{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,4]],"date-time":"2025-12-04T01:27:33Z","timestamp":1764811653891,"version":"3.37.3"},"reference-count":14,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2021,1,31]],"date-time":"2021-01-31T00:00:00Z","timestamp":1612051200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"DOI":"10.13039\/100000133","name":"Agency for Healthcare Research and Quality","doi-asserted-by":"publisher","award":["R01 HS025136"],"award-info":[{"award-number":["R01 HS025136"]}],"id":[{"id":"10.13039\/100000133","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,4,23]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Despite basic federal requirements promoting a user-centered design approach to electronic health record (EHR) development and usability testing there have been usability and safety risks with EHR technology. Four EHR vendors were asked to provide written descriptions of their usability practices, and we reviewed these descriptions to identify areas where there has been advancement and areas for improvement. All 4 vendors described user-centered design processes and usability testing methods that demonstrate advancement from previous studies of vendor practices. Importantly, vendors are also beginning to address aspects of EHR implementation that play a critical role in shaping EHR usability. There are important areas for improvement in vendor practices including a greater focus on safety and on measurement and benchmarking. Vendors sharing their current usability practices demonstrates a step toward greater transparency which has typically been lacking.<\/jats:p>","DOI":"10.1093\/jamia\/ocaa329","type":"journal-article","created":{"date-parts":[[2020,12,19]],"date-time":"2020-12-19T07:55:13Z","timestamp":1608364513000},"page":"1029-1031","source":"Crossref","is-referenced-by-count":26,"title":["Advancing electronic health record vendor usability maturity: Progress and next steps"],"prefix":"10.1093","volume":"28","author":[{"given":"Aaron Z","family":"Hettinger","sequence":"first","affiliation":[{"name":"MedStar Health National Center for Human Factors in Healthcare, MedStar Health Research Institute, Washington, District of Columbia, USA"},{"name":"Department of Emergency Medicine, Georgetown University School of Medicine, Washington, District of Columbia, USA"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6509-9537","authenticated-orcid":false,"given":"Edward R","family":"Melnick","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Yale School of Medicine, New Haven, Connecticut, USA"}]},{"given":"Raj M","family":"Ratwani","sequence":"additional","affiliation":[{"name":"MedStar Health National Center for Human Factors in Healthcare, MedStar Health Research Institute, Washington, District of Columbia, USA"},{"name":"Department of Emergency Medicine, Georgetown University School of Medicine, Washington, District of Columbia, USA"}]}],"member":"286","published-online":{"date-parts":[[2021,1,31]]},"reference":[{"issue":"12","key":"2021042419045151600_ocaa329-B1","doi-asserted-by":"crossref","first-page":"1276","DOI":"10.1001\/jama.2018.1171","article-title":"Electronic health record usability issues and potential contribution to patient harm","volume":"319","author":"Howe","year":"2018","journal-title":"JAMA"},{"issue":"11","key":"2021042419045151600_ocaa329-B2","doi-asserted-by":"crossref","first-page":"1752","DOI":"10.1377\/hlthaff.2018.0699","article-title":"Identifying electronic health record usability and safety challenges in pediatric settings","volume":"37","author":"Ratwani","year":"2018","journal-title":"Health Aff (Millwood)"},{"issue":"e1","key":"2021042419045151600_ocaa329-B3","doi-asserted-by":"crossref","first-page":"e2","DOI":"10.1136\/amiajnl-2012-001458","article-title":"Enhancing patient safety and quality of care by improving the usability of electronic health record systems: recommendations from AMIA","volume":"20","author":"Middleton","year":"2013","journal-title":"J Am Med Inform Assoc"},{"year":"2020","key":"2021042419045151600_ocaa329-B4"},{"issue":"3","key":"2021042419045151600_ocaa329-B5","doi-asserted-by":"crossref","first-page":"476","DOI":"10.1016\/j.mayocp.2019.09.024","article-title":"The association between perceived electronic health record usability and professional burnout among US physicians","volume":"95","author":"Melnick","year":"2020","journal-title":"Mayo Clin Proc"},{"issue":"12","key":"2021042419045151600_ocaa329-B6","doi-asserted-by":"crossref","first-page":"e1916651","DOI":"10.1001\/jamanetworkopen.2019.16651","article-title":"Evaluating improvements and shortcomings in clinician satisfaction with electronic health record usability","volume":"2","author":"Gomes","year":"2019","journal-title":"JAMA Netw Open"},{"issue":"5","key":"2021042419045151600_ocaa329-B7","doi-asserted-by":"crossref","first-page":"895","DOI":"10.1093\/jamia\/ocab058","article-title":"Health Information Technology and Clinician Burnout: Current Understanding, Emerging Solutions, and Future Directions","volume":"28","author":"Poon","year":"2021","journal-title":"J Am Med Inform Assoc"},{"key":"2021042419045151600_ocaa329-B8","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1007\/978-3-319-17272-9_4","volume-title":"Cognitive Informatics for Biomedicine","author":"Sittig","year":"2015"},{"issue":"6","key":"2021042419045151600_ocaa329-B9","doi-asserted-by":"crossref","first-page":"1179","DOI":"10.1093\/jamia\/ocv050","article-title":"Electronic health record usability: analysis of the user-centered design processes of eleven electronic health record vendors","volume":"22","author":"Ratwani","year":"2015","journal-title":"J Am Med Inform Assoc"},{"key":"2021042419045151600_ocaa329-B10"},{"author":"Ratwani","key":"2021042419045151600_ocaa329-B11"},{"year":"2020","key":"2021042419045151600_ocaa329-B12"},{"volume-title":"AAMI HIT1000-1 Safety and Effectiveness of Health IT Software and Systems. 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