Clinical Care Systems

The rise of scribes is but one sign that many EHR systems, as currently designed, make clinicians less productive and patient interactions more awkward. The main ways touted by ONC and most observers to address usability issues focus on user-centered design and more comprehensive usability testing.   However, can these methods alone actually address clinician complaints?   […]

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I have dedicated this summer to iOS development.    Having seen how iOS works from the inside, especially the attention given to human interaction guidelines, has increased my appreciation for all that goes into making systems truly usable.   Usability of EHR systems has taken on new importance, and the amount of research focused on […]

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Toward a Process-Oriented Clinical Care System

by Jerome Carter on July 18, 2016 · 0 comments

My explorations in clinical care system design are progressing well.   In particular, I am pleased with the responses to the posts on primary care and EHR design.  There is a groundswell of interest in better systems that do more to help clinicians with the tasks they find burdensome.  Perhaps the retrenchment of MU has […]

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User-Centered Design—It’s Complicated…

by Jerome Carter on June 20, 2016 · 0 comments

Good user interfaces are hard to create, and unfortunately, the UI often receives less design attention that other aspects of a software system.   Personally, I see this as a developer fatigue issue. After the wrangling with objects, algorithms, APIs, security, and such, it is tempting to slap on a UI that simply provides access to […]

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A Role for Workflow Tech in User-Centered Design?

by Jerome Carter on June 13, 2016 · 0 comments

Change is always a challenge, and how much more so when software is involved.   Software implementation brings headaches from the software itself (installation, configuration, training) as well as the necessary adaptations in workflows (how work is accomplished) and work habits (how individuals do their jobs).   One assumption underlying nearly all implementations of clinical systems is […]

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A Summer of EHR Design Questions…

by Jerome Carter on May 23, 2016 · 0 comments

As always, I am looking forward to the slow, languid days of summer when things quiet down and the mind can wonder (wandering is fine too). Typically, I have a book list to get through. A few summers ago, math was the focus. Once it was software architecture; however, this summer there are no books, […]

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On First Looking into Workflow Tech…

by Jerome Carter on May 16, 2016 · 0 comments

I have been anticipating this post for some time now.   After making my way past graph theory, Petri nets, and BPMN 2.0,  then experimenting with several BPM suites, I can finally focus on designing clinical workflow applications!  When I began investigating workflow technology, my main goal was finding BPM suites with four properties: 1) mature community editions, […]

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