Electronic Healthcare Record tested and discussed

 

Figure: Process of Effects-driven IT development, starting out with effects specification workshops, followed by iterations of workshops with mock-ups/prototypes before culminating with a pilot implementation.

Figure: Process of Effects-driven IT development, starting out with effects specification workshops, followed by iterations of workshops with mock-ups/prototypes before culminating with a pilot implementation.

Anders Barlach together with Morten Hertzum and Jesper Simonsen have published a book-chapter in the book “Cases on Usability Engineering: Design and Development of Digital Products” this fall.

The chapter called “Pilot Implementation Driven by Effects Specifications and Formative Usability Evaluation” reports on usability-engineering work performed throughout the pilot implementation of a so-called Electronic Healthcare Record (EHR). The case describes and analyzes the use of pilot implementations to evaluate whether the usability of the EHR meets the effects specified for its use.

Effects-driven IT development
The project behind the book chapter was initiated during the autumn of 2010 and concluded in the spring of 2012. An EHR was configured and implemented at a Maternity ward at a hospital located in a European region, and then the system was transferred to another ward at another hospital in the same region. The project was conducted using effects-driven IT development: a process comprised of workshops with specification of the usage effects by management and end-users followed by an agile development process progressing through mock-ups, prototypes and finally the pilot system.

Effects were iteratively refined and evaluated to achieve alignment with the intended design, and quantitatively measured to document the desired effects.

In the book-chapter, the described pilot implementation is analyzed, and the lessons learned are discussed in relation to usability engineering in general.

The book “Cases on Usability Engineering: Design and Development of Digital Productscan be bought here, and “Pilot Implementation Driven by Effects Specifications and Formative Usability Evaluation” is chapter no. 10.

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