title: Evaluation of a Hyperlinked Consumer Health Dictionary for reading EHR notes.
abstract: In this paper, we report on a pilot study conducted to test the usefulness and understandability of definitions in a Consumer Health Dictionary (IVS-CHD). Our two main goals for this study were to evaluate functionality of the dictionary when embedded in electronic health records (EHR) and determine the methodology for our larger-scale project to iteratively develop the IVS-CHD. The hyperlinked IVS-CHD was made available to thoracic surgery patients reading their own EHR. We asked patients to rate definitions on two 5-level Likert items measuring perceived usefulness and understandability. We also captured the terms that patients wanted defined, but that were not included in the IVS-CHD. Preliminary results indicate the types of problems that must be avoided when creating definitions, for example, that patients prefer detailed explanations that include medical outcomes, and that do not use "unfamiliar" terms they must also look up. We also have gained insight into the types of terms that patients want defined from their EHR notes, especially certain abbreviations. Patients further commented on the experience of reading EHR notes directly from the same system used by healthcare personnel and the help strategy of linking the contents to a hyperlinked dictionary.
authors: The Intervention Centre, Oslo University Hospital and Dept. of Clinical Medicine, Oslo, Norway.
authors: Laura
authors: L
authors: Slaughter
authors: Karl
authors: K
authors: Oyri
authors: Erik
authors: E
authors: Fosse
mesh_terms: D022126:Access to Information; D000368:Aged; D002309:Cardiology / Q000379:methods; D002318:Cardiovascular Diseases / Q000628:therapy; D004059:Diffusion of Innovation; D006801:Humans; D008297:Male; D008490:Medical Informatics / Q000379:methods*; D016347:Medical Records Systems, Computerized; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D010353:Patient Education as Topic / Q000379:methods*; D017060:Patient Satisfaction; D011795:Surveys and Questionnaires