A combination of two methods for evaluating the usability of a hospital information system

Abstract Background None of the evaluation methods can identify all the usability problems of information systems. So far, no study has sufficiently investigated the potential of a combination of these methods to identify usability problems. The present study aimed at examining the potential for com...

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Main Authors: Reza Khajouei, Fatemeh Farahani
Format: Article
Language:English
Published: BMC 2020-05-01
Series:BMC Medical Informatics and Decision Making
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12911-020-1083-6
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author Reza Khajouei
Fatemeh Farahani
author_facet Reza Khajouei
Fatemeh Farahani
author_sort Reza Khajouei
collection DOAJ
description Abstract Background None of the evaluation methods can identify all the usability problems of information systems. So far, no study has sufficiently investigated the potential of a combination of these methods to identify usability problems. The present study aimed at examining the potential for combining two commonly utilized user-based and expert-based methods to evaluate the usability of a hospital information system. Methods Think aloud (TA) and Heuristic evaluation (HE) methods were used to identify the usability problems of two subsystems of the Social Security Electronic System in Iran. To this end, the problems were categorized into five groups based on ISO-Nielsen usability attributes. The Chi-square test was applied to compare the intended methods based on the total number of problems and the number of problems within each group, followed by utilizing the Mann-Whitney U test to compare the mean severity scores of these methods. Results The evaluation by combining these methods yielded 423 problems of which 75% varied between the methods. The two methods were significantly different in terms of the total number of problems, the number of problems in each usability group, and the mean severity of two satisfaction and efficiency attributes (P < 0.05). However, no significant difference was observed between the two methods based on the mean severity of problems and severity scores related to three usability attributes i.e., effectiveness, learnability, and error prevention (P > 0.05). In addition, the mean severity of problems identified by each method was at the “Major” level. Conclusion Based on the results, although the mean severity scores of the identified problems were not significantly different, these methods identify heterogeneous problems. HE mainly identifies problems related to satisfaction, learnability, and error prevention while TA detects problems related to effectiveness and efficiency attributes. Therefore, using a combination of these two methods can identify a wider range of usability problems.
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spelling doaj.art-77be462d549d4856a55507455bd800772022-12-22T01:05:29ZengBMCBMC Medical Informatics and Decision Making1472-69472020-05-0120111010.1186/s12911-020-1083-6A combination of two methods for evaluating the usability of a hospital information systemReza Khajouei0Fatemeh Farahani1Department of Health Information Sciences, Faculty of Management and Medical Information Sciences, Kerman University of Medical SciencesDepartment of Health Information Sciences, Faculty of Management and Medical Information Sciences, Kerman University of Medical SciencesAbstract Background None of the evaluation methods can identify all the usability problems of information systems. So far, no study has sufficiently investigated the potential of a combination of these methods to identify usability problems. The present study aimed at examining the potential for combining two commonly utilized user-based and expert-based methods to evaluate the usability of a hospital information system. Methods Think aloud (TA) and Heuristic evaluation (HE) methods were used to identify the usability problems of two subsystems of the Social Security Electronic System in Iran. To this end, the problems were categorized into five groups based on ISO-Nielsen usability attributes. The Chi-square test was applied to compare the intended methods based on the total number of problems and the number of problems within each group, followed by utilizing the Mann-Whitney U test to compare the mean severity scores of these methods. Results The evaluation by combining these methods yielded 423 problems of which 75% varied between the methods. The two methods were significantly different in terms of the total number of problems, the number of problems in each usability group, and the mean severity of two satisfaction and efficiency attributes (P < 0.05). However, no significant difference was observed between the two methods based on the mean severity of problems and severity scores related to three usability attributes i.e., effectiveness, learnability, and error prevention (P > 0.05). In addition, the mean severity of problems identified by each method was at the “Major” level. Conclusion Based on the results, although the mean severity scores of the identified problems were not significantly different, these methods identify heterogeneous problems. HE mainly identifies problems related to satisfaction, learnability, and error prevention while TA detects problems related to effectiveness and efficiency attributes. Therefore, using a combination of these two methods can identify a wider range of usability problems.http://link.springer.com/article/10.1186/s12911-020-1083-6Usability evaluationHuman-computer interactionHeuristic evaluationThink aloudHospital information system
spellingShingle Reza Khajouei
Fatemeh Farahani
A combination of two methods for evaluating the usability of a hospital information system
BMC Medical Informatics and Decision Making
Usability evaluation
Human-computer interaction
Heuristic evaluation
Think aloud
Hospital information system
title A combination of two methods for evaluating the usability of a hospital information system
title_full A combination of two methods for evaluating the usability of a hospital information system
title_fullStr A combination of two methods for evaluating the usability of a hospital information system
title_full_unstemmed A combination of two methods for evaluating the usability of a hospital information system
title_short A combination of two methods for evaluating the usability of a hospital information system
title_sort a combination of two methods for evaluating the usability of a hospital information system
topic Usability evaluation
Human-computer interaction
Heuristic evaluation
Think aloud
Hospital information system
url http://link.springer.com/article/10.1186/s12911-020-1083-6
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