I usually hate to join a conversation after dozens of replies have already been offered, but I have to jump in here because it seems a big culprit is being missed (unless I skimmed the many replies too fast).
I have done a decent bit of consulting in this space and I have found that there is often a lack of understanding of the complex processes that underlie hospital activities and the EHRs miss something that medical personnel can hack into their paper records but not the EHR. The multi-disciplinary teams (nurses, doctors, technicians) all have different expertise, knowledge, and task needs. There are handoff issues when shifts change, especially for nurses. There are changes in diagnosis and treatment protocols (i.e. for H1N1) that can't be captured if the EHR is not flexible enough. Designers need to go beyond IXDA and even comprehensive usability analysis. They need to do some deep ethnography and really get to know the workflows, culture of care, and politics of the hospital system to design an effective EHR system. It has to be a system, not just a standalone set of file formats. Marc Resnick Usability Solutions resnickm at fiu.edu 305 443-3765. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Posted from the new ixda.org http://www.ixda.org/discuss?post=47008 ________________________________________________________________ Welcome to the Interaction Design Association (IxDA)! To post to this list ....... disc...@ixda.org Unsubscribe ................ http://www.ixda.org/unsubscribe List Guidelines ............ http://www.ixda.org/guidelines List Help .................. http://www.ixda.org/help
