The potential role of dashboard use and navigation in reducing medical errors of an electronic health record system: a mixed-method simulation handoff study. Issue 3 (2nd September 2019)

• Record Type: Journal Article
• Authors: Wu, Danny T. Y.; Deoghare, Smruti; Shan, Zhe; Meganathan, Karthikeyan; Blondon, Katherine
• Is Part Of: Health systems. Volume 8:Issue 3(2019)
• Page Start: 203
• Page End: 214
• Publication Date: 2019-09-02
• Subjects: Clinical systems and informatics -- health IT quality and evaluation -- human-computer interaction; 610.285
• DOI: 10.1080/20476965.2019.1620637
• Languages: English
• ISSNs: 2047-6965

Abstract

ABSTRACT: The dashboards of electronic health record (EHR) systems could potentially support the chart biopsy that occurs before or after physician handoffs. In this study, we conducted a simulation handoff study and recorded the participants' navigation patterns in an EHR system mock-up. We analyzed the navigation patterns of dashboard use in terms of duration, frequency, and sequence, and we examined the relationship between dashboard use in chart biopsy and the errors identified after handoffs. The results show that the participants frequently used the dashboard as an information hub and as an information resource to help them navigate the EHR system and answer the questions in a nursing call. Moreover, using the dashboard as an information hub can help reduce imprecision and factual errors in handoffs. Our findings suggest the need for a "context-aware" dashboard to accommodate dynamic navigation patterns and to support clinical work as well as to reduce medical errors.