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(NISTIR 7804) Technical Evaluation, Testing and Validation of the Usability of Electronic Health Records



Svetlana Z. Lowry, Matthew T. Quinn, Mala Ramaiah, Robert M. Schumacher, Emily S. Patterson, Robert North, Jiajie Zhang, Michael C. Gibbons, Patricia Abbott


Electronic Health Record (EHR) Usability Protocol (EUP) encompasses procedures for (1) expert evaluation of an EHR user interface from a clinical perspective and a human factors best practices perspective, and (2) validation studies of EHR user interfaces with representative user groups on realistic EHR tasks. The intent of the EUP is to provide detailed systematic steps for conducting validation studies (that is, summative usability tests). The validation study procedure guides the reader to help ensure that the application’s user interface is free from critical usability issues and supports error-free user interaction with EHR. The sample forms for data collection and test scenarios provided in the appendices are guidance only; the development teams can choose other scenarios or modify these examples as necessary for their medical context.
NIST Interagency/Internal Report (NISTIR) - 7804
Report Number


Electronic Health Record (EHR), EHR Usability Protocol, EHR Users, EHR Use Errors, EHR Usability Expert Evaluation, EHR Usability Testing, EHR Summative Testing


Lowry, S. , Quinn, M. , Ramaiah, M. , Schumacher, R. , Patterson, E. , North, R. , , J. , C., M. and , P. (2012), (NISTIR 7804) Technical Evaluation, Testing and Validation of the Usability of Electronic Health Records, NIST Interagency/Internal Report (NISTIR), National Institute of Standards and Technology, Gaithersburg, MD, [online], (Accessed July 17, 2024)


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Created February 21, 2012, Updated November 10, 2018