, Vickie" sort="Nguyen, Vickie" uniqKey="Nguyen V" first="Vickie" last="Nguyen">Vickie Nguyen</name><affiliation><nlm:aff id="A1">The University of Texas Health Science Center at Houston</nlm:aff></affiliation></author><author><name sortKey="Tokede, Oluwabunmi" sort="Tokede, Oluwabunmi" uniqKey="Tokede O" first="Oluwabunmi" last="Tokede">Oluwabunmi Tokede</name><affiliation><nlm:aff id="A2">Harvard School of Dental Medicine</nlm:aff></affiliation></author><author><name sortKey="White, Joel M" sort="White, Joel M" uniqKey="White J" first="Joel M" last="White">Joel M. White</name><affiliation><nlm:aff id="A3">University of California, San Francisco</nlm:aff></affiliation></author><author><name sortKey="Vaderhobli, Ram" sort="Vaderhobli, Ram" uniqKey="Vaderhobli R" first="Ram" last="Vaderhobli">Ram Vaderhobli</name><affiliation><nlm:aff id="A3">University of California, San Francisco</nlm:aff></affiliation></author><author><name sortKey="Ramoni, Rachel" sort="Ramoni, Rachel" uniqKey="Ramoni R" first="Rachel" last="Ramoni">Rachel Ramoni</name><affiliation><nlm:aff id="A4">Harvard Medical School</nlm:aff></affiliation></author><author><name sortKey="Stark, Paul C" sort="Stark, Paul C" uniqKey="Stark P" first="Paul C" last="Stark">Paul C. Stark</name><affiliation><nlm:aff id="A5">Tufts University</nlm:aff></affiliation></author><author><name sortKey="Kimmes, Nicole S" sort="Kimmes, Nicole S" uniqKey="Kimmes N" first="Nicole S." last="Kimmes">Nicole S. Kimmes</name><affiliation><nlm:aff id="A6">Creighton University</nlm:aff></affiliation></author><author><name sortKey="Schoonheim Klein, Meta E" sort="Schoonheim Klein, Meta E" uniqKey="Schoonheim Klein M" first="Meta E." last="Schoonheim-Klein">Meta E. Schoonheim-Klein</name><affiliation><nlm:aff id="A7">Academic Centre for Dentistry at Amsterdam (ACTA)</nlm:aff></affiliation></author><author><name sortKey="Patel, Vimla L" sort="Patel, Vimla L" uniqKey="Patel V" first="Vimla L" last="Patel">Vimla L. Patel</name><affiliation><nlm:aff id="A8">The New York Academy of Medicine</nlm:aff></affiliation></author></analytic><series><title level="j">International journal of medical informatics</title><idno type="ISSN">1386-5056</idno><idno type="eISSN">1872-8243</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Background</title><p id="P2">Poor usability is one of the major barriers for optimally using electronic health records (EHRs). Dentists are increasingly adopting EHRs, and are using structured data entry interfaces to enter data such that the data can be easily retrieved and exchanged. Until recently, dentists have lacked a standardized terminology to consistently represent oral health diagnoses.</p></sec><sec id="S2"><title>Objectives</title><p id="P3">In this study we evaluated the usability of a widely used EHR interface that allow the entry of diagnostic terms, using multi-faceted methods to identify problems and work with the vendor to correct them using an iterative design method.</p></sec><sec id="S3"><title>Methods</title><p id="P4">Fieldwork was undertaken at two clinical sites, and dental students as subjects participated in user testing (n=32), interviews (n=36) and observations (n=24).</p></sec><sec id="S4"><title>Results</title><p id="P5">User testing revealed that only 22–41% of users were able to successfully complete a simple task of entering one diagnosis, while no user was able to complete a more complex task. We identified and characterized 24 high-level usability problems reducing efficiency and causing user errors. Interface-related problems included unexpected approaches for displaying diagnosis, lack of visibility, and inconsistent use of UI widgets. Terminology related issues included missing and mis-categorized concepts. Work domain issues involved both absent and superfluous functions. In collaboration with the vendor, each usability problem was prioritized and a timeline set to resolve the concerns.</p></sec><sec id="S5"><title>Discussion</title><p id="P6">Mixed methods evaluations identified a number of critical usability issues relating to the user interface, underlying terminology of the work domain. The usability challenges were found to prevent most users from successfully completing the tasks. Our further work we will determine if changes to the interface, terminology and work domain do result in improved usability.</p></sec></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">9711057</journal-id><journal-id journal-id-type="pubmed-jr-id">20677</journal-id><journal-id journal-id-type="nlm-ta">Int J Med Inform</journal-id><journal-id journal-id-type="iso-abbrev">Int J Med Inform</journal-id><journal-title-group><journal-title>International journal of medical informatics</journal-title></journal-title-group><issn pub-type="ppub">1386-5056</issn><issn pub-type="epub">1872-8243</issn></journal-meta><article-meta><article-id pub-id-type="pmid">22749840</article-id><article-id pub-id-type="pmc">3492538</article-id><article-id pub-id-type="doi">10.1016/j.ijmedinf.2012.05.018</article-id><article-id pub-id-type="manuscript">NIHMS382608</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Detection and characterization of usability problems in structured data entry interfaces in dentistry</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Walji</surname><given-names>Muhammad F</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="A1">1</xref><xref rid="FN2" ref-type="author-notes">*</xref></contrib><contrib contrib-type="author"><name><surname>Kalenderian</surname><given-names>Elsbeth</given-names></name><degrees>DDS, MPH</degrees><xref ref-type="aff" rid="A2">2</xref><xref rid="FN2" ref-type="author-notes">*</xref></contrib><contrib contrib-type="author"><name><surname>Tran</surname><given-names>Duong</given-names></name><degrees>DDS</degrees><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Kookal</surname><given-names>Krishna K</given-names></name><degrees>MS</degrees><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Nguyen</surname><given-names>Vickie</given-names></name><degrees>MS</degrees><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Tokede</surname><given-names>Oluwabunmi</given-names></name><degrees>DDS, MPH</degrees><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author"><name><surname>White</surname><given-names>Joel M</given-names></name><degrees>DDS, MS</degrees><xref ref-type="aff" rid="A3">3</xref></contrib><contrib contrib-type="author"><name><surname>Vaderhobli</surname><given-names>Ram</given-names></name><degrees>BDS, MS</degrees><xref ref-type="aff" rid="A3">3</xref></contrib><contrib contrib-type="author"><name><surname>Ramoni</surname><given-names>Rachel</given-names></name><degrees>DMD, SCD</degrees><xref ref-type="aff" rid="A4">4</xref></contrib><contrib contrib-type="author"><name><surname>Stark</surname><given-names>Paul C</given-names></name><degrees>ScD</degrees><xref ref-type="aff" rid="A5">5</xref></contrib><contrib contrib-type="author"><name><surname>Kimmes</surname><given-names>Nicole S.</given-names></name><degrees>DDS</degrees><xref ref-type="aff" rid="A6">6</xref></contrib><contrib contrib-type="author"><name><surname>Schoonheim-Klein</surname><given-names>Meta E.</given-names></name><degrees>DDS, PhD</degrees><xref ref-type="aff" rid="A7">7</xref></contrib><contrib contrib-type="author"><name><surname>Patel</surname><given-names>Vimla L</given-names></name><degrees>PhD, DSc, FRSC</degrees><xref ref-type="aff" rid="A8">8</xref></contrib></contrib-group><aff id="A1"><label>1</label>The University of Texas Health Science Center at Houston</aff><aff id="A2"><label>2</label>Harvard School of Dental Medicine</aff><aff id="A3"><label>3</label>University of California, San Francisco</aff><aff id="A4"><label>4</label>Harvard Medical School</aff><aff id="A5"><label>5</label>Tufts University</aff><aff id="A6"><label>6</label>Creighton University</aff><aff id="A7"><label>7</label>Academic Centre for Dentistry at Amsterdam (ACTA)</aff><aff id="A8"><label>8</label>The New York Academy of Medicine</aff><author-notes><corresp id="FN1">Corresponding author: Muhammad F Walji PhD, Associate Professor, The University of Texas Health Science Center at Houston, School of Dentistry, Department of Diagnostic and Biomedical Sciences, 7500 Cambridge Street, Room 4178, Houston, TX 77054, Tel: 713-486-4276, <email>Muhammad.F.Walji@uth.tmc.edu</email></corresp><fn id="FN2" fn-type="equal"><label>*</label><p>These authors contributed equally.</p></fn></author-notes><pub-date pub-type="nihms-submitted"><day>13</day><month>6</month><year>2012</year></pub-date><pub-date pub-type="epub"><day>29</day><month>6</month><year>2012</year></pub-date><pub-date pub-type="ppub"><month>2</month><year>2013</year></pub-date><pub-date pub-type="pmc-release"><day>01</day><month>2</month><year>2014</year></pub-date><volume>82</volume><issue>2</issue><fpage>128</fpage><lpage>138</lpage><permissions><copyright-statement>© 2012 Elsevier Ireland Ltd. All rights reserved.</copyright-statement><copyright-year>2012</copyright-year></permissions><abstract><sec id="S1"><title>Background</title><p id="P2">Poor usability is one of the major barriers for optimally using electronic health records (EHRs). Dentists are increasingly adopting EHRs, and are using structured data entry interfaces to enter data such that the data can be easily retrieved and exchanged. Until recently, dentists have lacked a standardized terminology to consistently represent oral health diagnoses.</p></sec><sec id="S2"><title>Objectives</title><p id="P3">In this study we evaluated the usability of a widely used EHR interface that allow the entry of diagnostic terms, using multi-faceted methods to identify problems and work with the vendor to correct them using an iterative design method.</p></sec><sec id="S3"><title>Methods</title><p id="P4">Fieldwork was undertaken at two clinical sites, and dental students as subjects participated in user testing (n=32), interviews (n=36) and observations (n=24).</p></sec><sec id="S4"><title>Results</title><p id="P5">User testing revealed that only 22–41% of users were able to successfully complete a simple task of entering one diagnosis, while no user was able to complete a more complex task. We identified and characterized 24 high-level usability problems reducing efficiency and causing user errors. Interface-related problems included unexpected approaches for displaying diagnosis, lack of visibility, and inconsistent use of UI widgets. Terminology related issues included missing and mis-categorized concepts. Work domain issues involved both absent and superfluous functions. In collaboration with the vendor, each usability problem was prioritized and a timeline set to resolve the concerns.</p></sec><sec id="S5"><title>Discussion</title><p id="P6">Mixed methods evaluations identified a number of critical usability issues relating to the user interface, underlying terminology of the work domain. The usability challenges were found to prevent most users from successfully completing the tasks. Our further work we will determine if changes to the interface, terminology and work domain do result in improved usability.</p></sec></abstract><kwd-group><kwd>Electronic health record</kwd><kwd>dental</kwd><kwd>usability</kwd><kwd>interface</kwd><kwd>terminology</kwd><kwd>structured data entry</kwd><kwd>diagnosis</kwd></kwd-group><funding-group><award-group><funding-source country="United States">National Institute of Dental and Craniofacial Research : NIDCR</funding-source><award-id>R01 DE021051 || DE</award-id></award-group></funding-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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