Clinical Software Design

Back in the mid-90s, doctors who bought EHR systems were trying to solve specific problems.   These early adopters would listen as I listed the many ways that EHR systems would change their lives, acknowledge the issues I raised, then buy an EHR anyway.   More often than not, however, they were happy with how […]

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Software Innovation after Meaningful Use

by Jerome Carter on February 27, 2017 · 0 comments

Cell phones made telephone technology much more useful–no more searching for a phone booth or waiting at home for a call. Cell phones quickly evolved, eventually bringing us the much-loved Blackberry. Blackberry smartphones moved beyond calls to encompass a range of communication modes.  However, despite the gap in features and utility between the Blackberry generation […]

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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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Bugs and EHR Systems: Engineering Matters…

by Jerome Carter on July 4, 2016 · 0 comments

Testing is one of the most tedious and difficult aspects of software development, and the more complex the system, the more problematic the testing.   Bugs always happen. However, if one is lucky, bugs are easily spotted and have few deleterious effects.  Unfortunately, bugs occur in many ways that are hard to spot—miscoded algorithms,  incorrect […]

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Usability Research: The Need for Standards

by Jerome Carter on June 27, 2016 · 0 comments

With the possible exception of those living under rocks, everyone knows that EHR usability is a hot topic.  The million-dollar question is what to do about it.   Understanding the nature of usability problems is always a good place to start.  As one would expect, the number of usability studies reported in the literature 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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