A Human Factors Guide to Enhance EHR Usability of Critical User Interactions when Supporting Pediatric Patient Care – National Institute of Standards and Technology – June 2012

Posted on July 20, 2012. Filed under: Child Health / Paediatrics, Health Informatics, Medical Records | Tags: , , , , |

A Human Factors Guide to Enhance EHR Usability of Critical User Interactions when Supporting Pediatric Patient Care – National Institute of Standards and Technology – June 2012 NIST

“Executive Summary

Adoption of electronic health record (EHR) systems in hospitals and physician practices is accelerating. Usability of EHRs has been identified as an important factor impacting patient safety, and recommendations for improvement have been provided. Pediatric patients have unique characteristics that translate into unique EHR usability challenges. It is not surprising, then, that the adoption of EHRs by pediatric care providers has lagged behind adoption for adult care providers. In this document, we highlight important user interactions that are especially salient for pediatric care and hence to the EHR user-centered design process. These interactions and associated usability recommendations were identified by consensus during a series of teleconferences with experts representing the disciplines of human factors engineering, usability, informatics, and pediatrics in ambulatory care and pediatric intensive care. In addition, extensive peer review was provided by experts in pediatric informatics, emergency medicine, neonatology, pediatrics, human factors engineering, usability engineering,and software development and implementation.

This report details recommendations to enhance EHR usability when supporting pediatric patient care and also identifies promising areas for EHR innovation. Finally, we illustrate unique pediatric considerations in the context of representative clinical scenarios which may be helpful for formative user-centered design approaches and summative usability evaluations.”

Advertisements
Read Full Post | Make a Comment ( Comments Off on A Human Factors Guide to Enhance EHR Usability of Critical User Interactions when Supporting Pediatric Patient Care – National Institute of Standards and Technology – June 2012 )

The triumph of hope over experience – Lessons from the history of reorganisation – NHS confederation – 2010

Posted on August 5, 2010. Filed under: Health Mgmt Policy Planning | Tags: , , |

The triumph of hope over experience – Lessons from the history of reorganisation – NHS confederation – 2010

By Nigel Edwards
ISBN 978-1-85947-183-8

Extract from the introduction:

“Restructuring has been a common occurrence in the NHS over the last 20 years, including mergers and reorganisation, theĀ  abolition and creation of new organisations and renaming and reforming of others.

With the coalition Government now in place and the scale of the financial challenge facing the NHS over the next three to five years, calls for large-scale reorganisation are increasingly likely.

This report is part of a series from the NHS Confederation reflecting on the last decade of NHS reforms to help managers, policy-makers and politicians ensure that some of the errors made in the past are not repeated. It aims to inform these debates and decisions, and is intended to generate discussion rather than present a definitive policy position.

We review the history of restructuring, what is known about its results and the reasons for the pattern of increasingly frequent organisational change to draw out some important lessons that are particularly salient at this time.

The evidence outside healthcare shows that no more than 25 to 30 per cent of mergers and acquisitions in the commercial sector succeed. Given the greater complexity and level of risk in the NHS, this success rate would be optimistic.

While modest savings can be made over time, dysfunctional effects of reorganisation include a loss of focus on services, delays in service improvements and a difficulty in transferring good practice within the merged organisation.”

…continues

Read Full Post | Make a Comment ( None so far )

Liked it here?
Why not try sites on the blogroll...