University of Oulu

Jansson, M., Liisanantti, J., Ala-Kokko, T., & Reponen, J. (2022). The negative impact of interface design, customizability, inefficiency, malfunctions, and information retrieval on user experience: A national usability survey of ICU clinical information systems in Finland. International Journal of Medical Informatics, 159, 104680. https://doi.org/10.1016/j.ijmedinf.2021.104680

The negative impact of interface design, customizability, inefficiency, malfunctions, and information retrieval on user experience : a national usability survey of ICU clinical information systems in Finland

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Author: Jansson, Miia1; Liisanantti, Janne2,3; Ala-Kokko, Tero4,3;
Organizations: 1Research Unit of Medical Imaging, Physics and Technology, University of Oulu, Finland
2Department of Anesthesiology, Oulu University Hospital, Oulu, Finland
3Research Group of Surgery, Anesthesiology and Intensive Care, Medical Research Center Oulu, Oulu, Finland
4Division of Intensive Care, Department of Anesthesiology, Oulu University Hospital, Oulu, Finland
5Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Finland
Format: article
Version: published version
Access: open
Online Access: PDF Full Text (PDF, 0.4 MB)
Persistent link: http://urn.fi/urn:nbn:fi-fe2022050633401
Language: English
Published: Elsevier, 2022
Publish Date: 2022-05-06
Description:

Abstract

Introduction: Clinical information systems (CISs) used in intensive care units (ICU) integrate large amounts of patient data every minute, and from multiple systems and devices. Intensive care requires efficient use of information technology to acquire, synchronize, integrate, and analyze data in order to make quick decisions and implement interventions in a timely manner.

Objectives: To identify factors affecting poor user experience (UX) of CISs used in ICUs in Finland.

Methods: Data from national Electronic Health Record (EHR) and user experience survey was undertaken in 2017. Those, who used the ICU CIS on a daily or weekly basis were asked supplementary questions and, therefore, comprise a subset of the responses reported in this article.

Results: On a 4–10 scale (i.e., “Fail” to “Excellent”), the mean ‘grade’ for the principally used ICU CIS was 6.9 (SD 1.3) points. Of the respondents, 119 (57%) were categorized as having good UX. The factors identified as affecting poor UX of the ICU CISs related to poor interface design (OR 7.8; 95% CIs 12.5–24.1; p = 0.001), insufficient customizability (OR 7.2; 95% CIs 1.7–30.6; p = 0.008), the inefficiency of performing routine tasks (OR 4.3; 95% CIs 1.0–18.2; p = 0.044), malfunctions (OR 3.5; 95% CIs 1.2–9.6; p = 0.019), and difficulties in information retrieval (OR 3.0; 95% CIs 1.0–8.8; p = 0.044). The most commonly reported usability problems with the main EHR system and ICU CISs were also identified.

Conclusions: Overall satisfaction with the principally used ICU CIS was moderate. However, the overall grades varied significantly. Poor interface design, insufficient customizability, inefficiency, malfunctions, and difficulties in information retrieval all affect poor UX.

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Series: International journal of medical informatics
ISSN: 1386-5056
ISSN-E: 1872-8243
ISSN-L: 1386-5056
Volume: 159
Article number: 104680
DOI: 10.1016/j.ijmedinf.2021.104680
OADOI: https://oadoi.org/10.1016/j.ijmedinf.2021.104680
Type of Publication: A1 Journal article – refereed
Field of Science: 217 Medical engineering
3142 Public health care science, environmental and occupational health
Subjects:
UX
Funding: This study was supported by the Ministry of Social Affairs and Health (project 112241).
Copyright information: © 2022 The Authors. Published by Elsevier B.V. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
  https://creativecommons.org/licenses/by/4.0/