A representational analysis of relational information displays
International Journal of Human-Computer Studies
Usability Engineering
Computer
Representations of health concepts: a cognitive perspective
Journal of Biomedical Informatics
Effective drug-allergy checking: methodological and operational issues
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)
Introduction to Human Factors Engineering (2nd Edition)
Introduction to Human Factors Engineering (2nd Edition)
A cognitive taxonomy of medical errors
Journal of Biomedical Informatics
Prioritizing Web Usability
Clinical Decision Support: The Road Ahead
Clinical Decision Support: The Road Ahead
Grand challenges in clinical decision support
Journal of Biomedical Informatics
Physician acceptance of information technologies: Role of perceived threat to professional autonomy
Decision Support Systems
Defining and measuring physicians' responses to clinical reminders
Journal of Biomedical Informatics
Human-Computer Interaction: Designing for Diverse Users and Domains
Human-Computer Interaction: Designing for Diverse Users and Domains
TURF: Toward a unified framework of EHR usability
Journal of Biomedical Informatics
Artificial Intelligence in Medicine
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Developing effective clinical decision support (CDS) systems for the highly complex and dynamic domain of clinical medicine is a serious challenge for designers. Poor usability is one of the core barriers to adoption and a deterrent to its routine use. We reviewed reports describing system implementation efforts and collected best available design conventions, procedures, practices and lessons learned in order to provide developers a short compendium of design goals and recommended principles. This targeted review is focused on CDS related to medication prescribing. Published reports suggest that important principles include consistency of design concepts across networked systems, use of appropriate visual representation of clinical data, use of controlled terminology, presenting advice at the time and place of decision making and matching the most appropriate CDS interventions to clinical goals. Specificity and contextual relevance can be increased by periodic review of trigger rules, analysis of performance logs and maintenance of accurate allergy, problem and medication lists in health records in order to help avoid excessive alerting. Developers need to adopt design practices that include user-centered, iterative design and common standards based on human-computer interaction (HCI) research methods rooted in ethnography and cognitive science. Suggestions outlined in this report may help clarify the goals of optimal CDS design but larger national initiatives are needed for systematic application of human factors in health information technology (HIT) development. Appropriate design strategies are essential for developing meaningful decision support systems that meet the grand challenges of high-quality healthcare.