How Many Clicks Does It Take to Order a Tylenol Pill?
Learning Objectives and CME/Disclosure Information
This activity is intended for healthcare providers delivering care to women and their families.
After completing this activity, the participant should be better able to:
1. Discuss the potential benefits of the electronic health record (EHR) 2. Explain one of the reasons why healthcare providers may find EHRs challenging
Estimated time to complete activity: 0.25 hours
Susan J. Gross, MD, FRCSC, FACOG, FACMG President and CEO, The ObG Project
Disclosure of Conflicts of Interest
Postgraduate Institute for Medicine (PIM) requires faculty, planners, and others in control of educational content to disclose all their financial relationships with ineligible companies. All identified conflicts of interest (COI) are thoroughly vetted and mitigated according to PIM policy. PIM is committed to providing its learners with high quality accredited continuing education activities and related materials that promote improvements or quality in healthcare and not a specific proprietary business interest of an ineligible company.
The PIM planners and others have nothing to disclose. The OBG Project planners and others have nothing to disclose.
Faculty: Susan J. Gross, MD, receives consulting fees from Cradle Genomics, and has financial interest in The ObG Project, Inc.
Planners and Managers: The PIM planners and managers, Trace Hutchison, PharmD, Samantha Mattiucci, PharmD, CHCP, Judi Smelker-Mitchek, MBA, MSN, RN, and Jan Schultz, MSN, RN, CHCP have nothing to disclose.
Method of Participation and Request for Credit
Fees for participating and receiving CME credit for this activity are as posted on The ObG Project website. During the period from Oct 29 2018 through Oct 29 2021, participants must read the learning objectives and faculty disclosures and study the educational activity.
If you wish to receive acknowledgment for completing this activity, please complete the post-test and evaluation. Upon registering and successfully completing the post-test with a score of 100% and the activity evaluation, your certificate will be made available immediately.
For Pharmacists: Upon successfully completing the post-test with a score of 100% and the activity evaluation form, transcript information will be sent to the NABP CPE Monitor Service within 4 weeks.
Joint Accreditation Statement
In support of improving patient care, this activity has been planned and implemented by the Postgraduate Institute for Medicine and The ObG Project. Postgraduate Institute for Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Physician Continuing Medical Education
Postgraduate Institute for Medicine designates this enduring material for a maximum of 0.25 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Continuing Nursing Education
The maximum number of hours awarded for this Continuing Nursing Education activity is 0.2 contact hours.
The conversion to electronic health record (EHR) is supposed to improve patient care and reduce incidence of medical error by
Improving the accuracy and clarity of medical records
Making the health information readily available to the health care team, thus minimizing duplication of tests and delays in treatment
Allowing patients to more actively participate in their own care and make better healthcare decisions
However, healthcare providers continue to find EHRs challenging, especially when it comes to user experience. Usability challenges lead to inefficiencies that contribute to clinician frustration and patient dissatisfaction. Common complaints include screen displays that have confusing layouts and extraneous information coupled with workflow sequences that are redundant and burdensome. Then, there are alerts that interrupt workflow with irrelevant information.
A study (J Am Med Inform Assoc., 2018) illustrates the wide variability in task duration, clicks, and accuracy when completing basic EH functions across EHR products from the same vendor and between products from different vendors. Time and the number of clicks to perform certain tasks varied almost tenfold.
For example, a simple order of Tylenol had an error rate ranging from 0 to 30 percent. It took from a low of 14 clicks to a high of 62, with a time range from 45 seconds to 1 minute 10 seconds.
Why do these variations occur, considering that EHR vendors are required to provide a user-centered design approach and conduct usability testing of certain EHR features near the end of the development process? A major culprit is local site customization, meaning that the layout and type of information presented on the screen can be altered. There are no performance guidelines or mandated requirements for testing the usability and safety of implemented EHRs. Perhaps the time has come for mandated performance standards to help ensure that all implemented EHRs have usable and safe systems that reduce both medical error rate and click rate.
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Disclosure of Unlabeled Use
This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. The planners of this activity do not recommend the use of any agent outside of the labeled indications.
The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of the planners. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.
Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information
presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient’s conditions and possible contraindications and/or dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.
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