title: Task-specific usability requirements of electronic medical records systems: Lessons learned from a national survey of end-users.
abstract: BACKGROUND
  There are various approaches to evaluating the usability of electronic medical record (EMR) systems. User perspectives are an integral part of evaluation. Usability evaluations efficiently and effectively contribute to user-centered design and supports tasks and increase user satisfaction. This study determined the main usability requirements for EMRs by means of an end-user survey.
  
  
  METHODS
  A mixed-method strategy was conducted in three phases. A qualitative approach was employed to collect and formulate EMR usability requirements using the focus group method and the modified Delphi technique. Classic Delphi technique was used to evaluate the proposed requirements among 380 end-users in Iran.
  
  
  RESULTS
  The final list of EMR usability requirements was verified and included 163 requirements divided into nine groups. The highest rates of end-user agreement relate to EMR visual clarity (3.65 ± 0.61), fault tolerance (3.58 ± 0.56), and suitability for learning (3.55 ± 0.54). The lowest end-user agreement was for auditory presentation (3.18 ± 0.69).
  
  
  CONCLUSIONS
  The highest and lowest agreement among end-users was for visual clarity and auditory presentation by EMRs, respectively. This suggests that user priorities in determination of EMR usability and their understanding of the importance of the types of individual tasks and context characteristics differ.
authors.affiliation: a Health Information Management Research Center, Department of Health Information Management & Technology, School of Allied Health Professions , Kashan University of Medical Sciences , Kashan , Iran.
authors.forename: Mehrdad
authors.initials: M
authors.lastname: Farzandipour
authors.affiliation: a Health Information Management Research Center, Department of Health Information Management & Technology, School of Allied Health Professions , Kashan University of Medical Sciences , Kashan , Iran.
authors.forename: Zahra
authors.initials: Z
authors.lastname: Meidani
authors.affiliation: b Diabetes Research Center, Endocrinology and Metabolism Clinical Sciences Institute , Tehran University of Medical Sciences , Tehran , Iran.
authors.forename: Hossein
authors.initials: H
authors.lastname: Riazi
authors.affiliation: a Health Information Management Research Center, Department of Health Information Management & Technology, School of Allied Health Professions , Kashan University of Medical Sciences , Kashan , Iran.|c Esabne Maryam Hospital, Isfahan University of Medical Sciences , Isfahan , Iran.
authors.forename: Monireh
authors.initials: M
authors.lastname: Sadeqi Jabali
mesh_terms: D003697:Delphi Technique; D057286:Electronic Health Records; D017144:Focus Groups; D006801:Humans; D007492:Iran; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires; D014584:User-Computer Interface
keywords: Computer systems; Delphi technique; electronic health records; personal satisfaction