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RECOGNISING HUMAN FACTORS IN
EVALUATING USER INTERFACES IN
HEALTHCARE
B. Kane1, L. Longo




 1IRCSET   Research Fellow
Overview

• Background


• Method


• Results


• Conclusion
Background – Evaluation of Use

• Nielsen’s Heuristics
  • 10 Usability principles



• Aerospace and Automotive Industry


• NASA


• Healthcare - Context of Use


• Pilot
Method
• Pilot Study

• Two House Officers + Two Wards (1 each)

  • Ward A: 18 Long-Stay Elderly Patients
               with HIGH Dependency Scores
  • Ward B: 10 Short-Stay Patients, Respite Care
               with Lower Dependency Scores than Ward A

• Questionnaire on use of EPR – over 5 days
  • Nielsens’s Heuristics & NASA-TLX


• Analysis
Nielsen’s Heuristics

• Feedback                • Minimise User Memory Load


• Speak User’s Language   • Shortcuts


• Clearly marked exits    • Simple Dialogue


• Consistency             • Good Error Messages


• Prevent Errors          • Help and Documentation
NASA-TLX

• Mental Demand


• Physical Demand


• Temporal Demand


• Effort


• Performance


• Frustration
Results - Overall Nielsen US



A




B
Results - Overall NASA-TLX



A




B
Results - Overall NASA-TLX – HMW




Ward A: High Dependency Scenario   Ward B: Lower Dependency Scenario
Results - Interpretation
• Usability of EHR can vary over time


• As clinicians approach the end of their working
 day, performance dramatically declines

• As a result of Decreased Performance, more Effort
 needed

• Usability Evaluation methods in Healthcare should be
 more refined to give better information
Conclusion
• Nielsen’s Principles, while helpful, do not take into account
  • Context of System Use
  • Impact of User’s Mental Workload


• Human Factors should be incorporated into System
 Evaluation in Healthcare

• More Research is needed into task issues in healthcare
 and usability
Reference

L. Longo and B. Kane, 2011,
A Novel Methodology for Evaluating User Interfaces in Health Care
Pages 1-6, 24th IEEE International Symposium on Computer-
Based Medical Systems (CBMS), Bristol, England
DOI 10.1109/CBMS.2011.5999024
Acknowlegements
• R. T. Venkateshappa, R. Ravikuma and K. Nagesh for
 helping in gathering data.



• B. Kane is funded through the IRCSET Enterprise
 Partnership scheme with St. James’s Hospital
 Board, Dublin



• St James’s Hospital Board

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Recognising Human Factors In Evaluating User Interfaces In Healthcare - Bridget Kane

  • 1. RECOGNISING HUMAN FACTORS IN EVALUATING USER INTERFACES IN HEALTHCARE B. Kane1, L. Longo 1IRCSET Research Fellow
  • 2. Overview • Background • Method • Results • Conclusion
  • 3. Background – Evaluation of Use • Nielsen’s Heuristics • 10 Usability principles • Aerospace and Automotive Industry • NASA • Healthcare - Context of Use • Pilot
  • 4. Method • Pilot Study • Two House Officers + Two Wards (1 each) • Ward A: 18 Long-Stay Elderly Patients with HIGH Dependency Scores • Ward B: 10 Short-Stay Patients, Respite Care with Lower Dependency Scores than Ward A • Questionnaire on use of EPR – over 5 days • Nielsens’s Heuristics & NASA-TLX • Analysis
  • 5. Nielsen’s Heuristics • Feedback • Minimise User Memory Load • Speak User’s Language • Shortcuts • Clearly marked exits • Simple Dialogue • Consistency • Good Error Messages • Prevent Errors • Help and Documentation
  • 6. NASA-TLX • Mental Demand • Physical Demand • Temporal Demand • Effort • Performance • Frustration
  • 7. Results - Overall Nielsen US A B
  • 8. Results - Overall NASA-TLX A B
  • 9. Results - Overall NASA-TLX – HMW Ward A: High Dependency Scenario Ward B: Lower Dependency Scenario
  • 10. Results - Interpretation • Usability of EHR can vary over time • As clinicians approach the end of their working day, performance dramatically declines • As a result of Decreased Performance, more Effort needed • Usability Evaluation methods in Healthcare should be more refined to give better information
  • 11. Conclusion • Nielsen’s Principles, while helpful, do not take into account • Context of System Use • Impact of User’s Mental Workload • Human Factors should be incorporated into System Evaluation in Healthcare • More Research is needed into task issues in healthcare and usability
  • 12. Reference L. Longo and B. Kane, 2011, A Novel Methodology for Evaluating User Interfaces in Health Care Pages 1-6, 24th IEEE International Symposium on Computer- Based Medical Systems (CBMS), Bristol, England DOI 10.1109/CBMS.2011.5999024
  • 13. Acknowlegements • R. T. Venkateshappa, R. Ravikuma and K. Nagesh for helping in gathering data. • B. Kane is funded through the IRCSET Enterprise Partnership scheme with St. James’s Hospital Board, Dublin • St James’s Hospital Board