>From my perspective with an EMR in the outpatient area of an academic
medical center, I find GUI's underutilized for organizing information
visually (which they should be used for) and overutilized for driving input
using the mouse (which they are abominable for). If designers could get in
their heads around how physicians use the interface they would let us look
at the big picture with the GUI and get to a flexible menu driven character
cell environment when it is time to enter data. (Note: I am using a
proprietary EMR, so I know ... if it was open source, I could fix it
myself!) Also all mouse actions should be completely duplicable with hot key
equivalents so that when people get facile with the interface they can enter
data without looking to see where the mouse is, moving a few pixels,
clicking the mouse button and then moving back to typing. I like the concept
of palliative computing, in that, we are not trying to cure physicians of
computer illiteracy, rather deliver comfort care - or comfortable computing
tools. It is just that you will never help 2 finger typists with a GUI.
There is just too much that must be communicated in free text.

I don't see the hybrid GUI/character cell as a limitation. I agree
physicians will be comfortable with what they are first presented. Sometimes
the novices can be an easy sell for a poor interface, if it delivers what
they need. Give me a novice over a programmer-MD who can see bad interface
from across the room (at least in the proprietary world where there is no
hope of fixing it).

I agree about the "macros triggered by buttons in the GUI frame" - a nice
synthesis.

As long as someone actually designed and tested the interface with efficient
physician workflow in mind, we will likely get a useable interface.

----- Original Message -----
From: "Harold Mackey" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>; <[EMAIL PROTECTED]>
Cc: <[EMAIL PROTECTED]>
Sent: Saturday, January 11, 2003 10:28 AM
Subject: Re: VistA demo discussions on openhealth list


> Definitely not my experience here. I work at a teaching hospital and these
> guys are under the gun. They are suffering from information overload and
are
<end clip>
> >From: Adrian Midgley <[EMAIL PROTECTED]>
> >Reply-To: [EMAIL PROTECTED]
> >To: <[EMAIL PROTECTED]>
> >CC: <[EMAIL PROTECTED]>
> >Subject: Re: VistA demo discussions on openhealth list
> >Date: Sat, 11 Jan 2003 12:20:43 +0000
> >



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