Designing for usability: key principles and what designers think
Communications of the ACM
Usability inspection methods
Intent Specifications: An Approach to Building Human-Centered Specifications
IEEE Transactions on Software Engineering
TOG on Interface
Iterative User-Interface Design
Computer
Using usability heuristics to evaluate patient safety of medical devices
Journal of Biomedical Informatics - Patient safety
Designing the User Interface: Strategies for Effective Human-Computer Interaction (4th Edition)
Designing the User Interface: Strategies for Effective Human-Computer Interaction (4th Edition)
Journal of Biomedical Informatics - Special issue: Human-centered computing in health information systems. Part 2: Evaluation
Heuristic evaluation of paper-based Web pages: a simplified inspection usability methodology
Journal of Biomedical Informatics
Tracing impact in a usability improvement process
Interacting with Computers
UAHCI'07 Proceedings of the 4th international conference on Universal access in human computer interaction: coping with diversity
Usability evaluation of digital dictation procedure - an interaction analysis approach
USAB'11 Proceedings of the 7th conference on Workgroup Human-Computer Interaction and Usability Engineering of the Austrian Computer Society: information Quality in e-Health
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Poor usability of clinical information systems delays their adoption by clinicians and limits potential improvements to the efficiency and safety of care. Recurring usability evaluations are therefore, integral to the system design process. We compared four methods employed during the development of outpatient clinical documentation software: clinician email response, online survey, observations and interviews. Results suggest that no single method identifies all or most problems. Rather, each approach is optimal for evaluations at a different stage of design and characterizes different usability aspect. Email responses elicited from clinicians and surveys report mostly technical, biomedical, terminology and control problems and are most effective when a working prototype has been completed. Observations of clinical work and interviews inform conceptual and workflow-related problems and are best performed early in the cycle. Appropriate use of these methods consistently during development may significantly improve system usability and contribute to higher adoption rates among clinicians and to improved quality of care.