We're Lost, But We are Making Good Time: Navigating Complex Pathways in a Patient-Order Management Task

Patient order management (POM) is a mission-critical task for perioperative workflow. Interface complexity within different EHR systems result in poor usability, increasing documentation burden. POM interfaces were compared across two systems prior to (Cerner SurgiNet) and subsequent to an EHR conve...

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Bibliographic Details
Published in:AMIA ... Annual Symposium proceedings 2020, Vol.2020, p.402-411
Main Authors: Duncan, Benjamin J, Kassis, Alexandra N, Kaufman, David R, Grando, Adela, Poterack, Karl A, Helmers, Rick A, Miksch, Timothy K, Zheng, Lu, Doebbeling, Bradley N
Format: Article
Language:English
Subjects:
Cognition
Documentation
Electronic Health Records
Humans
Perioperative Period
Task Performance and Analysis
User-Computer Interface
Workflow
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Summary:Patient order management (POM) is a mission-critical task for perioperative workflow. Interface complexity within different EHR systems result in poor usability, increasing documentation burden. POM interfaces were compared across two systems prior to (Cerner SurgiNet) and subsequent to an EHR conversion (Epic). Here we employ a navigational complexity framework useful for examining differences in EHR interface systems. The methodological approach includes 1) expert-based methods-specifically, functional analysis, keystroke level model (KLM) and cognitive walkthrough, and 2) quantitative analysis of observed interactive user behaviors. We found differences in relation to navigational complexity with the SurgiNet interface displaying a higher number of unused POM functions, with 12 in total whereas Epic displayed 7 total functions. As reflected in all measures, Epic facilitated a more streamlined task-focused user experience. The approach enabled us to scrutinize the impact of different EHR interfaces on task performance and usability barriers subsequent to system implementation.
ISSN:1559-4076