Consistency

This entry is part 18 of 44 in the series Words

Neatness counts.

Trying to find my way from the entrance of my 12 year old daughter’s bedroom to the bed to kiss her goodnight, especially if barefoot, is considerably more dangerous than most of the search and rescue and disaster operations I’ve been on.

Navigating the screens of medical software often seems like walking in my daughter’s room with the lights out, blindfolded, backwards. I’m sure you can find examples in many medical software applications, and there are many causes for such problems.

But one of the most important is consistency, or rather lack of it.

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Layers

This entry is part 17 of 44 in the series Words

When using a point-and-click medical charting application (of which there are a zillion, and I think I’ve used maybe a half-zillion) there are many designs, but I’ve recently realized there is a way to divide them into two types. There are one-layer charting apps and two-layer charting apps. I’m not talking about computer layers, I’m talking about conceptual layers.Layers Icon

In a one-conceptual-layer app, you click on a word to instantiate it. For example, if charting about someone’s tonsils, and you click on the word

Tonsillar Exudate

then that means that there is exudate on the tonsils. Conceptually, it’s a one-step process; there is only one layer of cognition needed to check items on the page. You click on the word to validate it. If you click on Tonsillar Exudate, there are tonsillar exudates. Read the rest of this entry »

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ALLCAPS

This entry is part 16 of 44 in the series Words

I was just a few seconds ago scanning a page of possible tests in the program DocuTAP, a list of about fifty items, to enter an order for an EKG. On the list, everything is in ALL CAPS. Even though I knew the approximate location of what I was looking for, it took me a long time to find “EKG.” I think if all the other entries on the page, things likeALLCAPS

CHECK VITAL SIGNS
DISCONTINUE IV THERAPY
EKG
ORTHOSTATIC BP, PULSE
SET UP FOR PELVIC EXAM
AEROSOL TREATMENT, ADDITIONAL

WERE (whoops, sorry, need to hit the CapsLock key) were in Mixed Case, it would have been much easier to find.

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What’s in a word?

This entry is part 15 of 44 in the series Words

What’s in a word? That which we call a roseWilliam Shakespeare portrait
By any other name would smell as sweet.
Romeo and Juliet (II, ii, 1-2)

OK, I cheated. I changed “name” to “word.” It sounded better for the purposes of this essay, which is about the need to choose words carefully. Yes, I changed a word of The Bard’s, and for the worse. So sue me. It makes the point.

This blog is about the usability of medical software. So I am going to offer a real-life example where the choice of a single word can have a major effect on usability. Read the rest of this entry »

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Ignore

This entry is part 14 of 44 in the series Words

No, I’m not talking about a system error message like Windows’ infamous “Abort, Retry, Fail?”

I’m talking about active cognitive ignoring.

This occurred to me as I’ve been using an electronic medical record system called DocuTAP. It has many very, very busy screens, each with a hundred or so items from which to choose.

But I and other have learned to use it relatively quickly and efficiently. It’s hard, and it takes a lot of concentration and time, but we’ve done it.

Quoting from the website: “The DocuTAP system is extremely user-friendly and easy to learn. We can typically teach a new staff member how to use the system in less than two hours.” –Greg Troyer Owner. Yes, but how long does it take to learn to use it efficiently and effectively? I probably shouldn’t be picking on DocuTAP, as it’s no worse than many other point-and-click charting solutions, and at least you can learn to use it fairly efficiently, which is not true of a fair number of its competitors, so I’d rate it better-than-average. Read the rest of this entry »

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//commented out L sidebar 7/26/11 //