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. Author manuscript; available in PMC: 2015 May 1.
Published in final edited form as: Int J Med Inform. 2014 Feb 3;83(5):361–367. doi: 10.1016/j.ijmedinf.2014.01.010

Table III.

Number of usability problems by method and theme.

User interface-related themes Number of findings (%)
User testing Interview Survey Totals
Time consuming to enter a diagnosis 5 (14) 17 (50) 13(36) 35(19)
Illogical ordering of terms 5 (33) 5 (33) 5(34) 15 (8)
Inconsistent naming and placement of user interface widgets 12 (86) 2 (14) 0 14(8)
Search results do not match users expectations 9 (70) 2 (15) 2(15) 13(7)
Ineffective feedback to confirm diagnosis entry 7 (88) 1(12) 0 8(4)
Users unaware of important functions to help find a diagnosis 7 (100) 0 0 7(4)
Limited flexibility in user interface 3(50) 3(50) 0 6(3)
Inappropriate granularity / specificity of concepts 2 (33) 4 (67) 0 6(3)
Term names not fully visible 2 (67) 1(33) 0 3(2)
Distinction between the category name and preferred term in terminology unclear 2 (100) 0 0 2 (1)
Diagnosis terminology-related themes
Some concepts appear missing / not included 11 (55) 1(5) 8(4) 20(11)
Visibility of the numeric code for a diagnostic term 3 (60) 2 (40) 0 5(3)
Abbreviations not recognized by users 2 (67) 0 1(33) 3(2)
Users not clear about the meaning of some concepts 0 4(100) 0 4(2)
Some concepts not classified in appropriate categories / sub categories 2 (100) 0 0 2(1)
Work domain and workflow related themes
Knowledge level of diagnostic term concepts and how to enter in EHR limited 14(70) 2(10) 4(20) 20(11)
Free text option can be used circumvent structured data entry 7 (58) 5(42) 0 12(7)
Only one diagnosis can be entered for each treatment 0 2(100) 0 2 (1)
No decision support to help suggest appropriate diagnoses, or alert if inappropriate ones are selected 2(100) 0 0 2 (1)
Synonyms not displayed 2(100) 0 0 2(1)
Diagnosis cannot be charted using the Odontogram or Periogram 0 0 1(100) 1(0)
No historical view of when a diagnosis has been added or modified 1(100) 0 0 1(0)
No way to indicate state of diagnosis (i.e differential, working or definitive) 0 3(100) 0 3(2)
Users forced to enter a diagnosis for treatments that may not require them 1 0 0 1(0)
Total: 99 (54) 54(28) 34(18) 187 (100)