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Evidence-based usability design principles for medication alerting systems


Marcilly, R and Ammenwerth, E and Roehrer, E and Nies, J and Beuscart-Zephir, M-C, Evidence-based usability design principles for medication alerting systems, BMC Medical Information and Decision Making, 18 Article 69. ISSN 1472-6947 (2018) [Refereed Article]


Copyright Statement

Copyright 2018 The Authors. Licensed under Creative Commons Attribution 4.0 International (CC BY 4.0)

DOI: doi:10.1186/s12911-018-0615-9


Background: Usability flaws in medication alerting systems may have a negative impact on clinical use and patient safety. In order to prevent the release of alerting systems that contain such flaws, it is necessary to provide designers and evaluators with evidence-based usability design principles. The objective of the present study was to develop a comprehensive, structured list of evidence-based usability design principles for medication alerting systems.

Methods: Nine sets of design principles for medication alerting systems were analyzed, summarized, and structured. We then matched the summarized principles with a list of usability flaws in order to determine the level of underlying evidence.

Results: Fifty-eight principles were summarized from the literature and two additional principles were defined, so that each flaw was matched with a principle. We organized the 60 summarized usability design principles into 6 meta-principles, 38 principles, and 16 sub-principles. Only 15 principles were not matched with a usability flaw. The 6 meta-principles respectively covered the improvement of the signal-to-noise ratio, the support for collaborative working, the fit with a clinician’s workflow, the data display, the transparency of the alerting system, and the actionable tools to be provided within an alert.

Conclusions: It is possible to develop an evidence-based, structured, comprehensive list of usability design principles that are specific to medication alerting systems and are illustrated by the corresponding usability flaws. This list represents an improvement over the current literature. Each principle is now associated with the best available evidence of its violation. This knowledge may help to improve the usability of medication alerting systems and, ultimately, decrease the harmful consequences of the systems’ usability flaws.

Item Details

Item Type:Refereed Article
Keywords:human engineering, usability, alerting system, decision support, design
Research Division:Information and Computing Sciences
Research Group:Information systems
Research Field:Decision support and group support systems
Objective Division:Health
Objective Group:Evaluation of health and support services
Objective Field:Evaluation of health and support services not elsewhere classified
UTAS Author:Roehrer, E (Dr Erin Roehrer)
ID Code:127529
Year Published:2018
Web of Science® Times Cited:16
Deposited By:Information and Communication Technology
Deposited On:2018-08-02
Last Modified:2019-02-26
Downloads:82 View Download Statistics

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