In 1998, the International Organization for Standardization (ISO) defined usability as being the “extent to which a product can be used by specified users to achieve specified goals with effectiveness, efficiency, and satisfaction in a specified context of use” [9].
Internationally there are many usability studies of EHR systems, targeting different clinical domains [10-15]. There are also efforts to standardize the usability assessment methods attempting to find a common ground, which is fundamental to perform comparative studies [16, 17].
According to Saitwal and coleagues [18], some EHR systems do not have user-friendly interfaces, as they often do not take in consideration the user centric development. Considering issues …show more content…
SClinico was born from the vast experience with two previous applications used by thousands of clinicians of the SNS: the SAM and SAPE applications, which have evolved to be a single application for all clinicians and focused on the patient [22].
With SClinico the Portuguese Ministry of Health foresees the standardization of the reporting and retrieving of clinical information in order to allow the homogenization of procedures at national level [22]. This might contribute to the efficacy and efficiency of health care delivery, allowing the clinicians to perform better their role in multidisciplinary teams and to provide better support, assistance and follow-up to their patients [22].
The SClinico has two versions, SClinico Hospital and SClinico Primary Health Care [22]. The first, SClinico Hospital, has more than sixty thousand registered clinicians. In turn, more than thirteen thousand clinicians are using the SClinico Primary Health Care [8].
B. Usability …show more content…
Research Plan
Data collection was performed in several clinical services of CHTMAD: medicine, surgery, intensive care, oncology, gastroenterology, pediatrics and emergency.
The protocol of the observational study comprised two stages. In each of them, a specific usability assessment method was used: in the first stage, a qualitative assessment was carried out; while in the second stage, a quantitative assessment was performed using a validated usability assessment scale.
The first stage of SClinico’s assessment took place few weeks after it has being introduced in the clinical services of CHTMAD (i.e. May and June 2014). In turn, the second step was performed eighteen months after the first assessment, when all potential users were already familiar with SClinico.
The qualitative assessment for the first stage was performed by a specially prepared questionnaire [27]. In turn, the second stage consisted in a quantitative self-reported assessment of the SClinico usability (user opinion) using the Post-Study System Usability Questionnaire (PSSUQ) [28]. Specifically, after using SClinico the clinicians were invited to participate in the study and to complete the PSSUQ.
E.