{"id":"https://openalex.org/W2471256575","doi":"https://doi.org/10.3233/978-1-61499-658-3-870","title":"Improving EHR Usability Using LEAN Methodology","display_name":"Improving EHR Usability Using LEAN Methodology","publication_year":2016,"publication_date":"2016-01-01","ids":{"openalex":"https://openalex.org/W2471256575","doi":"https://doi.org/10.3233/978-1-61499-658-3-870","mag":"2471256575","pmid":"https://pubmed.ncbi.nlm.nih.gov/27332384"},"language":"en","primary_location":{"id":"doi:10.3233/978-1-61499-658-3-870","is_oa":false,"landing_page_url":"https://doi.org/10.3233/978-1-61499-658-3-870","pdf_url":null,"source":{"id":"https://openalex.org/S4210179765","display_name":"Studies in health technology and informatics","issn_l":"0926-9630","issn":["0926-9630","1879-8365"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"book series"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in Health Technology and Informatics","raw_type":"book-chapter"},"type":"book-chapter","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5014855619","display_name":"Corbin Bosse","orcid":null},"institutions":[{"id":"https://openalex.org/I111878022","display_name":"Linde (United States)","ror":"https://ror.org/05er00a75","country_code":"US","type":"company","lineage":["https://openalex.org/I111878022","https://openalex.org/I4210142819"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Bosse Corbin","raw_affiliation_strings":["Stewart & Linda Resnick Hospital at UCLA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Stewart & Linda Resnick Hospital at UCLA","institution_ids":["https://openalex.org/I111878022"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5005869476","display_name":"Kandace M. Kelly","orcid":null},"institutions":[{"id":"https://openalex.org/I111878022","display_name":"Linde (United States)","ror":"https://ror.org/05er00a75","country_code":"US","type":"company","lineage":["https://openalex.org/I111878022","https://openalex.org/I4210142819"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kelly Kandace","raw_affiliation_strings":["Stewart & Linda Resnick Hospital at UCLA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Stewart & Linda Resnick Hospital at UCLA","institution_ids":["https://openalex.org/I111878022"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I111878022"],"apc_list":null,"apc_paid":null,"fwci":1.2995,"has_fulltext":false,"cited_by_count":4,"citation_normalized_percentile":{"value":0.77472527,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":94},"biblio":{"volume":"225","issue":null,"first_page":"870","last_page":"870"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12918","display_name":"Healthcare Systems and Technology","score":0.9663000106811523,"subfield":{"id":"https://openalex.org/subfields/1407","display_name":"Organizational Behavior and Human Resource Management"},"field":{"id":"https://openalex.org/fields/14","display_name":"Business, Management and Accounting"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T12664","display_name":"Clinical practice guidelines implementation","score":0.9606999754905701,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/usability","display_name":"Usability","score":0.943510115146637},{"id":"https://openalex.org/keywords/workflow","display_name":"Workflow","score":0.623742401599884},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.5862963795661926},{"id":"https://openalex.org/keywords/process-management","display_name":"Process management","score":0.5304837822914124},{"id":"https://openalex.org/keywords/usability-goals","display_name":"Usability goals","score":0.4196430742740631},{"id":"https://openalex.org/keywords/usability-engineering","display_name":"Usability engineering","score":0.3351455628871918},{"id":"https://openalex.org/keywords/engineering","display_name":"Engineering","score":0.21621334552764893},{"id":"https://openalex.org/keywords/human\u2013computer-interaction","display_name":"Human\u2013computer interaction","score":0.20998415350914001},{"id":"https://openalex.org/keywords/database","display_name":"Database","score":0.1818317174911499}],"concepts":[{"id":"https://openalex.org/C170130773","wikidata":"https://www.wikidata.org/wiki/Q216378","display_name":"Usability","level":2,"score":0.943510115146637},{"id":"https://openalex.org/C177212765","wikidata":"https://www.wikidata.org/wiki/Q627335","display_name":"Workflow","level":2,"score":0.623742401599884},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.5862963795661926},{"id":"https://openalex.org/C195094911","wikidata":"https://www.wikidata.org/wiki/Q14167904","display_name":"Process management","level":1,"score":0.5304837822914124},{"id":"https://openalex.org/C62993174","wikidata":"https://www.wikidata.org/wiki/Q2928808","display_name":"Usability goals","level":4,"score":0.4196430742740631},{"id":"https://openalex.org/C100302975","wikidata":"https://www.wikidata.org/wiki/Q1642623","display_name":"Usability engineering","level":3,"score":0.3351455628871918},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.21621334552764893},{"id":"https://openalex.org/C107457646","wikidata":"https://www.wikidata.org/wiki/Q207434","display_name":"Human\u2013computer interaction","level":1,"score":0.20998415350914001},{"id":"https://openalex.org/C77088390","wikidata":"https://www.wikidata.org/wiki/Q8513","display_name":"Database","level":1,"score":0.1818317174911499}],"mesh":[{"descriptor_ui":"D014584","descriptor_name":"User-Computer Interface","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014584","descriptor_name":"User-Computer Interface","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014584","descriptor_name":"User-Computer Interface","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016247","descriptor_name":"Information Storage and Retrieval","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D016247","descriptor_name":"Information Storage and Retrieval","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D016247","descriptor_name":"Information Storage and Retrieval","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D016247","descriptor_name":"Information Storage and Retrieval","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":false},{"descriptor_ui":"D016247","descriptor_name":"Information Storage and Retrieval","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":false},{"descriptor_ui":"D016247","descriptor_name":"Information Storage and Retrieval","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D057286","descriptor_name":"Electronic Health Records","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D058996","descriptor_name":"Quality Improvement","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D058996","descriptor_name":"Quality Improvement","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D058996","descriptor_name":"Quality Improvement","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D058996","descriptor_name":"Quality Improvement","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":false},{"descriptor_ui":"D058996","descriptor_name":"Quality Improvement","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":false},{"descriptor_ui":"D058996","descriptor_name":"Quality Improvement","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":false},{"descriptor_ui":"D062527","descriptor_name":"Meaningful Use","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D062527","descriptor_name":"Meaningful Use","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D062527","descriptor_name":"Meaningful Use","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D062527","descriptor_name":"Meaningful Use","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":false},{"descriptor_ui":"D062527","descriptor_name":"Meaningful Use","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":false},{"descriptor_ui":"D062527","descriptor_name":"Meaningful Use","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.3233/978-1-61499-658-3-870","is_oa":false,"landing_page_url":"https://doi.org/10.3233/978-1-61499-658-3-870","pdf_url":null,"source":{"id":"https://openalex.org/S4210179765","display_name":"Studies in health technology and informatics","issn_l":"0926-9630","issn":["0926-9630","1879-8365"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"book series"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in Health Technology and Informatics","raw_type":"book-chapter"},{"id":"pmid:27332384","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/27332384","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in health technology and informatics","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2071861739","https://openalex.org/W2494984367","https://openalex.org/W65754041","https://openalex.org/W2805314081","https://openalex.org/W2991937863","https://openalex.org/W66146198","https://openalex.org/W4253383846","https://openalex.org/W2057864625","https://openalex.org/W1964763852","https://openalex.org/W2016308011"],"abstract_inverted_index":{"Electronic":[0],"health":[1],"record":[2],"(EHR)":[3],"usability":[4,27,34,79,111,135],"concerns":[5],"continue":[6],"to":[7,23,31,51,107,114,130,141],"reduce":[8],"EHR":[9,42,110,134],"effectiveness.":[10],"LEAN":[11,45,61,124],"methodology,":[12],"which":[13],"focuses":[14],"on":[15],"waste":[16],"elimination,":[17],"may":[18],"provide":[19],"an":[20,36,127],"effective":[21,128],"method":[22,129],"address":[24,131],"efficiency":[25,77,132],"related":[26,78,133],"deficiencies.":[28,136],"We":[29,121],"aimed":[30],"improve":[32],"the":[33,75,83],"of":[35,74,91],"inpatient":[37],"seclusion":[38],"and":[39,53,56,66,97,118],"restraint":[40],"(SR)":[41],"module":[43,70],"using":[44,60],"methodology.":[46],"A":[47],"multidisciplinary":[48],"team":[49],"convened":[50],"evaluate":[52],"redesign":[54],"clinical":[55],"technological":[57],"SR":[58,69,85],"workflows":[59],"techniques,":[62],"including":[63],"process":[64],"mapping":[65],"time-series":[67],"analyses.":[68],"modifications":[71],"addressed":[72],"40":[73],"60":[76],"deficiencies":[80],"identified":[81],"in":[82],"initial":[84],"module.":[86],"Usability":[87],"enhancements":[88],"included":[89],"elimination":[90],"10":[92],"nonessential":[93],"inputs,":[94],"21":[95],"redundancies,":[96],"nine":[98],"overhead":[99],"functions.":[100],"Process":[101],"steps":[102],"were":[103],"reduced":[104],"from":[105],"74":[106],"47.":[108],"Improving":[109],"is":[112,126,139],"critical":[113],"assure":[115],"safe,":[116],"effective,":[117],"efficient":[119],"care1.":[120],"demonstrated":[122],"that":[123],"methodology":[125],"More":[137],"research":[138],"needed":[140],"determine":[142],"how":[143],"these":[144],"improvements":[145],"impact":[146],"care":[147],"quality.":[148]},"counts_by_year":[{"year":2024,"cited_by_count":1},{"year":2022,"cited_by_count":1},{"year":2020,"cited_by_count":1},{"year":2018,"cited_by_count":1}],"updated_date":"2026-07-15T18:14:33.161393","created_date":"2025-10-10T00:00:00"}