The Usability of Electronic Medical Record Systems Implemented in Sub-Saharan Africa: A Literature Review of the Evidence

JMIR Human Factors
Michael Kavuma

Abstract

Electronic medical record (EMR) systems hold the exciting promise of accurate, real-time access to patient health care data and great potential to improve the quality of patient care through decision support to clinicians. This review evaluated the usability of EMR systems implemented in sub-Saharan Africa based on a usability evaluation criterion developed by the Healthcare Information and Management Systems Society (HIMSS). This review aimed to evaluate EMR system implementations in sub-Saharan Africa against a well-defined evaluation methodology and assess their usability based on a defined set of metrics. In addition, the review aimed to identify the extent to which usability has been an enabling or hindering factor in the implementation of EMR systems in sub-Saharan Africa. Five key metrics for evaluating EMR system usability were developed based on the methodology proposed by HIMSS. These were efficiency, effectiveness, ease of learning, cognitive load, and user satisfaction. A 5-point rating system was developed for the review. EMR systems in 19 reviewed publications were scored based on this rating system. It awarded 5 points per metric to any EMR system that was identified as excellent, 4 points for good, 3 points for ...Continue Reading

References

Apr 29, 1999·Academic Medicine : Journal of the Association of American Medical Colleges·E H Shortliffe
Jun 27, 2008·Journal of the American Medical Informatics Association : JAMIA·Elske AmmenwerthUwe Siebert
Jun 23, 2009·The Journal of Ambulatory Care Management·Zeina M SamaanThomas G DeWitt
Feb 5, 2011·Journal of the American Medical Informatics Association : JAMIA·Jonathan A ZlabekMichelle A Mathiason
Jun 11, 2011·Journal of the American Medical Informatics Association : JAMIA·Jayna M Holroyd-LeducHude Quan
Oct 11, 2014·International Journal of Medical Informatics·Beth ChaplinPhyllis Kanki

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Citations

Apr 28, 2020·BMJ Global Health·Christiane HagelUNKNOWN Clinical Information Network (CIN) information systems interest group

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