Usability Evaluation of a Medication Reconciliation and Allergy Review (MRAR) Kiosk: A Methodological Approach for Analyzing User Interactions.
Internationally, major efforts are underway to improve medication safety and reduce medication errors during transitions of care. One strategy that has emerged to improve data accuracy and close information gaps is the introduction of software applications and workflow models that allow patients to review, enter, and modify their own patient data (e.g. information about medications they are taking). Evaluating the quality and effectiveness of such patient-facing healthcare applications is critical, especially when this approach is applied to high-stakes clinical tasks such as medication reconciliation. In this paper we describe an approach that has been used to assess the usability of a patient-facing medication reconciliation and allergy review (MRAR) kiosk. The phases involved are described along with implications and challenges of carrying out this work.
NorthWest Innovation Center, VA Portland Health Care System, United States.
Blake
B
Lesselroth
NorthWest Innovation Center, VA Portland Health Care System, United States.
Kathleen
K
Adams
NorthWest Innovation Center, VA Portland Health Care System, United States.
Stephanie
S
Tallett
NorthWest Innovation Center, VA Portland Health Care System, United States.
Scott
S
Ragland
NorthWest Innovation Center, VA Portland Health Care System, United States.
Victoria
V
Church
School of Health Information Science, University of Victoria, Victoria, Canada.
Elizabeth M
EM
Borycki
School of Health Information Science, University of Victoria, Victoria, Canada.
Andre
A
Kushniruk
D004342:Drug Hypersensitivity / Q000145:classification* / Q000517:prevention & control; D057286:Electronic Health Records / Q000706:statistics & numerical data; D006801:Humans; D016247:Information Storage and Retrieval / Q000706:statistics & numerical data; D062527:Meaningful Use / Q000706:statistics & numerical data*; D008487:Medical History Taking / Q000706:statistics & numerical data*; D008508:Medication Errors / Q000517:prevention & control*; D059065:Medication Reconciliation / Q000706:statistics & numerical data*; D013996:Time and Motion Studies; D014481:United States; D014584:User-Computer Interface; D014600:Utilization Review / Q000379:methods; D016903:Drug Monitoring