Electronic health record vendors are not adhering to usability testing standards for their EHR products and are failing to meet federally mandated user-centered design requirements, despite the EHRs being certified by the Office of the National Coordinator for Health IT for meeting requirements of the Meaningful Use program.

That’s the conclusion of Raj Ratwani, Ph.D., ‎scientific director of MedStar Health’s National Center for Human Factors in Healthcare, and his colleagues who studied publicly available reports from the top 50 EHR vendors, as measured by the number of Meaningful Use attestations they had made between April 1, 2013, and Nov. 30, 2014. Their research, published on Tuesday in the Journal of the American Medical Association, focused specifically on the 2014 Certification Edition requirements.

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