Safety-enhanced design (MU3))
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Revision as of 23:26, 26 October 2024 by Stephen Nielson (talk | contribs) (→Task 7: View and update 3rd party source attribute information)
Overview
- This usability testing was completed by the 2022 Cohort of the Professional Certificate in Health Information Technology at Columbia University.
- An 2024 addendum to the usability study is being conducted by OpenEMR for the b11 certification criteria
Usability Test Report
UCD Process
Criteria that tested
- a1: Computerized provider order entry (CPOE) – medications (task 2)
- a2: CPOE – laboratory (task 4)
- a5: Demographics (task 1)
- a9: Clinical decision support (task 1)
- a14: Implantable device list (task 3)
- b11: Decision Intervention Support 2024 addendum (task 5,6,7)
Research
- Actual rule:
- Example reports:
- https://content-main.ul.com/sites/g/files/qbfpbp306/files/2020-08/BlueEHR-2.0-SED-Report.pdf
- https://slicompliance.com/wp-content/uploads/2022/01/Prime-Clinical-EHR-Usability-Test-Report.pdf
- https://slicompliance.com/wp-content/uploads/2022/01/FreeChiro_18_SED_Report.pdf
- https://slicompliance.com/wp-content/uploads/2021/12/Strateq_EHR_UsabilityReport_08Dec2021.pdf
Usability official testing demos
- These are duplicate official testing demos that contain 1 patient (Ed Smith with one encounter) with one lab option (PSA) and with ICD10 code set installed and one provider (the admin user with name of Frank Johnson). Official testing demos completely reset daily at around 1:00 am pacific time; when official testing demos completely reset, they are rebuilt on top of most recent codebase. Official testing demos use private credentials (ie. public will not be able to access them) that are only known to the official testers.
- These demos have been removed since not needed at this time. The snapshot for the testing demo is `usability` in case need to set them up again in the future.
- Steps to manually reset the official testing demo so can retest would require the following changes to patient Ed Smith:
- Revert demographic changes (change Gender Identity and Sexual Orientation to Unassigned; change DOB to 1999-12-30).
- Delete the prescription, implantable device and lab order.
Usability training demos
- The point of these training demos is to allow training by multiple users, which pick a Ed* Smith* patient to run through the below training guides on.
- These are duplicate training demos that contain 9 patients (named Ed1 Smith1...Ed9 Smith9 each with one encounter) with one lab option (PSA) and with ICD10 code set installed and one provider (the admin user with name of Frank Johnson). Training demos completely reset daily at around 1:00 am pacific time; when training demos completely reset, they are rebuilt on top of most recent codebase.
- Training demos use public credentials, which are username:admin password:Administrator1!
- These demos have been removed since not needed at this time. The snapshot for the training demo is `usabilitytraining` in case need to set them up again in the future.
Usability testing scenario
- Ed Smith is a patient in the user's clinic. In this scenario, the user will modify this patient's demographics, enter in a medication order for this patient, add a implantable device for this patient, and order a lab for this patient.
- The following is the testing guide that will be used during testing by the users: Usability Testing Guide
- The task material below is for user training.
Task 1: Enter and modify demographics.
- Test:
- Edit demographics for 'Ed Smith'
- Gender Identity choose 'Identifies as Male'
- Sexual Orientation choose 'Straight or Heterosexual'
- DOB change to '1968-12-30'
- After saving above demographic changes, clinical decision support will display window with new due reminders based off age (including Colon Cancer Screening).
- Specific testing steps:
Task 2: Enter in medication order.
- Test:
- Add prescription for 'Ed Smith'
- Lipitor 20mg tabs Per Oris q.d. with quantity of 30
- Specific testing steps:
Task 3: Add a implantable device.
- Test:
- Add Implantable Device for 'Ed Smith'
- UDI is (01)00889095205923(11)141231(17)150707(10)A213B1(21)1234
- Specific testing steps:
Task 4: Order a lab.
- Test:
- Order lab for 'Ed Smith'
- PSA
- Specific testing steps:
Task 5: View and update source attribute information.
- Click info icon for 'Assessment: Prostate Cancer Screening'
- Find Patient's Sex source attribute information
- Click the "Edit Rule Source Attributes" button
- Enter in the 'Rule Usage of Patient's Sex' the message 'This rule uses birth sex to determine if the patient should be screened for prostate cancer'
- Click the save button to save the rule
- Click the save button to save the rule schedule
Task 6: Provide feedback on incorrect rule usage.
- Test:
- Provide rule feedback on Pap Smear for 'Ed Smith'
- Specific Testing steps:
- Click info icon for 'Examination: Pap Smear'
- Scroll down to Feedback
- Enter 'Rule should not have flagged Ed Smith for pap smear as Ed's birth sex is male'
Task 7: View and update 3rd party source attribute information
- Click the open dashboard tab
- Find and expand the SMART Enabled Apps on the patient's Medical Record Dashboard
- Click on the DSI Source Information to view the source attributes of the application
- Find the source attribute for "Intended patient population(s) for the intervention`s use"
- Find and click the Edit button
- Update the source attribute "Intended patient population(s) for the intervention`s use" to be "All patients who have had some form of chronic pain condition or diagnosis"
- Click the Save button