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	<title>Comments on: Usability of Electronic Health Records</title>
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	<link>http://humanfactorsblog.org/2009/01/25/usability-of-electronic-health-records/</link>
	<description>Not blaming the user since 2007!</description>
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		<title>By: Megan C</title>
		<link>http://humanfactorsblog.org/2009/01/25/usability-of-electronic-health-records/comment-page-1/#comment-1162</link>
		<dc:creator>Megan C</dc:creator>
		<pubDate>Thu, 29 Oct 2009 04:12:40 +0000</pubDate>
		<guid isPermaLink="false">http://humanfactorsblog.org/?p=635#comment-1162</guid>
		<description>Hi, My name is Megan and I am a student at Clemson U. I am making a video for my nursing class and was wondering if I could have permission to use your photo on the electronic health record? The video is purely educational and all credits would be paid to you. 
Thanks, 
Megan</description>
		<content:encoded><![CDATA[<p>Hi, My name is Megan and I am a student at Clemson U. I am making a video for my nursing class and was wondering if I could have permission to use your photo on the electronic health record? The video is purely educational and all credits would be paid to you.<br />
Thanks,<br />
Megan</p>
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		<title>By: Ken Logwood</title>
		<link>http://humanfactorsblog.org/2009/01/25/usability-of-electronic-health-records/comment-page-1/#comment-1125</link>
		<dc:creator>Ken Logwood</dc:creator>
		<pubDate>Wed, 16 Sep 2009 01:54:39 +0000</pubDate>
		<guid isPermaLink="false">http://humanfactorsblog.org/?p=635#comment-1125</guid>
		<description>EHR and the entire health care system is in need of a major over haul. There needs to be a universal system for dealing with medical records. We live in the technological age and have to live with it. Just hope something can get done in the near future. Very scary when you stop and think about it.</description>
		<content:encoded><![CDATA[<p>EHR and the entire health care system is in need of a major over haul. There needs to be a universal system for dealing with medical records. We live in the technological age and have to live with it. Just hope something can get done in the near future. Very scary when you stop and think about it.</p>
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		<title>By: Eric Shaver</title>
		<link>http://humanfactorsblog.org/2009/01/25/usability-of-electronic-health-records/comment-page-1/#comment-837</link>
		<dc:creator>Eric Shaver</dc:creator>
		<pubDate>Sat, 02 May 2009 17:42:37 +0000</pubDate>
		<guid isPermaLink="false">http://humanfactorsblog.org/?p=635#comment-837</guid>
		<description>The topic of electronic health records is indeed interesting.  I wrote on the topic earlier this week:

&lt;a title=&quot;Human Factors Can Assist with Appropriate Implementation of Health Information Technology&quot; href=&quot;http://www.thehumanfactorblog.com/2009/04/29/human-factors-can-assist-with-appropriate-implementation-of-health-information-technology/&quot; rel=&quot;nofollow&quot;&gt;&quot;Human Factors Can Assist with Appropriate Implementation of Health Information Technology&lt;/a&gt;&quot;</description>
		<content:encoded><![CDATA[<p>The topic of electronic health records is indeed interesting.  I wrote on the topic earlier this week:</p>
<p><a title="Human Factors Can Assist with Appropriate Implementation of Health Information Technology" href="http://www.thehumanfactorblog.com/2009/04/29/human-factors-can-assist-with-appropriate-implementation-of-health-information-technology/" >&#8220;Human Factors Can Assist with Appropriate Implementation of Health Information Technology</a>&#8220;</p>
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		<title>By: Quick note: Usability of Electronic Health Records â€” the Human Factors Blog</title>
		<link>http://humanfactorsblog.org/2009/01/25/usability-of-electronic-health-records/comment-page-1/#comment-614</link>
		<dc:creator>Quick note: Usability of Electronic Health Records â€” the Human Factors Blog</dc:creator>
		<pubDate>Wed, 25 Feb 2009 14:48:34 +0000</pubDate>
		<guid isPermaLink="false">http://humanfactorsblog.org/?p=635#comment-614</guid>
		<description>[...] to my previous rant blog post on the un-usability of electronic health records, usability consulting company User Centric has [...]</description>
		<content:encoded><![CDATA[<p>[...] to my previous rant blog post on the un-usability of electronic health records, usability consulting company User Centric has [...]</p>
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		<title>By: Kim Wolfinbarger</title>
		<link>http://humanfactorsblog.org/2009/01/25/usability-of-electronic-health-records/comment-page-1/#comment-484</link>
		<dc:creator>Kim Wolfinbarger</dc:creator>
		<pubDate>Fri, 30 Jan 2009 22:28:00 +0000</pubDate>
		<guid isPermaLink="false">http://humanfactorsblog.org/?p=635#comment-484</guid>
		<description>ACM Interactions ran a fascinating article a few years ago titled &quot;Must Electronic Gadgets Disrupt Our Face-to-Face Communications?&quot; (http://portal.acm.org/citation.cfm?id=1167948.1167968). The author specifically mentions the use of laptop computers by doctors during patient consultations.</description>
		<content:encoded><![CDATA[<p>ACM Interactions ran a fascinating article a few years ago titled &#8220;Must Electronic Gadgets Disrupt Our Face-to-Face Communications?&#8221; (<a href="http://portal.acm.org/citation.cfm?id=1167948.1167968" >http://portal.acm.org/citation.cfm?id=1167948.1167968</a>). The author specifically mentions the use of laptop computers by doctors during patient consultations.</p>
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		<title>By: Anne McLaughlin</title>
		<link>http://humanfactorsblog.org/2009/01/25/usability-of-electronic-health-records/comment-page-1/#comment-482</link>
		<dc:creator>Anne McLaughlin</dc:creator>
		<pubDate>Wed, 28 Jan 2009 14:10:11 +0000</pubDate>
		<guid isPermaLink="false">http://humanfactorsblog.org/?p=635#comment-482</guid>
		<description>Thanks, Peter. SciAm helpfully linked to the primary source:
http://archinte.ama-assn.org/cgi/content/full/169/2/108

I think they did a correlation between electronic systems and mortality for the hospitals in the study, using the mortality rate during the time they sampled. They didn&#039;t compare mortality to previous rates at those hospitals before the introduction of electronic record keeping.

We could test Rich&#039;s hypothesis that it is the focus on safety  by looking only at hospitals who have used the E-records for a number of years already. Another alternative hypothesis is that hospitals able to purchase such systems are likely to be wealthier, which might relate to reduced mortality.

Or hey, what might really be great is that E-records are already awesome and we can work out more of the kinks and live longer. :-)</description>
		<content:encoded><![CDATA[<p>Thanks, Peter. SciAm helpfully linked to the primary source:<br />
<a href="http://archinte.ama-assn.org/cgi/content/full/169/2/108" >http://archinte.ama-assn.org/cgi/content/full/169/2/108</a></p>
<p>I think they did a correlation between electronic systems and mortality for the hospitals in the study, using the mortality rate during the time they sampled. They didn&#8217;t compare mortality to previous rates at those hospitals before the introduction of electronic record keeping.</p>
<p>We could test Rich&#8217;s hypothesis that it is the focus on safety  by looking only at hospitals who have used the E-records for a number of years already. Another alternative hypothesis is that hospitals able to purchase such systems are likely to be wealthier, which might relate to reduced mortality.</p>
<p>Or hey, what might really be great is that E-records are already awesome and we can work out more of the kinks and live longer. <img src='http://humanfactorsblog.org/wp-includes/images/smilies/icon_smile.gif' alt=':-)' class='wp-smiley' /> </p>
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		<title>By: Peter Squire</title>
		<link>http://humanfactorsblog.org/2009/01/25/usability-of-electronic-health-records/comment-page-1/#comment-481</link>
		<dc:creator>Peter Squire</dc:creator>
		<pubDate>Wed, 28 Jan 2009 00:31:21 +0000</pubDate>
		<guid isPermaLink="false">http://humanfactorsblog.org/?p=635#comment-481</guid>
		<description>This is the same item that Richard posted about in the comment section, but it showed up on Scientific American. 
http://www.sciam.com/blog/60-second-science/post.cfm?id=fewer-deaths-in-hospitals-with-comp-2009-01-27</description>
		<content:encoded><![CDATA[<p>This is the same item that Richard posted about in the comment section, but it showed up on Scientific American.<br />
<a href="http://www.sciam.com/blog/60-second-science/post.cfm?id=fewer-deaths-in-hospitals-with-comp-2009-01-27" >http://www.sciam.com/blog/60-second-science/post.cfm?id=fewer-deaths-in-hospitals-with-comp-2009-01-27</a></p>
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		<title>By: Richard Pak</title>
		<link>http://humanfactorsblog.org/2009/01/25/usability-of-electronic-health-records/comment-page-1/#comment-480</link>
		<dc:creator>Richard Pak</dc:creator>
		<pubDate>Wed, 28 Jan 2009 00:01:22 +0000</pubDate>
		<guid isPermaLink="false">http://humanfactorsblog.org/?p=635#comment-480</guid>
		<description>Interesting update.  A new Reuters report (of a research paper) seems to show that &lt;a href=&quot;http://www.reuters.com/article/technologyNews/idUSTRE50Q06I20090127?feedType=RSS&amp;feedName=technologyNews&amp;sp=true&quot; rel=&quot;nofollow&quot;&gt;all digital hospitals lead to less patient deaths than paper hospitals&lt;/a&gt;.  If true, this is good news.  However, I can&#039;t shake the feeling that the increase in attention engendered by switching to digital/EHRs has to be one major explanation for the fewer patient deaths.  Imagine the training each person had to go through--constantly reminding them to be careful.  I don&#039;t have access to the original report.  The only way to discount this possibility is an experiment with one hospital getting an EHR and the other getting some kind of placebo (e.g., maybe an awareness campaign on reducing errors).</description>
		<content:encoded><![CDATA[<p>Interesting update.  A new Reuters report (of a research paper) seems to show that <a href="http://www.reuters.com/article/technologyNews/idUSTRE50Q06I20090127?feedType=RSS&amp;feedName=technologyNews&amp;sp=true" >all digital hospitals lead to less patient deaths than paper hospitals</a>.  If true, this is good news.  However, I can&#8217;t shake the feeling that the increase in attention engendered by switching to digital/EHRs has to be one major explanation for the fewer patient deaths.  Imagine the training each person had to go through&#8211;constantly reminding them to be careful.  I don&#8217;t have access to the original report.  The only way to discount this possibility is an experiment with one hospital getting an EHR and the other getting some kind of placebo (e.g., maybe an awareness campaign on reducing errors).</p>
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		<title>By: Mary</title>
		<link>http://humanfactorsblog.org/2009/01/25/usability-of-electronic-health-records/comment-page-1/#comment-479</link>
		<dc:creator>Mary</dc:creator>
		<pubDate>Tue, 27 Jan 2009 19:26:16 +0000</pubDate>
		<guid isPermaLink="false">http://humanfactorsblog.org/?p=635#comment-479</guid>
		<description>This is an issue near &amp; dear to my heart. In addition to EHR, the entire healthcare experience is in need of a major redo. Interactions with doctor&#039;s offices, hospitals, scheduling &amp; having medical tests done-it can be a nightmare. I am a usability engineer who desparately wants to break into this field &amp; make a difference but I&#039;m not exactly sure how.

I had a dr appt yesterday &amp; asked the dr about EHR. He is on the verge of buying a system &amp; has major concerns. He did comment that the sales rep assured him the system was user-friendly...And, the dr has concerns about the backend not being compatible w/ whatever standards are developed. He has hopes of him &amp; his office mgr becoming power users who can help the others so as not to rely on the co many&#039;s training.

Anyway, the risks are high if we do not get involved, build awareness and infuse ourselves into anything e-health related. Question is how.  I&#039;ve looked at several openings w/ a local software company and each position requires experience in the medical field. They need to understand how we can be involved and what a difference we can make.</description>
		<content:encoded><![CDATA[<p>This is an issue near &amp; dear to my heart. In addition to EHR, the entire healthcare experience is in need of a major redo. Interactions with doctor&#8217;s offices, hospitals, scheduling &amp; having medical tests done-it can be a nightmare. I am a usability engineer who desparately wants to break into this field &amp; make a difference but I&#8217;m not exactly sure how.</p>
<p>I had a dr appt yesterday &amp; asked the dr about EHR. He is on the verge of buying a system &amp; has major concerns. He did comment that the sales rep assured him the system was user-friendly&#8230;And, the dr has concerns about the backend not being compatible w/ whatever standards are developed. He has hopes of him &amp; his office mgr becoming power users who can help the others so as not to rely on the co many&#8217;s training.</p>
<p>Anyway, the risks are high if we do not get involved, build awareness and infuse ourselves into anything e-health related. Question is how.  I&#8217;ve looked at several openings w/ a local software company and each position requires experience in the medical field. They need to understand how we can be involved and what a difference we can make.</p>
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		<title>By: Richard Pak</title>
		<link>http://humanfactorsblog.org/2009/01/25/usability-of-electronic-health-records/comment-page-1/#comment-478</link>
		<dc:creator>Richard Pak</dc:creator>
		<pubDate>Mon, 26 Jan 2009 12:33:34 +0000</pubDate>
		<guid isPermaLink="false">http://humanfactorsblog.org/?p=635#comment-478</guid>
		<description>Peter, I think your analog of voting machine interfaces is right on.  Both systems are extremely proprietary and the development is closed and hidden.  Even more so than other non-open source software.  For example, when Microsoft makes Windows or Word, they are very open about the usability processes that they went through (e.g., programmers/engineers maintain blogs, present at conferences).  We don&#039;t see such openness with voting machines or EHRs.  It&#039;s clear that their overriding concern is stability, reliability, and security over usability.</description>
		<content:encoded><![CDATA[<p>Peter, I think your analog of voting machine interfaces is right on.  Both systems are extremely proprietary and the development is closed and hidden.  Even more so than other non-open source software.  For example, when Microsoft makes Windows or Word, they are very open about the usability processes that they went through (e.g., programmers/engineers maintain blogs, present at conferences).  We don&#8217;t see such openness with voting machines or EHRs.  It&#8217;s clear that their overriding concern is stability, reliability, and security over usability.</p>
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		<title>By: Peter</title>
		<link>http://humanfactorsblog.org/2009/01/25/usability-of-electronic-health-records/comment-page-1/#comment-477</link>
		<dc:creator>Peter</dc:creator>
		<pubDate>Mon, 26 Jan 2009 11:23:32 +0000</pubDate>
		<guid isPermaLink="false">http://humanfactorsblog.org/?p=635#comment-477</guid>
		<description>You think with the issues that they had with electronic voting systems, that perhaps they would realize the same potential with electronic health records. What can we do to help create awareness. I assume that we could write a piece that could be published and shared. But I agree I think there is a large potential problem to be had.</description>
		<content:encoded><![CDATA[<p>You think with the issues that they had with electronic voting systems, that perhaps they would realize the same potential with electronic health records. What can we do to help create awareness. I assume that we could write a piece that could be published and shared. But I agree I think there is a large potential problem to be had.</p>
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