{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T17:51:49Z","timestamp":1771609909666,"version":"3.50.1"},"reference-count":14,"publisher":"Oxford University Press (OUP)","issue":"e1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,4,1]]},"abstract":"<jats:p>Despite the widespread adoption of electronic health records (EHRs), usability of many EHRs continues to be suboptimal, with some vendors failing to meet usability standards, resulting in clinician frustration and patient safety hazards. In an effort to increase EHR vendor competition on usability, recommendations have been made and legislation drafted to develop comparison tools that would allow purchasers to better understand the usability of EHR products prior to purchase. Usability comparison can be based on EHR vendor design and development processes, vendor usability testing as part of the Office of the National Coordinator for Health Information Technology certification program, and usability of implemented products. Barriers exist within the current certified health technology program that prevent effective comparison of usability during each of these stages. We describe the importance of providing purchasers with improved information about EHR usability, barriers to making usability comparisons, and solutions to overcome these barriers.<\/jats:p>","DOI":"10.1093\/jamia\/ocw117","type":"journal-article","created":{"date-parts":[[2016,8,30]],"date-time":"2016-08-30T00:52:51Z","timestamp":1472518371000},"page":"e191-e193","source":"Crossref","is-referenced-by-count":13,"title":["Barriers to comparing the usability of electronic health records"],"prefix":"10.1093","volume":"24","author":[{"given":"Raj M","family":"Ratwani","sequence":"first","affiliation":[{"name":"National Center for Human Factors in Healthcare, MedStar Health, and Department of Emergency Medicine, Georgetown University School of Medicine, Washington, DC"}]},{"given":"A Zachary","family":"Hettinger","sequence":"additional","affiliation":[{"name":"National Center for Human Factors in Healthcare, MedStar Health, and Department of Emergency Medicine, Georgetown University School of Medicine, Washington, DC"}]},{"given":"Rollin J","family":"Fairbanks","sequence":"additional","affiliation":[{"name":"National Center for Human Factors in Healthcare, MedStar Health, and Department of Emergency Medicine, Georgetown University School of Medicine, Washington, DC"}]}],"member":"286","published-online":{"date-parts":[[2016,8,29]]},"reference":[{"issue":"6","key":"2020110612434397800_ocw117-B1","doi-asserted-by":"crossref","first-page":"617","DOI":"10.1136\/jamia.2010.005637","article-title":"Health information technology: fallacies and sober realities","volume":"17","author":"Karsh","year":"2010","journal-title":"J Am Med Inform Assoc."},{"key":"2020110612434397800_ocw117-B2","volume-title":"Health IT and Patient Safety Building Safer Systems for Better Care","author":"Institute of Medicine","year":"2012"},{"key":"2020110612434397800_ocw117-B3","volume-title":"Report on the Feasibility of Mechanisms to Assist Providers in Comparing and Selecting Certified EHR Technology Products","author":"Office of the National Coordinator for Health Information Technology","year":"2016"},{"key":"2020110612434397800_ocw117-B4","volume-title":"Transparent Ratings on Usability and Security to Transform Information Technology Act of 2015","year":"2015"},{"key":"2020110612434397800_ocw117-B5","volume-title":"Health IT Policy Committee Meeting Data Update","author":"Charles","year":"2015"},{"key":"2020110612434397800_ocw117-B6","volume-title":"Health Information Technology: Standards, Implementation Specifications, and Certification Criteria for Electronic Health Record Technology, 2014 Edition. Vol. 77","author":"Department of Health and Human Services","year":"2012"},{"issue":"10","key":"2020110612434397800_ocw117-B7","doi-asserted-by":"crossref","first-page":"1070","DOI":"10.1001\/jama.2015.8372","article-title":"Electronic health record vendor adherence to usability certification requirements and testing standards","volume":"314","author":"Ratwani","year":"2015","journal-title":"JAMA."},{"issue":"6","key":"2020110612434397800_ocw117-B8","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 Informatics Assoc."},{"key":"2020110612434397800_ocw117-B9","volume-title":"New Insights on Safety and Health IT","author":"Hettinger","year":"2015"},{"key":"2020110612434397800_ocw117-B10","doi-asserted-by":"crossref","DOI":"10.1201\/b15703","volume-title":"User Centered Design","author":"Norman","year":"1986"},{"key":"2020110612434397800_ocw117-B11","doi-asserted-by":"crossref","DOI":"10.6028\/NIST.IR.7741","volume-title":"NISTIR 7741: NIST Guide to the Processes Approach for Improving the Usability of Electronic Health Records","author":"Schumacher","year":"2010"},{"key":"2020110612434397800_ocw117-B12","volume-title":"ISO\/IEC 25010:2011 Systems and Software Engineering \u2014 Systems and Software Quality Requirements and Evaluation (SQuaRE)","author":"International Organization for Standardization","year":"2011"},{"key":"2020110612434397800_ocw117-B13","volume-title":"Applying Human Factors and Usability Engineering to Medical Devices Guidance for Industry and Food and Drug Administration Staff","author":"U.S. Department of Health and Human Services Food and Drug Administration Center for Drug Evaluation and Research","year":"2016"},{"key":"2020110612434397800_ocw117-B14","volume-title":"ONC Health IT Certification Program: Enhanced Oversight and Accountability","author":"Department of Health and Human Services Office of the National Coordinator for Health Information Technology","year":"2016"}],"container-title":["Journal of the American Medical Informatics Association"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/jamia\/article-pdf\/24\/e1\/e191\/34149255\/ocw117.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/jamia\/article-pdf\/24\/e1\/e191\/34149255\/ocw117.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,11,6]],"date-time":"2020-11-06T18:14:45Z","timestamp":1604686485000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jamia\/article\/24\/e1\/e191\/2631504"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,8,29]]},"references-count":14,"journal-issue":{"issue":"e1","published-online":{"date-parts":[[2016,8,29]]},"published-print":{"date-parts":[[2017,4,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jamia\/ocw117","relation":{},"ISSN":["1067-5027","1527-974X"],"issn-type":[{"value":"1067-5027","type":"print"},{"value":"1527-974X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2017,4]]},"published":{"date-parts":[[2016,8,29]]}}}