Triangulating communication design: emerging models for theory and practice
SIGDOC '07 Proceedings of the 25th annual ACM international conference on Design of communication
Usability inspection methods after 15 years of research and practice
SIGDOC '07 Proceedings of the 25th annual ACM international conference on Design of communication
Acting in an Uncertain World: An Essay on Technical Democracy
Acting in an Uncertain World: An Essay on Technical Democracy
Multidisciplinarity and 21st century communication design
Proceedings of the 27th ACM international conference on Design of communication
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In this paper, I summarize research regarding known issues with Electronic Medical Record (EMR) software design and subsequent implementation. I consider the Centers for Medicare and Medicaid Services' cash incentive for EMR adoption, and the "meaningful use" criteria that mediate that incentive (Table 1). Based on this research and my own small-scale study of real time EMR use, I outline the ways that the same problems had by EMR usability researchers are also had by actual EMR users, themselves. Specifically, questions about how to account for both embodied and cognitive effects, how to discern noise from useful information, and how to make useful what is available are all concerns shared by both care providers using EMRs and those who study EMR usability. As a result, I propose that communication design researchers design usability studies that use Mol et al's [9] construct of "care" (as a practice) as the gold standard for "meaningful use." That is, meaningful use of EMR software ought to be articulated less in terms of task-oriented record-keeping practices and the time it takes to accomplish them, but in terms of Mol et al's three components of good care: embodied practices, attuned attentiveness, and adaptive tinkering.