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Safety and Usability Guidelines of Clinical Information Systems Integrating Clinical Workflow: A Systematic Review

OBJECTIVES: The usability of clinical information systems (CISs) is known to be an essential consideration in ensuring patient safety as well as integrating clinical flow. This study aimed to determine how usability and safety guidelines of CIS consider clinical workflow through a systematic review...

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Autores principales: Lee, Yura, Jung, Min-Young, Shin, Gee Won, Bahn, Sangwoo, Park, Taezoon, Cho, Insook, Lee, Jae-Ho
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Medical Informatics 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6085203/
https://www.ncbi.nlm.nih.gov/pubmed/30109149
http://dx.doi.org/10.4258/hir.2018.24.3.157
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author Lee, Yura
Jung, Min-Young
Shin, Gee Won
Bahn, Sangwoo
Park, Taezoon
Cho, Insook
Lee, Jae-Ho
author_facet Lee, Yura
Jung, Min-Young
Shin, Gee Won
Bahn, Sangwoo
Park, Taezoon
Cho, Insook
Lee, Jae-Ho
author_sort Lee, Yura
collection PubMed
description OBJECTIVES: The usability of clinical information systems (CISs) is known to be an essential consideration in ensuring patient safety as well as integrating clinical flow. This study aimed to determine how usability and safety guidelines of CIS consider clinical workflow through a systematic review in terms of the target systems, methodology, and guideline components of relevant articles. METHODS: A literature search was conducted for articles published from 2000 to 2015 in PubMed, Cochrane, EMBASE, Web of Science, and CINAHL. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement method was employed. Articles containing recommendations, principles, and evaluation items for CIS usability and safety were included. The selected articles were classified according to article type, methodology, and target systems. Taking clinical workflow into consideration, the components of guidelines were extracted and classified. RESULTS: A total of 7,401 articles were identified by keyword search. From the 76 articles remaining after abstract screening, 15 were selected through full-text review. Literature review (n = 7) was the most common methodology, followed by expert opinions (n = 6). Computerized physician order entry (n = 6) was the most frequent system. Four articles considered the entire process of clinical tasks, and two articles considered the principles of the entire process of user interface affecting clinical workflow. Only two articles performed heuristic evaluations of CISs. CONCLUSIONS: The usability and safety guidelines of CISs need improvement in guideline development methodology and with consideration of clinical workflow.
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spelling pubmed-60852032018-08-14 Safety and Usability Guidelines of Clinical Information Systems Integrating Clinical Workflow: A Systematic Review Lee, Yura Jung, Min-Young Shin, Gee Won Bahn, Sangwoo Park, Taezoon Cho, Insook Lee, Jae-Ho Healthc Inform Res Original Article OBJECTIVES: The usability of clinical information systems (CISs) is known to be an essential consideration in ensuring patient safety as well as integrating clinical flow. This study aimed to determine how usability and safety guidelines of CIS consider clinical workflow through a systematic review in terms of the target systems, methodology, and guideline components of relevant articles. METHODS: A literature search was conducted for articles published from 2000 to 2015 in PubMed, Cochrane, EMBASE, Web of Science, and CINAHL. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement method was employed. Articles containing recommendations, principles, and evaluation items for CIS usability and safety were included. The selected articles were classified according to article type, methodology, and target systems. Taking clinical workflow into consideration, the components of guidelines were extracted and classified. RESULTS: A total of 7,401 articles were identified by keyword search. From the 76 articles remaining after abstract screening, 15 were selected through full-text review. Literature review (n = 7) was the most common methodology, followed by expert opinions (n = 6). Computerized physician order entry (n = 6) was the most frequent system. Four articles considered the entire process of clinical tasks, and two articles considered the principles of the entire process of user interface affecting clinical workflow. Only two articles performed heuristic evaluations of CISs. CONCLUSIONS: The usability and safety guidelines of CISs need improvement in guideline development methodology and with consideration of clinical workflow. Korean Society of Medical Informatics 2018-07 2018-07-31 /pmc/articles/PMC6085203/ /pubmed/30109149 http://dx.doi.org/10.4258/hir.2018.24.3.157 Text en © 2018 The Korean Society of Medical Informatics http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Lee, Yura
Jung, Min-Young
Shin, Gee Won
Bahn, Sangwoo
Park, Taezoon
Cho, Insook
Lee, Jae-Ho
Safety and Usability Guidelines of Clinical Information Systems Integrating Clinical Workflow: A Systematic Review
title Safety and Usability Guidelines of Clinical Information Systems Integrating Clinical Workflow: A Systematic Review
title_full Safety and Usability Guidelines of Clinical Information Systems Integrating Clinical Workflow: A Systematic Review
title_fullStr Safety and Usability Guidelines of Clinical Information Systems Integrating Clinical Workflow: A Systematic Review
title_full_unstemmed Safety and Usability Guidelines of Clinical Information Systems Integrating Clinical Workflow: A Systematic Review
title_short Safety and Usability Guidelines of Clinical Information Systems Integrating Clinical Workflow: A Systematic Review
title_sort safety and usability guidelines of clinical information systems integrating clinical workflow: a systematic review
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6085203/
https://www.ncbi.nlm.nih.gov/pubmed/30109149
http://dx.doi.org/10.4258/hir.2018.24.3.157
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