Systems’ usability is one of the critical attribute of any system’s quality. Medical prac-titioners usually encounter usability difficulties while using a health information system like other systems. There are different usability factors, which are expected to influence systems’ usability. Errors preventions, patient safety and privacy are vital usability factors and should not be ignored while developing a health information system. This study is based on a comprehensive analysis of published academic and industrial literature to provide the current status of health information systems’ usability. It also identifies different usability factors such as privacy, errors, design and efficiency. Usability factors are then assessed. Those factors are further examined through a questionnaire to study the priorities of them from medical practitioners’ point of view in Saudi Arabia. The statistical analysis shows that the privacy and errors are very critical than the other usability factors. The study results further revealed that availability and response time are the main challenges faced by the medical practitioners when using the HIS. However, flexibility and customizability were claimed to ease the use of the HIS. In addition, a number of statistical correlations were established. Overall, the study findings seemed helpful to designers and implementers to consider these factors for successful implementation of HIS.
KeywordsUsabilityPrivacySafetyErrorInformation System
Hamborg, K.C., Vehse, B. and Bludau, H.B. (2004) Questionnaire Based Usability Evaluation of Hospital Information Systems. Electron. J. Inform. Syst. Eval., 7, 21-30.
Alkraiji, A. (2011) Issues of the Adoption of HIT Related Standards at the Decision-Making Stage of Six Tertiary Healthcare Organizations in Saudi Arabia. Ph.D. Thesis, University of Loughborough, Loughborough.
Ozok, A.A., Wu, H., Garrido, M., Pronovost, P.J. and Gurses, A.P. (2014) Usability and Perceived Usefulness of Personal Health Records for Preventive Health Care: A Case Study Focusing on Patient’s and Primary Care Provider’s Perspectives. Applied Ergonomics, 45, 613-628. https://doi.org/10.1016/j.apergo.2013.09.005
Nielsen, J. (2002) Becoming a Usability Professional. http://www.nngroup.com/articles/becoming-a-usability-professional/
ISO 9241-11 (1998) Ergonomic Requirements for Office Work with Visual Display Terminals (VDTs). Part 11: Guidance on Usability. International Organization for Standardization, Geneva.
Nielsen, J. (2003) Usability 101: Introduction to Usability. http://www.ingenieriasimple.com/usabilidad/IntroToUsability.pdf
Jeffery, L.B., Grayson, R. and Barnes, J. (2009) Defining and Testing EMR Usability: Principles and Proposed Methods of EMR Usability Evaluation and Rating. Technical Report, Healthcare Information and Management Systems Society (HIMSS), USA.
Turan, T.H. and Palvia, P.C. (2014) Critical Information Technology Issues in Turkish Healthcare. Information & Management, 51, 57-68. https://doi.org/10.1016/j.im.2013.09.007
CITC (2013) Communications and Information Technology Commission. Annual Report, Kingdom of Saudi Arabia.
Al-Ghaith, W.A., Sanzogni, L. and Sandhu, K. (2010) Factors Influencing the Adoption and Usage of Online Services in Saudi Arabia. Electron. J. Inform. Syst. Dev. Countries, 40, 1-32.
Alateyah, S.A., Crowder, R.M. and Wills, G.B. (2013) Factors Influencing Citizen Intention to Adopt Egovernment in Saudi Arabia. Proceedings of the International Conference on Information Society, Toronto, 24-26 June 2013, 250-255.
Al-Zuabi, H.F. and Al Shaikhli, I.F. (2013) Evaluation of Usability Problems of Labor Portal in Saudi Arabia. International Journal of Advanced Computer Science and Information Technology, 2, 14-25. https://doi.org/10.2139/ssrn.2372783
Alqahtani, M.A., Alhadreti, O., AlRoobaea, R.S. and Mayhew, P.J. (2015) Investigation into the Impact of the Usability Factor on the Acceptance of Mobile Transactions: Empirical Study in Saudi Arabia. International Journal of Human–Computer Interaction, 6, 1-35.
Alasem, A.N. (2013) Evaluating the Usability of Saudi Digital Library’s Interface (SDL). Proceedings of the World Congress on Engineering and Computer Science, 1, 178-181.
Deutsch, E., Duftschmid, G. and Dorda, W. (2010) Critical Areas of National Electronic Health Record Programs: Is Our Focus Correct? International Journal of Medical Informatics, 79, 211-222. https://doi.org/10.1016/j.ijmedinf.2009.12.002
Altuwaijri, M.M. (2008) Electronic-Health in Saudi Arabia. Just around the Corner? Saudi Medical Journal, 29, 171-178.
Likourezos, A., Chalfin, D.B., Murphy, D.G., Sommer, B., Darcy, K. and Davidson, S.J. (2004) Physician and Nurse Satisfaction with an Electronic Medical Record System. Journal of Emergency Medicine, 27, 419-424. https://doi.org/10.1016/j.jemermed.2004.03.019
Margalit, R.S., Roter, D., Dunevant, M.A., Larson, S. and Reis, S. (2006) Electronic Medical Record Use and Physician-Patient Communication: An Observational Study of Israeli Primary Care Encounters. Patient Education and Counseling, 61, 134-141. https://doi.org/10.1016/j.pec.2005.03.004
Al-Solbi, A. and Mayhew, P. (2005) Measuring E-Readiness Assessment in Saudi Organisations Preliminary Results from a Survey Study. Proceedings of the 1st European Conference on Mobile Government, Brighton, 10-12 July 2005, 467-474.
Alkraiji, A., Jackson, T. and Murray, I. (2011) Health Data Standards and Adoption Process: Preliminary Findings of a Qualitative Study in Saudi Arabia. Campus-Wide Information Systems, 28, 345-359. https://doi.org/10.1108/10650741111181616
Khudair, A.A. (2008) Electronic Health Records: Saudi Physician’s Perspective. Proceedings of the 5th IET International Seminar on Appropriate Healthcare Technologies for Developing Countries, London, 21-22 May 2008, 38-44. https://doi.org/10.1049/ic:20080575
Aldosari, B. (2014) Rates, Levels and Determinants of Electronic Health Record System Adoption: A Study of Hospitals in Riyadh, Saudi Arabia. International Journal of Medical Informatics, 83, 330-342. https://doi.org/10.1016/j.ijmedinf.2014.01.006
Khalifa, M. (2013) Barriers to Health Information Systems and Electronic Medical Records Implementation. A Field Study of Saudi Arabian Hospitals. Procedia Computer Science, 21, 335-342. https://doi.org/10.1016/j.procs.2013.09.044
Pereira, R., Duarte, J., Salazar, M., Santos, M., Abelha, A. and Machado, J. (2012) Usability of an Electronic Health Record. Proceedings of the IEEE International Conference on Industrial Engineering and Engineering Management, Hong Kong, 10-13 December 2012, 1568-1572. https://doi.org/10.1109/ieem.2012.6838010
Villa, L.B. and Cabezas, I. (2014) A Review on Usability Features for Designing Electronic Health Records. Proceedings of the IEEE 16th International Conference on E-Health Networking, Applications and Services, Natal, 15-18 October 2014, 49-54. https://doi.org/10.1109/healthcom.2014.7001812
Goldberg, L., Lide, B., Lowry, S., Massett, H.A., O’Connell, T., et al. (2011) Usability and Accessibility in Consumer Health Informatics: Current Trends and Future Challenges. American Journal of Preventive Medicine, 40, S187-S197. https://doi.org/10.1016/j.amepre.2011.01.009
SAS (2010) Base SAS 9.2 Procedures Guide: Statistical Procedures. 3rd Edition, SAS Institute Inc., Cary, 17-34.
Dewberry, C. (2004) Statistical Methods for Organizational Research: Theory and Practice. Routledge, New York, 364. https://doi.org/10.4324/9780203414897
Shabot, M.M. (2004) Ten Commandments for Implementing Clinical Information Systems. Proceedings (Baylor University. Medical Center), 17, 265-269.
Boonstra, A. and Broekhuis, M. (2010) Barriers to the Acceptance of Electronic Medical Records by Physicians from Systematic Review to Taxonomy and Interventions. BMC Health Services Research, 10, 231. https://doi.org/10.1186/1472-6963-10-231
Usability Factors Assessment in Health Information System — Oak Academic Publishing