Evaluating the usability of a national health information system with heuristic method

Hospital Statistics and Information System is one of the most important health information systems in Iran used in all hospitals in this country. Usability problems can reduce the speed and precision of users when interacting with this system. This study aimed to identify the usability problems of a national health system called “AVAB”.

This descriptive cross‑sectional study was conducted in 2020, and three experts evaluated the usability of this system independently by the heuristic evaluation method. Nielsen’s usability principles were used to identify usability problems and to classify their severity.

A total of 86 unique problems were identified. The highest number of problems were related to the two principles of “help and documentation” and “match between system and the real world” with 23 and 11 usability problems, respectively. The lowest number of problems were related to the two principles of “visibility of system status” and “help users recognize, diagnose, and recover from errors,” each with three problems. 58.1% of the identified problems were in the group of major and catastrophic problems.

With the help of heuristic evaluation method, a significant number of usability problems of Hospital Statistics and Information System were identified. Most of the identified problems were major and catastrophic, and it is necessary to solve these problems by the designers and developers of this system.