Table 2. Illustrative examples of usability concerns.

	Site 1 ( n  = 10)	Site 2 ( n  = 10)
Usability concern	Responses	Responses
Clicks	…very functional, and yet it [has] too many clicks to get to key functions that we need in the emergency department, so it's robust, but it's not streamlined”	And there's no real shortcuts other than finding it [the information] with the mouse and then clicking it. It doesn't make any sense to me
Accessing information	–	…sometimes you just can't find what you're looking for and you've got to get help to figure out
Navigation	…sometimes [it is] kind of difficult to find those [patient] orders and you have to click a couple of different tabs	Going in and out of the patient's chart multiple times can result in being lost in it [the patient chart] and having to find things over and over again rather than having them easily found
Repetitive tasks	–	When searching [patient notes, the system ends up] repopulating every single time
Multiple windows	I'd love to just be able to open the EKG in chart completion, but we can't, we have to go into the chart and then EKG, and then go into the charting function and then write it and then sign	Due to multiple steps in placing an order, time adds up and requires more attention
Screen clutter	…sometimes there's like a lot of stuff that I feel like is not necessary, but I'm assuming it's there because it's necessary to someone else, not me	The [EHR] templates look like “an order from a restaurant” - abbreviated information without any flow

Abbreviations: EHR, electronic health record; EKG, electrocardiography.