Usability Study Methodologies of Electronic Health Record Systems: A Systematic Review

This study is a systematic review of literature on electronic health record systems (EHRs) and the evaluation methods performed to study their usability. The purpose was to identify and review the extent of usability testing methods in their respective clinical environments. Full text review was completed for 121 of 753 titles intentionally identified, and 70 final articles were included. The majority of methodologies reviewed were well established in HCI and the most common was the questionnaire. There was a wide range of study designs in terms of user populations (physicians, nurses, pharmacists, nurse practitioners, physical therapists and others), clinical settings (inpatient and outpatient, ambulatory, pediatric, intensive care units, and others), testing time (pre-implementation or post), and qualitative data analysis. Chosen methodologies and study designs closely depended on study goals, but all of them had large implications for the future of quality healthcare and how to achieve it.Master of Science in Information Scienc