Health information technology: fallacies and sober realities
Open accessAbstract
Current research suggests that the rate of adoption of health information technology (HIT) is low, and that HIT may not have the touted beneficial effects on quality of care or costs. The twin issues of the failure of HIT adoption and of HIT efficacy stem primarily from a series of fallacies about HIT. We discuss 12 HIT fallacies and their implications for design and implementation. These fallacies must be understood and addressed for HIT to yield better results. Foundational cognitive and human factors engineering research and development are essential to better inform HIT development, deployment, and use.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
0 of 54 cited sources checked · 0 supported · 0 flagged
- Premisecitation§ THE 'RISK FREE HIT' FALLACY · p. 1
Current HIT may have programming errors and bugs.
“Have programming errors and bugs;”
Quote in the paperSubstantial claim0 of 1 sources checked- cites 16 18 28 35 e 39
Not checked in the free run.
- Premisecitation§ THE 'RISK FREE HIT' FALLACY · p. 1
Current HIT may depend on unreliable hardware or software platforms.
“Be dependent on unreliable hardware or software platforms;”
Quote in the paperSubstantial claim0 of 1 sources checked- cites 16 18 28 35 e 39
Not checked in the free run.
- Premisecitation§ INTRODUCTION · p. 1
HIT can improve patient safety and healthcare quality in certain circumstances.
“Current research demonstrates that health information technology (HIT) can improve patient safety and healthcare quality, in certain circumstances. 1 e 6”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites 1 e 6
Not checked in the free run.
- Premisecitation§ THE 'BAD APPLE' FALLACY · p. 2
The systems view of error is supported by strong theory and evidence from safety science, industrial and systems engineering, and social psychology.
“which is supported by strong theory and evidence from safety science, industrial and systems engineering, and social psychology. 62 64 65”
Quote in the paperSubstantial claim0 of 1 sources checked- cites 62 64 65
Not checked in the free run.
- Interpretationreasoning§ INTRODUCTION · p. 1
The twin problems of HIT adoption failure and HIT efficacy failure are primarily explained by a set of mistaken beliefs about HIT.
“we argue that the twin issues of the failure of HIT adoption and of HIT efficacy can be understood by examining a series of misguided beliefs about HIT.”
Quote in the paperNot a substantial claim- Rests on an assumption: The fallacies described in the paper are widely held by HIT designers and policymakers.
- Premisecitation§ THE 'RISK FREE HIT' FALLACY · p. 1
Current HIT may work well in one context or organization but be unsafe or fail in another.
“Work well in one context or organization but be unsafe or even fail in another;”
Quote in the paperSubstantial claim0 of 1 sources checked- cites 16 18 28 35 e 39
Not checked in the free run.
- Interpretationreasoning§ THE 'RISK FREE HIT' FALLACY · p. 1
HIT systems tend to exchange many small failures for a few large, potentially catastrophic failures.
“HIT systems tend to have a ' magnifying ' property, wherein one exchanges a large number of small failures for a small number of large, potentially catastrophic failures.”
Quote in the paperSubstantial claim - Interpretationcitation§ THE 'RISK FREE HIT' FALLACY · p. 1
HIT systems invariably contain bugs and latent failure modes because humans design, build, and implement them.
“because HIT is designed, built, and implemented by humans, it will invariably have ' bugs ' and latent failure modes. 21 22”
Quote in the paperSubstantial claim0 of 1 sources checked- cites 21 22
Not checked in the free run.
- Premisecitation§ THE 'RISK FREE HIT' FALLACY · p. 1
There are currently no regulatory requirements to evaluate HIT system safety.
“Currently, there are no regulatory requirements to evaluate HIT system safety even though these systems are known to directly affect patient care in both positive and negative ways. 2 17 18 27 e 34”
Quote in the paperSubstantial claim0 of 1 sources checked- cites 2 17 18 27 e 34
Not checked in the free run.
- Premisecitation§ THE 'RISK FREE HIT' FALLACY · p. 1
Current HIT may have been developed from erroneous or incomplete design specifications.
“Have been developed from erroneous or incomplete design specifications;”
Quote in the paperSubstantial claim0 of 1 sources checked- cites 16 18 28 35 e 39
Not checked in the free run.
- Interpretationnone given§ THE 'HIT IS NOT A DEVICE' FALLACY · p. 2
It is unlikely that any effective process of independent review of HIT safety will be in place within the time frame produced by the HITECH Act.
“it is unlikely that any effective process of independent review of safety will be in place in the time frame produced by the HITECH Act.”
Quote in the paperNot a substantial claim - Premisecitation§ THE 'RISK FREE HIT' FALLACY · p. 1
Deploying HIT in high-pressure environments with critically ill patients poses significant risk.
“The deployment of HIT in high-pressure environments with critically ill patients poses significant risk. 17 e 19”
Quote in the paperSubstantial claim0 of 1 sources checked- cites 17 e 19
Not checked in the free run.
- Premisecitation§ THE 'RISK FREE HIT' FALLACY · p. 1
HIT failures are often opaque to users and system managers.
“they are often opaque to users and system managers alike; it can be very challenging to understand exactly how a particular failure occurred.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites 16 25 26
Not checked in the free run.
- Premisecitation§ THE 'RISK FREE HIT' FALLACY · p. 1
Complex software systems cannot yet be designed and deployed to be on time, within budget, meet requirements, satisfy users, be reliable, maintainable, and safe.
“we cannot yet design and deploy complex software systems that are on time, within budget, meet the specified requirements, satisfy their users, are reliable (bug free and available), maintainable, and safe. 23 24”
Quote in the paperSubstantial claim0 of 1 sources checked- cites 23 24
Not checked in the free run.
- Premisecitation§ THE 'LEARNED INTERMEDIARY' FALLACY · p. 2
The way problems, information, or recommendations are presented to users by technology reframes them in ways that neither users nor designers may appreciate.
“it is well established that the way in which problems, information, or recommendations are presented to users by technology reframes them in ways that neither the users nor the designer may appreciate. 39 54”
Quote in the paperSubstantial claim0 of 1 sources checked- cites 39 54
Not checked in the free run.
- Premisecitation§ THE 'LEARNED INTERMEDIARY' FALLACY · p. 2
Users are inevitably and often unknowingly influenced by design details such as placement, font size, information similarity, and perceived credibility.
“Users are inevitably and often unknowingly influenced by what many HIT designers might consider trivial design details d placement (information availability), font size (salience), information similarity and representativeness, perceived credibility (or authority), etc. 57 e 59”
Quote in the paperSubstantial claim0 of 1 sources checked- cites 57 e 59
Not checked in the free run.
- Premisecitation§ THE 'BAD APPLE' FALLACY · p. 2
Poor HIT outcomes result from interactions of multiple latent and triggering factors in a field of practice, not from isolated acts of individuals.
“Poor HIT outcomes do not result from isolated acts of individuals, but from interactions of multiple latent and triggering factors in a field of practice. 18 20 65 66”
Quote in the paperSubstantial claim0 of 1 sources checked- cites 18 20 65 66
Not checked in the free run.
- Premisecitation§ THE 'LEARNED INTERMEDIARY' FALLACY · p. 2
Data presentation format affects what the user perceives and believes to be salient and therefore affects subsequent decisions and actions.
“Data presentation format will affect what the user perceives and believes to be salient (or not) and therefore affects subsequent decisions and actions. 55 56”
Quote in the paperSubstantial claim0 of 1 sources checked- cites 55 56
Not checked in the free run.
- Premisecitation§ INTRODUCTION · p. 1
HIT may not reliably improve care quality.
“HIT may not reliably improve care quality 11 12”
Quote in the paperSubstantial claim0 of 1 sources checked- cites 11 12
Not checked in the free run.
- Premisecitation§ THE 'HIT IS NOT A DEVICE' FALLACY · p. 2
A pre-market requirement for rigorous independent safety assessment has shown some promise in proactively identifying and mitigating risks without unduly degrading innovation and necessary product evolution.
“This approach has shown some promise in proactively identifying and mitigating risks without unduly degrading innovation and necessary product evolution.”
Quote in the paperSubstantial claim0 of 2 sources checked- cites 50 51
Not checked in the free run.
- cites [52] Läkemedelsverket. Proposal for Guidelines Regarding Classification of Software Based Information Systems Used in Health Care. Stockholm, Sweden: Medical Products Agency, 2009 (revised 18 Jan 2010).
Not checked in the free run.
- Premisecitation§ THE 'BAD APPLE' FALLACY · p. 2
Bad outcomes result from interactions among systems components including people, tools and technologies, physical environment, workplace culture, and organizational, state, and federal policies.
“bad outcomes are the result of the interactions among systems components including the people, tools and technologies, physical environment, workplace culture, and the organizational, state, and federal policies which govern work.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites 62 64 65
Not checked in the free run.
- Premisecitation§ THE 'LEARNED INTERMEDIARY' FALLACY · p. 2
People will accept worse solutions from an external aid than they could have conceived of, unaided.
“Empirical studies have demonstrated that people will accept worse solutions from an external aid than they could have conceived of, unaided. 60”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [60] source
Not checked in the free run.
- Premisecitation§ THE 'RISK FREE HIT' FALLACY · p. 1
HIT software has commonly been identified as among the least reliable.
“HIT software has commonly been identified as being among the least reliable. 45”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [45] source
Not checked in the free run.
- Premisecitation§ INTRODUCTION · p. 1
HIT adoption rates are low.
“other research shows that HIT adoption rates are low, 7 e 10”
Quote in the paperSubstantial claim0 of 1 sources checked- cites 7 e 10
Not checked in the free run.
- Interpretationreasoning§ THE 'FATHER KNOWS BEST' FALLACY · p. 3
Most HIT has been designed to meet the needs of people who do not have to enter, interact with, or manage the primary data.
“most HIT has been designed to meet the needs of people who do not have to enter, interact with, or manage the primary (ie, raw) data.”
Quote in the paperSubstantial claim - Premisecitation§ THE 'ONE SIZE FITS ALL' FALLACY · p. 3
Depending on how well the HIT supports the needs of different users and of the team as a whole, these interactions may be improved or degraded.
“Depending on how well the HITsupports the needs of the different users and of the team as a whole, these interactions may be improved or degraded. 80 e 82”
Quote in the paperSubstantial claim0 of 1 sources checked- cites 80 e 82
Not checked in the free run.
- Interpretationreasoning§ THE 'NO ONE ELSE UNDERSTANDS HEALTHCARE' FALLACY · p. 4
Teams of well-intentioned clinicians and software engineers typically will not have the requisite breadth and depth of theories, tools, and ideas to develop robust and usable systems.
“such teams typically will not have the requisite breadth and depth of theories, tools, and ideas to develop robust and usable systems.”
Quote in the paperNot a substantial claim - Premisecitation§ THE 'MESSY DESK' FALLACY · p. 3
In many clinical settings, multiple patients are managed simultaneously, with clinicians repeatedly switching among sets of goals and tasks, continuously reprioritizing and replanning their work.
“in many clinical settings, multiple patients are managed simultaneously, with clinicians repeatedly switching among sets of goals and tasks, continuously reprioritizing and replanning their work. 69 70”
Quote in the paperSubstantial claim0 of 1 sources checked- cites 69 70
Not checked in the free run.
- Interpretationreasoning§ THE 'USE EQUALS SUCCESS' FALLACY · p. 2
The effort and resilience of front-line workers is a finite resource, and its consumption by workarounds reduces the overall ability of the system to cope with unexpected conditions and failures.
“the effort and resilience of front-line workers is a finite resource and its consumption by workarounds to make HITwork because its use is required reduces the overall ability of the system to cope with unexpected conditions and failures.”
Quote in the paperSubstantial claim - Premisecitation§ THE 'FIELD OF DREAMS' FALLACY AND THE 'SIT-STAY' FALLACY · p. 3
Designers sometimes design for a world that does not actually exist.
“designers sometimes design for a world that does not actually exist 78 (also called the ' imagined world fallacy ' ).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [78] Vicente KJ . Cognitive Work Analysis. Mahwah, NJ: Lawrence Erlbaum Associates, 1999.
Not checked in the free run.
- Interpretationcitation§ THE 'NO ONE ELSE UNDERSTANDS HEALTHCARE' FALLACY · p. 4
Involvement of human factors engineering, cognitive engineering, interaction design, psychology, sociology, anthropology, etc, in all phases of HIT design and implementation could substantially improve HIT usability, efficiency, safety, and user satisfaction.
“The involvement of human factors engineering, cognitive engineering, interaction design, psychology, sociology, anthropology, etc, in all phases of HIT design and implementation will not be a panacea, but could substantially improve HIT usability, efficiency, safety, and user satisfaction. 80”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [80] Saleem JJ Russ AL Sanderson P . Current challenges and opportunities for better integration of human factors research with development of clinical information systems. Yearb Med Inform 2009:48–58. source
Not checked in the free run.
- Premisereasoning§ THE 'MESSY DESK' FALLACY · p. 3
Many parts of healthcare delivery are messy and non-linear as a complex sociotechnical system.
“as a complex sociotechnical system, many parts of healthcare delivery are messy and non-linear.”
Quote in the paperNot a substantial claim - Interpretationreasoning§ THE 'FIELD OF DREAMS' FALLACY AND THE 'SIT-STAY' FALLACY · p. 3
A computer, in its consistency, can perpetuate errors on a very large scale.
“a computer, in its consistency, can perpetuate errors on a very large scale.”
Quote in the paperSubstantial claim - Premisecitation§ THE 'FATHER KNOWS BEST' FALLACY · p. 3
Those who suffer the costs of poorly designed and inefficient HIT are front-line providers, clerks, and patients.
“those who suffer the costs of poorly designed and inefficient HIT are front-line providers, clerks, and patients.”
Quote in the paperSubstantial claim0 of 2 sources checked - Interpretationreasoning§ THE 'MESSY DESK' FALLACY · p. 3
Because of time constraints, many care goals and the tasks or decisions needed to pursue those goals are intentionally deferred until a future opportunity.
“Because of time constraints, many care goals, and the tasks or decisions needed to pursue those goals, are intentionally deferred until a future opportunity.”
Quote in the paperSubstantial claim - Premisecitation§ THE 'MESSY DESK' FALLACY · p. 3
In such settings, patient care is less an algorithmic sequence of choices and actions than an iterative process of sensing, probing, and reformulating intermediate goals negotiated among clinicians, patients, caregivers, and clinical circumstances.
“In such settings, patient care is less an algorithmic sequence of choices and actions than an iterative process of sensing, probing, and reformulating intermediate goals negotiated among clinicians, patients, caregivers, and the clinical circumstances.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites 69 70
Not checked in the free run.
- Premisereasoning§ THE 'ONE SIZE FITS ALL' FALLACY · p. 3
There are tremendous differences in the HIT needs of different clinical roles, clinical situations, clinical environments, and institutions.
“There are tremendous differences in the HIT needs of different clinical roles (nurse vs physician), clinical situations (acute vs chronic care), clinical environments (intensive care unit vs ambulatory clinic, etc), and institutions.”
Quote in the paperNot a substantial claim - Interpretationreasoning§ THE 'MESSY DESK' FALLACY · p. 3
HIT designs often assume a rationalized model of healthcare delivery.
“HIT designs often assume a rationalized model of healthcare delivery.”
Quote in the paperSubstantial claim - Premisecitation§ THE 'FATHER KNOWS BEST' FALLACY · p. 3
Grudin's Law: When those who benefit from a technology are not those who do the work, then the technology is likely to fail or be subverted.
“Grudin ' s Law, one form of which is: ' When those who benefit from a technology are not those who do the work, then the technology is likely to fail or be subverted. ' 75”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [75] Grudin J . Computer-supported cooperative work: history and focus. IEEE Computer 1994;27:19–27. source
Not checked in the free run.
- Premisecitation§ THE 'NO ONE ELSE UNDERSTANDS HEALTHCARE' FALLACY · p. 4
People's ideas for what should be part of HIT design are hypotheses based on their perceptions of the world.
“People ' s ideas for what should be part of HIT design are hypotheses based on their perceptions of the world. 87”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [87] source
Not checked in the free run.
- Interpretationreasoning§ THE 'MESSY DESK' FALLACY · p. 3
The mismatch between the reality of clinical work and how it is rationalized by HIT leads clinicians to perceive these systems as disruptive and inefficient.
“This mismatch between the reality of clinical work and how it is rationalized by HIT leads clinicians to perceive that these systems are disruptive and inefficient.”
Quote in the paperSubstantial claim - Interpretationreasoning§ THE 'ONE SIZE FITS ALL' FALLACY · p. 3
The interaction of HIT with multiple users will influence communication, coordination, and collaboration.
“The interaction of HIT with multiple users will influence communication, coordination, and collaboration.”
Quote in the paperSubstantial claim - Interpretationreasoning§ THE 'NO ONE ELSE UNDERSTANDS HEALTHCARE' FALLACY · p. 4
What clinicians want and what will actually improve their work may be quite different.
“What clinicians want and what will actually improve their work may be quite different.”
Quote in the paperNot a substantial claim - Premisereasoning§ THE 'NO ONE ELSE UNDERSTANDS HEALTHCARE' FALLACY · p. 4
Understanding what would help people in their complex work is not as simple as asking them what they want.
“Understanding what would help people in their complex work is not as simple as asking them what they want 86 d an all too common approach in HIT design.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [86] Andre AD Wickens CD . When users want whats not best for them. Ergon Des 1995:10–14. source
Not checked in the free run.
- Premisenone given§ THE 'MESSY DESK' FALLACY · p. 3
There exist processes within clinical care that require linearity and benefit from standardization.
“There exist processes within clinical care that require linearity and benefit from standardization.”
Quote in the paperNot a substantial claim - Premisenone given§ THE 'ONE SIZE FITS ALL' FALLACY · p. 3
The one doctor-one patient paradigm has largely been replaced by teams of physicians, nurses, pharmacists, other clinicians, and ancillary staff interacting with multiple patients and their families, often in different physical locations.
“The one doctor e one patient paradigm has largely been replaced by teams of physicians, nurses, pharmacists, other clinicians, and ancillary staff interacting with multiple patients and their families, often in different physical locations.”
Quote in the paperNot a substantial claim - Premisecitation§ THE 'FATHER KNOWS BEST' FALLACY · p. 3
Most benefits of current HIT systems accrue to entities upstream from direct patient care processes-hospital administrators, quality improvement professionals, payors, regulators, and the government.
“most of the benefits of current HIT systems accrue to entities upstream from direct patient care processes 72 d hospital administrators, quality improvement professionals, payors, regulators, and the government. 73”
Quote in the paperSubstantial claim0 of 2 sources checked - Interpretationreasoning§ THE 'USE EQUALS SUCCESS' FALLACY · p. 2
The fact that people can use a technology to accomplish their work is not, in itself, an endorsement of that technology.
“the fact that people can use a technology to accomplish their work is not, in itself, an endorsement of that technology.”
Quote in the paperNot a substantial claim - Interpretationreasoning§ THE 'ONE SIZE FITS ALL' FALLACY · p. 3
HIT cannot be designed as if there is always a single user, such as a doctor, working with a single patient.
“HITcannot be designed as if there is always a single user, such as a doctor, working with a single patient.”
Quote in the paperNot a substantial claim - Interpretationreasoning§ THE 'WE COMPUTERIZED THE PAPER, SO WE CAN GO PAPERLESS' FALLACY · p. 4
Taking the data elements in a paper-based healthcare system and computerizing them is unlikely to create an efficient and effective paperless system.
“Taking the data elements in a paper-based healthcare system and computerizing them is unlikely to create an efficient and effective paperless system.”
Quote in the paperSubstantial claim - Premisecitation§ THE 'WE COMPUTERIZED THE PAPER, SO WE CAN GO PAPERLESS' FALLACY · p. 4
Paper continues to be used extensively at a large Veterans Affairs Medical Center where EHRs have existed for 10 years.
“The paper persistence problem was recently explored at a large Veterans Affairs Medical Center 84 where EHRs have existed for 10 years. Paper continues to be used extensively.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [84] source
Not checked in the free run.
- Interpretationreasoning§ THE 'NO ONE ELSE UNDERSTANDS HEALTHCARE' FALLACY · p. 4
What clinicians say they want may be limited by their own understanding of the complexity of their work or even their design vocabulary.
“What clinicians say they want may be limited by their own understanding of the complexity of their work or even their design vocabulary.”
Quote in the paperNot a substantial claim - Premisecitation§ WHAT SHOULD WE DO NOW? · p. 5
Hold harmless clauses in many HIT contracts harm organizational learning, innovation, and safety by discouraging reporting and sharing of experiences and data.
“The ' hold harmless ' clauses 53 found in many HIT contracts are anathema to organizational learning, innovation, and safety because they stifle reporting and sharing of experiences and data”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [53] source
Not checked in the free run.
- Premisecitation§ WHAT SHOULD WE DO NOW? · p. 4
There is not enough contextual research to underpin effective design and implementation of health information technology.
“Unfortunately, insufficient contextual research has been conducted to support effective HIT design and implementation.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [14] Stead WW Lin HS , eds. Computational Technology for Effective Health Care: Immediate Steps and Strategic Directions. Washington DC: National Academies Press, 2009.
Not checked in the free run.
- Premisecitation§ WHAT SHOULD WE DO NOW? · p. 5
Meaningful use measurements exist to enable government incentive payments to physicians for HIT adoption.
“Measurements of meaningful use 15 are designed to facilitate payment of government incentives to physicians for adopting HIT.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [15] US Department of Health and Human Services. Final rule on meaningful use. http://edocket.access.gpo.gov/2010/pdf/2010-17207.pdf (accessed 14 Jul 2010).
Not checked in the free run.
- Interpretationreasoning§ WHAT SHOULD WE DO NOW? · p. 5
Current functional usage measures of meaningful use will lead healthcare facilities and practices to focus on those measures and neglect others that may be more important.
“Finally, the current functional usage measures of meaningful use will focus healthcare facilities and practices on meeting those measures (eg, a certain percentage of prescriptions must be generated by HIT systems) to the exclusion of others (eg, the incidence of inappropriate prescribing) that may be more important”
Quote in the paperNot a substantial claim - Premisecitation§ WHAT SHOULD WE DO NOW? · p. 4
The specific context of HIT design and implementation can strongly affect its effectiveness, safety, and true cost.
“the details of HIT design and implementation 100 in a specific context can make a huge difference to its effectiveness, safety, and real cost”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [100] source
Not checked in the free run.
- May combine two claims. 28
- Classified as probably not a substantial claim. 21
May combine two claims.
Interpretationcitation§ THE 'USE EQUALS SUCCESS' FALLACY · p. 2Equating HIT usage with design success can be misleading and may lead to inappropriate policies to improve use.
“Equating HIT usage with design success can be misleading and may promulgate inappropriate policies to improve ' use ' . 67”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [67] source
Not checked in the free run.
Classified as probably not a substantial claim. May combine two claims.
Premisecitation§ INTRODUCTION · p. 1Nationwide deployment of health care IT as currently pursued will not achieve the vision of 21st-century health care and may set it back unless changed.
“current efforts aimed at the nationwide deployment of health care ITwill not be sufficient to achieve the vision of 21st-century health care, and may even set back the cause if these efforts continue wholly without change from their present course.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [14] Stead WW Lin HS , eds. Computational Technology for Effective Health Care: Immediate Steps and Strategic Directions. Washington DC: National Academies Press, 2009.
Not checked in the free run.
May combine two claims.
Premisecitation§ THE 'RISK FREE HIT' FALLACY · p. 1HIT systems are known to directly affect patient care in both positive and negative ways.
“Currently, there are no regulatory requirements to evaluate HIT system safety even though these systems are known to directly affect patient care in both positive and negative ways. 2 17 18 27 e 34”
Quote in the paperSubstantial claim0 of 1 sources checked- cites 2 17 18 27 e 34
Not checked in the free run.
Probably not a substantial claim: may not pass S4 (based).
Interpretationnone given§ THE 'LEARNED INTERMEDIARY' FALLACY · p. 2Changing the order of medication options on a drop down pick list will influence clinicians' ordering behavior.
“changing the order of medication options on a drop down pick list will influence clinicians ' ordering behavior.”
Quote in the paperNot a substantial claimMay combine two claims.
Interpretationcitation§ THE 'HIT IS NOT A DEVICE' FALLACY · p. 2A passive monitoring approach, as currently suggested by the Office of the National Coordinator, seems likely to be expensive and ultimately ineffective.
“A passive monitoring approach, as currently suggested by the Office of the National Coordinator, 49 seems likely to be both expensive and ultimately ineffective.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [49] Egerman P Probst M . Memorandum to David Blumenthal: Adoption-Certification Workgroup HIT Safety Recommendations. http://healthit.hhs.gov/portal/server.pt/gateway/PTARGS_0_11673_911847_0_0_18/AdoptionCertificationLetterHITSafetyFINAL508.pdf (accessed 17 Aug 2010).
Not checked in the free run.
- Rests on an assumption: The current passive monitoring approach suggested by the Office of the National Coordinator is likely to be expensive and ineffective.
May combine two claims.
Premisecitation§ THE 'RISK FREE HIT' FALLACY · p. 1Current HIT may change how clinicians do their daily work, introducing new potential failure modes.
“Change how clinicians do their daily work, thus introducing new potential failure modes. 16 18 28 35 e 39”
Quote in the paperSubstantial claim0 of 1 sources checked- cites 16 18 28 35 e 39
Not checked in the free run.
Classified as probably not a substantial claim.
Premisecitation§ INTRODUCTION · p. 1HIT may not reduce costs.
“or reduce costs. 13”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [13] source
Not checked in the free run.
May combine two claims.
Premisecitation§ THE 'BAD APPLE' FALLACY · p. 2Human factors engineers, social psychologists, and patient safety researchers have debunked the bad apple theory of human error and replaced it with the systems view of error.
“human factors engineers, social psychologists, and patient safety researchers long ago debunked the bad apple theory of human error, replacing it with the more accurate and useful systems view of error, 21 62 63”
Quote in the paperSubstantial claim0 of 1 sources checked- cites 21 62 63
Not checked in the free run.
May combine two claims.
Premisecitation§ THE 'HIT IS NOT A DEVICE' FALLACY · p. 2HIT systems are complex and pose a significant risk of potentiating serious error.
“The complexity of HIT systems and the risk of potentiating serious error is sufficiently significant to demand effective regulatory oversight. 46”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [46] Hoffman S Podgurski A . Finding a cure: the case for regulation and oversight of electronic health record systems. Harv J Law Technol 2008;22:104–65.
Not checked in the free run.
May combine two claims.
Premisecitation§ THE 'FATHER KNOWS BEST' FALLACY · p. 3The mismatch between who benefits and who pays leads to incomplete or inaccurate data entry, inefficiency, workarounds, and poor adoption.
“This mismatch between who benefits and who pays leads to incomplete or inaccurate data entry ( ' garbage in d garbage out ' ), inefficiency, workarounds, and poor adoption. 74”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [74] Abbott P Coenan A . Globalization and advances in information and communication technologies: The impact on nursing and health. Nurs Outlook 2008;58:238–46. source
Not checked in the free run.
May combine two claims.
Interpretationreasoning§ THE 'FIELD OF DREAMS' FALLACY AND THE 'SIT-STAY' FALLACY · p. 3Many catastrophes in complex sociotechnical systems occur in novel and complex situations, particularly when the technology does not communicate effectively with its human users.
“Many catastrophes in complex sociotechnical systems (eg, Three Mile Island) occur in such situations, particularly when the technology does not communicate effectively with its human users.”
Quote in the paperSubstantial claimMay combine two claims.
Interpretationnone given§ THE 'FIELD OF DREAMS' FALLACY AND THE 'SIT-STAY' FALLACY · p. 3Computers are very good at repeatedly doing whatever they were told to do, with a degree of consistency much higher than human workers.
“computers are very good at repeatedly doing whatever they were told to do, just like a well-trained animal (ie, ' sitstay ' ). Computers implement human-derived rules and with a degree of consistency much higher than human workers.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S2 (checkable).
Interpretationreasoning§ THE 'FATHER KNOWS BEST' FALLACY · p. 3Unintended consequences, such as physicians and hospitals investing in HIT to the exclusion of more effective local strategies, may occur if definitions of meaningful use and certified systems are not considered carefully.
“Otherwise, unintended consequences, such as physicians and hospitals investing in HIT to the exclusion of what might actually be more effective local strategies (eg, use of nurse case managers or process redesign), may occur.”
Quote in the paperNot a substantial claimMay combine two claims.
Premisereasoning§ THE 'USE EQUALS SUCCESS' FALLACY · p. 2Healthcare is a complex sociotechnical system where simple metrics can mislead because they do not adequately consider the context of human decisions.
“Healthcare is a complex sociotechnical system where simple metrics can mislead because they do not adequately consider the context of human decisions at the time they are made.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S2 (checkable), S4 (based).
Interpretationreasoning§ THE 'FIELD OF DREAMS' FALLACY AND THE 'SIT-STAY' FALLACY · p. 3Computers are much more likely than humans to perform their clever and complex tricks at inappropriate times.
“computers are much more likely than humans to perform their clever and complex tricks at inappropriate times.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S2 (checkable).
Interpretationreasoning§ THE 'FIELD OF DREAMS' FALLACY AND THE 'SIT-STAY' FALLACY · p. 3Computers cannot be described as inherently 'smart'.
“Computers cannot be described as being inherently ' smart ' .”
Quote in the paperNot a substantial claimMay combine two claims.
Premisecitation§ THE 'NO ONE ELSE UNDERSTANDS HEALTHCARE' FALLACY · p. 4Problems have been framed too narrowly, leading to impoverished designs and disappointing solutions.
“As a result, problems have been framed too narrowly, leading to impoverished designs and disappointing ' solutions ' . 85”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [85] source
Not checked in the free run.
May combine two claims.
Premisecitation§ THE 'WE COMPUTERIZED THE PAPER, SO WE CAN GO PAPERLESS' FALLACY · p. 4Computer displays are not yet as portable, flexible, or well-designed as paper.
“computer displays are not yet as portable, flexible, or well-designed as paper. 83”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [83] Sellen AJ Harper RHR . The Myth of the Paperless Office. Cambridge, MA: MIT Press, 2002. source
Not checked in the free run.
Probably not a substantial claim: may not pass S2 (checkable). May combine two claims.
Premisecitation§ THE 'FIELD OF DREAMS' FALLACY AND THE 'SIT-STAY' FALLACY · p. 3People are smart, creative, and context sensitive.
“People, on the other hand, are smart, creative, and context sensitive. 79”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [79] Norman DA . Things That Make Us Smart: Defending Human Attributes In The Age Of The Machine. New York: Basic Books, 1994.
Not checked in the free run.
Probably not a substantial claim: may not pass S2 (checkable).
Interpretationreasoning§ THE 'USE EQUALS SUCCESS' FALLACY · p. 2The promulgation of 'meaningful use' may lead to undesirable consequences if such use is not contextually grounded and tied to improved efficiency, learning, ease of use, task and information flow, cognitive load, situation awareness, clinician and patient satisfaction, reduced errors, and faster error recovery.
“the promulgation of ' meaningful use ' may lead to undesirable consequences if such use is not contextually grounded and tied to improved efficiency, learning, ease of use, task and information flow, cognitive load, situation awareness, clinician and patient satisfaction, reduced errors, and faster error recovery.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Premisecitation§ THE 'FIELD OF DREAMS' FALLACY AND THE 'SIT-STAY' FALLACY · p. 3The 'field of dreams' fallacy is well-known in other domains where it is also referred to as the 'designer fallacy' or 'designer-centered design'.
“The 'fi eld of dreams ' fallacy is well-known in other domains where it is also referred to as the ' designer fallacy ' or ' designercentered design ' . 77”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [77] Hoffman RR Militello LG . Perspectives on Cognitive Task Analysis. New York: Taylor and Francis, 2009. source
Not checked in the free run.
May combine two claims.
Interpretationreasoning§ THE 'WE COMPUTERIZED THE PAPER, SO WE CAN GO PAPERLESS' FALLACY · p. 4User-created paper artifacts typically support patient-specific cognition, situational awareness, task and information communication, and coordination, all essential to safe quality patient care.
“User-created paper artifacts typically support patientspecific cognition, situational awareness, task and information communication, and coordination, all essential to safe quality patient care.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S4 (based). May combine two claims.
Interpretationnone given§ THE 'NO ONE ELSE UNDERSTANDS HEALTHCARE' FALLACY · p. 4Most clinicians are not experts in device design, user interface design, or the relationship between HIT design and performance.
“most clinicians are not experts in device design, user interface design, or the relationship between HIT design and performance.”
Quote in the paperNot a substantial claimMay combine two claims.
Premisereasoning§ THE 'WE COMPUTERIZED THE PAPER, SO WE CAN GO PAPERLESS' FALLACY · p. 4Paper forms are not simple data repositories that could be eliminated once computerized; they are sophisticated cognitive artifacts that support memory, forecasting, planning, communication, coordination, and education.
“The paper forms are not simple data repositories that, once computerized, could be eliminated. Rather such ' scraps ' of paper are sophisticated cognitive artifacts that support memory, forecasting and planning, communication, coordination, and education.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S2 (checkable). May combine two claims.
Interpretationreasoning§ THE 'WE COMPUTERIZED THE PAPER, SO WE CAN GO PAPERLESS' FALLACY · p. 4Paper will persist, and should persist, if HIT is not able to provide similar support.
“Paper will persist, and should persist, if HIT is not able to provide similar support.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S2 (checkable), S4 (based). May combine two claims.
Interpretationreasoning§ THE 'NO ONE ELSE UNDERSTANDS HEALTHCARE' FALLACY · p. 4By seeing only what they know, such teams do not understand how clinical work is really carried out, what clinicians' real needs are, and where the potential hazards and leverage points lie.
“By seeing only what they know, such teams do not understand how clinical work is really carried out, what clinicians ' real needs are, and where the potential hazards and leverage points lie.”
Quote in the paperNot a substantial claimMay combine two claims.
Premisecitation§ THE 'MESSY DESK' FALLACY · p. 3Some clinical decision support rules force clinicians to stop and respond, interrupting their work and substituting the designer's judgment for that of the clinician.
“some clinical decision support (CDS) rules force clinicians to stop and respond to the CDS, interrupting their work, substituting the designer ' s judgment for that of the clinician. 71”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [71] Bisantz AM Wears RL . Forcing functions: the need for restraint. Ann Emerg Med 2008;53:477–9. source
Not checked in the free run.
Probably not a substantial claim: may not pass S2 (checkable). May combine two claims.
Interpretationreasoning§ THE 'NO ONE ELSE UNDERSTANDS HEALTHCARE' FALLACY · p. 4It is misguided to believe that healthcare is unique or that no one outside of the domain could possibly understand it.
“it is misguided to believe that healthcare is unique or that no one outside of the domain could possibly understand it.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S2 (checkable), S4 (based). May combine two claims.
Interpretationnone given§ THE 'NO ONE ELSE UNDERSTANDS HEALTHCARE' FALLACY · p. 4It takes special training and skills to evaluate a human-computer interface, assess the usability of a system, or predict the changes in communication patterns and social structures that a design might induce.
“it takes special training and skills to evaluate a human e computer interface, assess the usability of a system, or predict the changes in communication patterns and social structures that a design might induce.”
Quote in the paperNot a substantial claimMay combine two claims.
Interpretationreasoning§ THE 'USE EQUALS SUCCESS' FALLACY · p. 2A lack of use is not evidence of a flawed system; clinicians may ignore features like reminders for legitimate reasons.
“a lack of use is not evidence of a flawed system d clinicians may ignore features like reminders for legitimate reasons.”
Quote in the paperNot a substantial claimMay combine two claims.
Interpretationreasoning§ THE 'FIELD OF DREAMS' FALLACY AND THE 'SIT-STAY' FALLACY · p. 3Technology can be at its worst, and humans at their best, when novel and complex situations arise.
“Technology can be at its worst, and humans at their best, when novel and complex situations arise.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S2 (checkable). May combine two claims.
Interpretationreasoning§ WHAT SHOULD WE DO NOW? · p. 5Validation of HIT cannot rely on clinician preference; it requires experimental testing against defined performance criteria.
“Validation of HITcannot be achieved by asking a clinician if they like the design. Validation requires thorough experimental testing of the design based on well-defined performance criteria.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S2 (checkable).
Interpretationreasoning§ WHAT SHOULD WE DO NOW? · p. 5Use of HIT may not be clinically meaningful until the technology genuinely supports users' needs.
“However, use may not truly be meaningful in a clinical sense until HIT truly supports users ' needs.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S2 (checkable), S4 (based).
Interpretationnone given§ WHAT SHOULD WE DO NOW? · p. 5If current course is not changed, HIT will never become as safe as commercial aviation.
“While it may not take 60 years for HIT to become as safe, if we do not change from our current course, it never will be.”
Quote in the paperNot a substantial claim- Rests on an assumption: Commercial aviation has become very safe in the more than 60 years since Fitts' publication.
Probably not a substantial claim: may not pass S2 (checkable).
Interpretationreasoning§ WHAT SHOULD WE DO NOW? · p. 5HIT would benefit from substantive collaboration with experts such as human factors engineers, applied psychologists, medical sociologists, communication scientists, cognitive scientists, and interaction designers, as aviation and nuclear power did.
“These challenges will only be overcome by collaborating substantively with those who can contribute unique and important expertise such as human factors engineers, applied psychologists, medical sociologists, communication scientists, cognitive scientists, and interaction designers.”
- Also stated in: § WHAT SHOULD WE DO NOW? · p. 5 · plain
“HIT stands to benefit in the same way.”
Quote in the paperNot a substantial claim- Rests on an assumption: Pilots and nuclear power operators did not improve safety on their own; they worked closely with experts in cognitive, social, and physical performance and safety.
- Also stated in: § WHAT SHOULD WE DO NOW? · p. 5 · plain
May combine two claims.
Premisecitation§ WHAT SHOULD WE DO NOW? · p. 4Research on relevant topics has been conducted for decades, but commercial HIT has not adequately incorporated its findings.
“Exemplary research on relevant topics has been carried out for several decades, 89 e 98 but it does not seem that commercial HIT has benefited adequately from these findings.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites 89 e 98
Not checked in the free run.
Probably not a substantial claim: may not pass S2 (checkable), S4 (based). May combine two claims.
Interpretationreasoning§ WHAT SHOULD WE DO NOW? · p. 5HIT offers genuine opportunities to improve quality and safety, but it also creates substantial challenges, particularly in everyday clinical work.
“HITaffords real opportunities for improving quality and safety. However, at the same time, it creates substantial challenges, especially during everyday clinical work.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing), S4 (based).
Interpretationnone given§ WHAT SHOULD WE DO NOW? · p. 5Implementing these steps will require substantial investment from vendors, healthcare organizations, and government funders.
“These steps alone will require a significant investment by vendors, healthcare organizations, and government funders.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S4 (based). May combine two claims.
Interpretationnone given§ WHAT SHOULD WE DO NOW? · p. 5Current meaningful use rules and deadlines allow little time for HIT product improvement and testing, encouraging rapid implementation of whatever is available.
“Current meaningful use rules and deadlines leave little time for HIT product improvement and testing, incentivizing rapid implementation of whatever is available”
Quote in the paperNot a substantial claim
The paper relies on this without support.
The fallacies described in the paper are widely held by HIT designers and policymakers.
“Many designers and policymakers believe that the risks of HIT are minor and easily manageable.”
The paper relies on this without support.
No other hazardous industry deploys safety critical IT without some form of independent hazard analysis.
“No other hazardous industry deploys safety critical IT without some form of independent hazard analysis (eg, a ' safety case ' ); it is unwise for healthcare to continue to do so.”
The paper relies on this without support.
The current passive monitoring approach suggested by the Office of the National Coordinator is likely to be expensive and ineffective.
“A passive monitoring approach, as currently suggested by the Office of the National Coordinator, 49 seems likely to be both expensive and ultimately ineffective.”
The paper relies on this without support.
There are fundamental gaps in awareness, recognition, and application of existing scientific knowledge, especially in human factors, systems engineering, and cognitive engineering, that could help solve some of HIT's biggest problems.
“There are fundamental gaps in the awareness, recognition, and application of existing scientific knowledge bases, especially related to human factors, and systems and cognitive engineering, that could help address some of HIT ' s biggest problems.”
The paper relies on this without support.
Pilots and nuclear power operators did not improve safety on their own; they worked closely with experts in cognitive, social, and physical performance and safety.
“Pilots did not improve aviation safety nor did nuclear power operators improve nuclear safety . by themselves. Rather they worked closely with experts in cognitive, social, and physical performance and safety to improve safety.”
The paper relies on this without support.
People have very limited insight into their own performance and even less ability to explain what might improve it.
“Humans have very limited insight into their own performance, and even more limited ability to articulate what might improve it.”
The paper relies on this without support.
Commercial aviation has become very safe in the more than 60 years since Fitts' publication.
“In the more than 60 years since that publication, commercial aviation has become very safe.”
The paper relies on this without support.
Throughout human history, major innovations have always brought new perils.
“Throughout human history, significant innovations have always been associated with new perils.”
The paper relies on this without support.
HIT works best and is safest when customized to local circumstances and workflows.
“Despite compelling evidence that HITworks best (and is safest) when it is customized to local circumstances and workflows”
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Emerging evidence suggests that health information technology may cause new patient safety concerns and other unintended consequences due to usability issues, disruptions of clinical processes, and unsafe workarounds.
“However, emerging evidence suggests that HIT may cause new patient safety concerns and other unintended consequences due to usability issues, disruptions of clinical processes, and unsafe workarounds to circumvent technology-related constraints.2–16”
From An analysis of electronic health record-related patient safety concerns (2014) · cites this paper as [11]
Cites
Tversky, A., & Kahneman, D. (1974) · Science · doi:10.1126/science.185.4157.1124 · Cited by 28,810 · see citing works
Judgment under Uncertainty: Heuristics and Biases
Tversky, A., & Kahneman, D. (1975) · Utility, Probability, and Human Decision Making · doi:10.1007/978-94-010-1834-0_8 · Cited by 22,650 · see citing works
(1993) · Cited by 9,879 · see citing works
Reason, J. (1990) · doi:10.1017/cbo9781139062367 · Cited by 5,108 · see citing works
Managing the Risks of Organizational Accidents
REASON, J. T. (2016) · Routledge eBooks · doi:10.4324/9781315543543 · Cited by 4,461 · see citing works
Chaudhry, B., Wang, J., Wu, S., Maglione, M., Mojica, W., Roth, E., Morton, S. C., & Shekelle, P. G. (2006) · Annals of Internal Medicine · doi:10.7326/0003-4819-144-10-200605160-00125 · Cited by 3,159 · see citing works
Garg, A. X., Adhikari, N. K. J., McDonald, H., Rosas-Arellano, M. P., Devereaux, P. J., Beyene, J., Sam, J., & Haynes, R. B. (2005) · JAMA · doi:10.1001/jama.293.10.1223 · Cited by 2,936 · see citing works
Kawamoto, K., Houlihan, C. A., Balas, E. A., & Lobach, D. F. (2005) · BMJ · doi:10.1136/bmj.38398.500764.8f · Cited by 2,703 · see citing works
Influence: The Psychology of Persuasion
Cialdini, R. B. (1993) · Cited by 2,563 · see citing works
Role of Computerized Physician Order Entry Systems in Facilitating Medication Errors
Koppel, R. (2005) · JAMA · doi:10.1001/jama.293.10.1197 · Cited by 2,126 · see citing works
Bates, D. W. (1998) · JAMA · doi:10.1001/jama.280.15.1311 · Cited by 2,107 · see citing works
Work system design for patient safety: the SEIPS model
Carayon, P., Schoofs Hundt, A., Karsh, B.-T., Gurses, A. P., Alvarado, C. J., Smith, M., & Flatley Brennan, P. (2006) · Quality in Health Care · doi:10.1136/qshc.2005.015842 · Cited by 1,795 · cited 1× · see citing works
“Because information presentation profoundly affects user behavior and decision-making, it is critical that information displays be thoughtfully designed and rigorously tested to ensure they yield the best possible performance outcomes. These evaluations must consider the full complexity of the context in which the sys…”
BackgroundSelf-citationAsh, J. S. (2003) · Journal of the American Medical Informatics Association · doi:10.1197/jamia.m1471 · Cited by 1,789 · see citing works
Cognitive Work Analysis: Toward Safe, Productive, and Healthy Computer-Based Work
Vicente, K. J. (1999) · Cited by 1,686 · see citing works
Safeware: System Safety and Computers
Leveson, N. G. (1995) · CERN Document Server (European Organization for Nuclear Research) · Cited by 1,660 · see citing works
Computer-supported cooperative work: history and focus
Grudin, J. (1994) · Computer · doi:10.1109/2.291294 · Cited by 1,639 · see citing works
Things That Make Us Smart: Defending Human Attributes in the Age of the Machine
Robinson, R., & Norman, D. (1994) · Design Issues · doi:10.2307/1511661 · Cited by 1,528 · see citing works
Use of Electronic Health Records in U.S. Hospitals
Jha, A. K., DesRoches, C. M., Campbell, E. G., Donelan, K., Rao, S. R., Ferris, T. G., Shields, A., Rosenbaum, S., & Blumenthal, D. (2009) · New England Journal of Medicine · doi:10.1056/nejmsa0900592 · Cited by 1,473 · see citing works
Representations in Distributed Cognitive Tasks
Zhang, J., & Norman, D. A. (1994) · Cognitive Science · doi:10.1207/s15516709cog1801_3 · Cited by 1,203 · cited 1× · see citing works
“55 56 The clinician does not act or decide in a vacuum, but is necessarily in fl uenced by the HIT.”
BackgroundElectronic health records in ambulatory care—a national survey of physicians
DesRoches, C. M., Campbell, E. G., Rao, S. R., Donelan, K., Ferris, T. G., Jha, A., Kaushal, R., Levy, D. E., Rosenbaum, S., Shields, A. E., et al. (2008) · New England Journal of Medicine · doi:10.1056/nejmsa0802005 · Cited by 1,111 · see citing works
International Standards Organization
Guston, D. H. (2010) · Encyclopedia of Nanoscience and Society · doi:10.4135/9781412972093.n191 · Cited by 1,072 · see citing works
Reducing the Frequency of Errors in Medicine Using Information Technology
Bates, D. W., Cohen, M., Leape, L. L., Overhage, J. M., Shabot, M. M., & Sheridan, T. (2001) · Journal of the American Medical Informatics Association · doi:10.1136/jamia.2001.0080299 · Cited by 959 · see citing works
NIELSEN, J. (1993) · Usability Engineering · doi:10.1016/b978-0-08-052029-2.50009-7 · Cited by 934 · see citing works
(2000) · Psychology Press eBooks · doi:10.4324/9781410605795 · Cited by 924 · see citing works
A Guide To Task Analysis: The Task Analysis Working Group
Kirwan, B., & Ainsworth, L. (1992) · Medical Entomology and Zoology · Cited by 919 · see citing works
The Myth of the Paperless Office
Sellen, A. J., & Harper, R. H. R. (2001) · doi:10.7551/mitpress/4833.001.0001 · Cited by 902 · see citing works
Joint Cognitive Systems: Foundations of Cognitive Systems Engineering
Hollnagel, E., & Woods, D. D. (2005) · Thammasat University Digital Collections · Cited by 732 · see citing works
Joint Cognitive Systems: Foundations of Cognitive Systems Engineering
Hollnagel, E., & Woods, D. D. (2005) · doi:10.1201/9781420038194 · Cited by 695 · see citing works
Koppel, R., Wetterneck, T., Telles, J. L., & Karsh, B.-T. (2008) · Journal of the American Medical Informatics Association · doi:10.1197/jamia.m2616 · Cited by 685 · see citing works
Self-citationKirwan, B., & Ainsworth, L. K. (1992) · CRC Press eBooks · doi:10.1201/b16826 · Cited by 677 · see citing works
The Handbook of Task Analysis for Human-Computer Interaction
(2003) · CRC Press eBooks · doi:10.1201/b12470 · Cited by 611 · see citing works
Safety-critical computer systems
Storey, N. (1996) · International Linear Collider · Cited by 605 · see citing works
Effect of Bar-Code Technology on the Safety of Medication Administration
Poon, E. G., Keohane, C. A., Yoon, C. S., Ditmore, M., Bane, A., Levtzion‐Korach, O., Moniz, T. T., Rothschild, J. M., Kachalia, A. B., Hayes, J., et al. (2010) · New England Journal of Medicine · doi:10.1056/nejmsa0907115 · Cited by 593 · see citing works
Grand challenges in clinical decision support
Sittig, D. F., Wright, A., Osheroff, J. A., Middleton, B., Teich, J. M., Ash, J. S., Campbell, E., & Bates, D. W. (2008) · Journal of Biomedical Informatics · doi:10.1016/j.jbi.2007.09.003 · Cited by 582 · see citing works
GREENHALGH, T., POTTS, H. W. W., WONG, G., BARK, P., & SWINGLEHURST, D. (2009) · The Milbank Quarterly · doi:10.1111/j.1468-0009.2009.00578.x · Cited by 541 · see citing works
Electronic Health Record Use and the Quality of Ambulatory Care in the United States
Linder, J. A., Ma, J., Bates, D. W., Middleton, B., & Stafford, R. S. (2007) · Archives of Internal Medicine · doi:10.1001/archinte.167.13.1400 · Cited by 438 · see citing works
Beyond usability: Designing effective technology implementation systems to promote patient safety
Karsh, B.-T. (2004) · Quality and Safety in Health Care · doi:10.1136/qshc.2004.010322 · Cited by 414 · see citing works
Self-citationKaplan, B. (2001) · International Journal of Medical Informatics · doi:10.1016/s1386-5056(01)00184-8 · Cited by 380 · see citing works
Karsh, B.-T., Holden, R. J., Alper, S. J., & Or, C. K. L. (2006) · Quality in Health Care · doi:10.1136/qshc.2005.015974 · Cited by 372 · see citing works
Self-citationPatterson, E. S., Cook, R. I., & Render, M. L. (2002) · Journal of the American Medical Informatics Association · doi:10.1197/jamia.m1061 · Cited by 370 · see citing works
High Rates of Adverse Drug Events in a Highly Computerized Hospital
(2005) · Archives of Internal Medicine · doi:10.1001/archinte.165.10.1111 · Cited by 363 · see citing works
Mekhjian, H. S., Kumar, R. R., Kuehn, L. A., Bentley, T. D., Teater, P., Thomas, A., Payne, B. P., & Ahmad, A. (2002) · Journal of the American Medical Informatics Association · doi:10.1197/jamia.m1038 · Cited by 357 · see citing works
A systems approach to organizational error
REASON, J. (1995) · Ergonomics · doi:10.1080/00140139508925221 · Cited by 340 · see citing works
Understanding the Complexity of Registered Nurse Work in Acute Care Settings
Ebright, P. R., Patterson, E. S., Chalko, B. A., & Render, M. L. (2003) · JONA The Journal of Nursing Administration · doi:10.1097/00005110-200312000-00004 · Cited by 321 · see citing works
Computational Technology for Effective Health Care
National Research Council (2009) · National Academies Press eBooks · doi:10.17226/12572 · Cited by 283 · see citing works
King, W. J., Paice, N., Rangrej, J., Forestell, G. J., & Swartz, R. (2003) · Pediatrics · doi:10.1542/peds.112.3.506 · Cited by 281 · see citing works
Categorizing the unintended sociotechnical consequences of computerized provider order entry
Ash, J. S., Sittig, D. F., Dykstra, R. H., Guappone, K., Carpenter, J. D., & Seshadri, V. (2007) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2006.05.017 · Cited by 267 · see citing works
Kushniruk, A. W. (2002) · Computers in Biology and Medicine · doi:10.1016/s0010-4825(02)00011-2 · Cited by 241 · see citing works
A cognitive taxonomy of medical errors
Zhang, J., Patel, V. L., Johnson, T. R., & Shortliffe, E. H. (2004) · Journal of Biomedical Informatics · doi:10.1016/j.jbi.2004.04.004 · Cited by 225 · see citing works
Hospital Computing and the Costs and Quality of Care: A National Study
Himmelstein, D. U., Wright, A., & Woolhandler, S. (2010) · The American Journal of Medicine · doi:10.1016/j.amjmed.2009.09.004 · Cited by 212 · see citing works
Ash, J. S., Sittig, D. F., Dykstra, R. H., Campbell, E., & Guappone, K. P. (2008) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2008.07.015 · Cited by 207 · see citing works
Evaluation of Outpatient Computerized Physician Medication Order Entry Systems: A Systematic Review
Eslami, S., Abu-Hanna, A., & de Keizer, N. F. (2007) · Journal of the American Medical Informatics Association · doi:10.1197/jamia.m2238 · Cited by 200 · see citing works
When Users Want What's not Best for Them
Andre, A. D., & Wickens, C. D. (1995) · Ergonomics in Design: The Quarterly of Human Factors Applications · doi:10.1177/106480469500300403 · Cited by 194 · see citing works
The Relationship between Electronic Health Record Use and Quality of Care over Time
Zhou, L., Soran, C. S., Jenter, C. A., Volk, L. A., Orav, E. J., Bates, D. W., & Simon, S. R. (2009) · Journal of the American Medical Informatics Association · doi:10.1197/jamia.m3128 · Cited by 194 · see citing works
Devine, E. B., Hansen, R. N., Wilson‐Norton, J. L., Lawless, N. M., Fisk, A. W., Blough, D. K., Martin, D. P., & Sullivan, S. D. (2010) · Journal of the American Medical Informatics Association · doi:10.1197/jamia.m3285 · Cited by 176 · see citing works
Kushniruk, A. W., Patel, V. L., & Cimino, J. J. (1997) · Journal of the American Medical Informatics Association · Cited by 173 · see citing works
Buckhout, R. (1974) · Scientific American · doi:10.1038/scientificamerican1274-23 · Cited by 170 · see citing works
Holden, R. J. (2010) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2009.12.003 · Cited by 162 · see citing works
Impact of CPOE on doctor–nurse cooperation for the medication ordering and administration process
Beuscart-Zéphir, M. C., Sylvia Pelayo, A., Anceaux, F., Meaux, J.-J., Degroisse, M., & Patrice Degoulet, A. (2005) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2005.01.004 · Cited by 147 · see citing works
Exploring the persistence of paper with the electronic health record
Saleem, J. J., Russ, A. L., Justice, C. F., Hagg, H., Ebright, P. R., Woodbridge, P. A., & Doebbeling, B. N. (2009) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2009.04.001 · Cited by 145 · see citing works
Describing and Modeling Workflow and Information Flow in Chronic Disease Care
Unertl, K. M., Weinger, M. B., Johnson, K. B., & Lorenzi, N. M. (2009) · Journal of the American Medical Informatics Association · doi:10.1197/jamia.m3000 · Cited by 142 · see citing works
Self-citationHandbook of Human Factors in Medical Device Design
Weinger, M. B., Wiklund, M. E., & Gardner-Bonneau, D. J. (2010) · CRC Press eBooks · doi:10.1201/b10439 · Cited by 140 · see citing works
Self-citationHolden, R. J. (2010) · Cognition Technology & Work · doi:10.1007/s10111-010-0141-8 · Cited by 134 · see citing works
Holden, R. J., & Karsh, B.-T. (2009) · Behaviour & Information Technology · doi:10.1080/01449290601138245 · Cited by 128 · see citing works
Self-citationAdoption Of Health Information Technology For Medication Safety In U.S. Hospitals, 2006
Furukawa, M. F., Raghu, T. S., Spaulding, T. J., & Vinzé, A. (2008) · Health Affairs · doi:10.1377/hlthaff.27.3.865 · Cited by 123 · see citing works
Carayon, P., Wetterneck, T. B., Hundt, A. S., Ozkaynak, M., DeSilvey, J., Ludwig, B., Ram, P., & Rough, S. S. (2007) · Journal of Patient Safety · doi:10.1097/pts.0b013e3180319de7 · Cited by 117 · see citing works
Software for Dependable Systems: Sufficient Evidence?
Jackson, D., & Thomas, M. (2007) · National Academies Press eBooks · Cited by 116 · see citing works
Perspectives on Cognitive Task Analysis
Hoffman, R. R., & Militello, L. G. (2008) · doi:10.4324/9780203809877 · Cited by 114 · see citing works
Commentary Designs are hypotheses about how artifacts shape cognition and collaboration
WOODS, D. D. (1998) · Ergonomics · doi:10.1080/001401398187215 · Cited by 113 · see citing works
Baldacchino, A., Gilchrist, G., Fleming, R., & Bannister, J. (2009) · Addictive Behaviors · doi:10.1016/j.addbeh.2009.10.008 · Cited by 113 · see citing works
Kushniruk, A. W. (2001) · Journal of Biomedical Informatics · doi:10.1006/jbin.2001.1021 · Cited by 110 · see citing works
Weinger, M. B. (2002) · Journal of the American Medical Informatics Association · doi:10.1197/jamia.m1229 · Cited by 106 · see citing works
Self-citationA direct path to dependable software
Jackson, D. (2009) · Communications of the ACM · doi:10.1145/1498765.1498787 · Cited by 104 · see citing works
Kushniruk, A. W., Patel, V. L., & Cimino, J. J. (1997) · PubMed · Cited by 102 · see citing works
Recommendations for Responsible Monitoring and Regulation of Clinical Software Systems
Miller, R. A., & Gardner, R. M. (1997) · Journal of the American Medical Informatics Association · doi:10.1136/jamia.1997.0040442 · Cited by 101 · see citing works
Bundles in the Wild: Managing Information to Solve Problems and Maintain Situation Awareness
Gorman, P., Ash, J. S., Lavelle, M., Lyman, J. A., Delcambre, L., Maier, D., Weaver, M., & Bowers, S. (2000) · Illinois Digital Environment for Access to Learning and Scholarship (University of Illinois at Urbana-Champaign) · Cited by 100 · see citing works
Koppel, R., & Kreda, D. (2009) · JAMA · doi:10.1001/jama.2009.398 · Cited by 99 · see citing works
Pedersen, C. A., & Gumpper, K. F. (2008) · American Journal of Health-System Pharmacy · doi:10.2146/ajhp080488 · Cited by 97 · see citing works
Designs are Hypotheses about How Artifacts Shape Cognition and Collaboration
Woods, D. D. (1998) · Cited by 96 · see citing works
Medical Informatics and the Science of Cognition
Patel, V. L., & Kaufman, D. R. (1998) · Journal of the American Medical Informatics Association · doi:10.1136/jamia.1998.0050493 · Cited by 92 · see citing works
Human Factors Methods for Design
Nemeth, C. (2004) · CRC Press eBooks · doi:10.1201/9780203643662 · Cited by 92 · see citing works
Human Factors Methods for Design: Making Systems Human-Centered
Nemeth, C. (2004) · Thammasat University Digital Collections · Cited by 89 · see citing works
Eight Rights of Safe Electronic Health Record Use
Sittig, D. F. (2009) · JAMA · doi:10.1001/jama.2009.1311 · Cited by 85 · see citing works
Medical Error: Is the Solution Medical or Cognitive?
Zhang, J. (2002) · Journal of the American Medical Informatics Association · doi:10.1197/jamia.m1232 · Cited by 83 · see citing works
Saleem, J. J., Russ, A. L., Sanderson, P., Johnson, T. R., Zhang, J., & Sittig, D. F. (2009) · Yearbook of Medical Informatics · doi:10.1055/s-0038-1638638 · Cited by 72 · see citing works
Abbott, P. A., & Coenen, A. (2008) · Nursing Outlook · doi:10.1016/j.outlook.2008.06.009 · Cited by 69 · see citing works
Self-citationBisantz, A. M., & Roth, E. M. (2007) · Reviews of Human Factors and Ergonomics · doi:10.1518/155723408x299825 · Cited by 67 · see citing works
Evaluation of Graphic Cardiovascular Display in a High-Fidelity Simulator
Agutter, J. A., Drews, F. A., Syroid, N., Westneskow, D., Albert, R., Strayer, D. L., Bermudez, J., & Weinger, M. B. (2003) · Anesthesia & Analgesia · doi:10.1213/01.ane.0000085298.03143.cd · Cited by 67 · see citing works
Self-citationWhy did that happen? Exploring the proliferation of barely usable software in healthcare systems
Johnson, C. W. (2006) · Quality in Health Care · doi:10.1136/qshc.2005.016105 · Cited by 61 · see citing works
The Employment of an Iterative Design Process to Develop a Pulmonary Graphical Display
Wachter, S. B. (2003) · Journal of the American Medical Informatics Association · doi:10.1197/jamia.m1207 · Cited by 59 · see citing works
van Onzenoort, H. A. W., van de Plas, A., Kessels, A. G. H., et al. (2008) · American Journal of Health-System Pharmacy · doi:10.2146/ajhp070368 · Cited by 53 · see citing works
Automation, interaction, complexity, and failure: A case study
Wears, R. L., Cook, R. I., & Perry, S. J. (2006) · Reliability Engineering & System Safety · doi:10.1016/j.ress.2006.01.009 · Cited by 49 · see citing works
Self-citationDiamond, C. C., & Shirky, C. (2008) · Health Affairs · doi:10.1377/hlthaff.27.5.w383 · Cited by 44 · see citing works
Dijkstra, E. W. (2001) · Communications of the ACM · doi:10.1145/365181.365217 · Cited by 39 · see citing works
Human factors research in anesthesia patient safety.
Weinger, M. B., & Slagle, J. M. (2001) · PubMed · Cited by 38 · see citing works
Self-citationPromoting Electronic Health Record Adoption. Is It the Correct Focus?
Simborg, D. W. (2008) · Journal of the American Medical Informatics Association · doi:10.1197/jamia.m2573 · Cited by 38 · see citing works
Psychological research on equipment designs in the AAF.
Fitts, P. M. (1947) · American Psychologist · doi:10.1037/h0053785 · Cited by 35 · see citing works
Medical device and equipment design : usability engineering and ergonomics
Wiklund, M. (1995) · Medical Entomology and Zoology · Cited by 33 · see citing works
Representational effects on the solving of an unstructured decision problem
Smith, G. F. (1989) · IEEE Transactions on Systems, Man, and Cybernetics · doi:10.1109/21.44024 · Cited by 33 · see citing works
Consumer health informatics: Health information technology for consumers
Jimison, H. B., & Sher, P. P. (1995) · Journal of the American Society for Information Science · doi:10.1002/(sici)1097-4571(199512)46:10 · Cited by 33 · see citing works
Kaushal, R., Shojania, K. G., & Bates, D. W. (2003) · Archives of Internal Medicine · doi:10.1001/archinte.163.12.1409 · Cited by 30 · see citing works
Status boards in accident & emergency departments: support for shared cognition
Wears, R. L., & Perry, S. J. (2007) · Theoretical Issues in Ergonomics Science · doi:10.1080/14639220701194304 · Cited by 27 · see citing works
Self-citationComputerized Clinical Decision Support: Will it Transform Healthcare?
Chaudhry, B. I. (2007) · Journal of General Internal Medicine · doi:10.1007/s11606-007-0432-9 · Cited by 26 · see citing works
Ebright, P. R. (2004) · Clinical Nurse Specialist · doi:10.1097/00002800-200407000-00002 · Cited by 23 · see citing works
Bundles: meeting clinical information needs.
Ash, J. S., Gorman, P., Lavelle, M., et al. (2001) · PubMed · Cited by 21 · see citing works
Systematic analysis of framing bias in missile defense: Implications toward visualization design
Park, S., & Rothrock, L. (2006) · European Journal of Operational Research · doi:10.1016/j.ejor.2006.07.043 · Cited by 17 · see citing works
Health Information Technology: One Step At A Time
Frisse, M. E. (2009) · Health Affairs · doi:10.1377/hlthaff.28.2.w379 · Cited by 16 · see citing works
Bridging theory and practice: cognitive science and medical informatics.
Patel, V. L., Kaufman, D. R., Arocha, J. F., et al. (1995) · PubMed · Cited by 15 · see citing works
Forcing Functions: The Need for Restraint
Bisantz, A. M., & Wears, R. L. (2009) · Annals of Emergency Medicine · doi:10.1016/j.annemergmed.2008.07.019 · Cited by 12 · see citing works
Self-citation“Safeware”: Safety-Critical Computing and Health Care Information Technology
Wears, R. L., & Leveson, N. G. (2008) · Cited by 11 · see citing works
Self-citationShavit, O. (2009) · Health Policy · doi:10.1016/j.healthpol.2009.04.003 · Cited by 5 · see citing works
Henriksen, K., Jb, B., Ma, K., et al. (2008) · Cited by 2 · see citing works
Flagged first, then by citations
4 of the 116 references couldn’t be matched to a known paper.
Research works printed but not linked: 4
- Sauer C . Deciding the future for IS failures: not the choice you might think. In: Currie W Galliers R , eds. Rethinking Management Information Systems. Oxford, UK: Oxford University Press, 1999:279–309.
- Hoffman S Podgurski A . Finding a cure: the case for regulation and oversight of electronic health record systems. Harv J Law Technol 2008;22:104–65.
- Berg M . Rationalizing Medical Work. Cambridge, MA: MIT Press, 1997.
- Rubin JR . Handbook of Usability Testing. New York, NY: John Wiley & Sons, 1994.
Cited by
Sorted by citations
Shanafelt, T. D., Dyrbye, L. N., Sinsky, C., Hasan, O., Satele, D., Sloan, J., & West, C. P. (2016) · Mayo Clinic Proceedings · doi:10.1016/j.mayocp.2016.05.007 · Cited by 1,086 · see citing works
“n July 2016 effects.(7,8,35) Based on the data presented herein, they are also associated with an increased risk of burnout among physicians.”
BackgroundHuman factors systems approach to healthcare quality and patient safety
Carayon, P., Wetterneck, T. B., Rivera-Rodriguez, A. J., Hundt, A. S., Hoonakker, P., Holden, R., & Gürses, A. P. (2013) · Applied Ergonomics · doi:10.1016/j.apergo.2013.04.023 · Cited by 746 · see citing works
“The lack of attention to HFE in the design, implementation, and use of health IT contributes to limited success of health IT, the failures to implement and sustain health IT, and safety problems linked to health IT (Karsh et al., 2010).”
BackgroundMiddleton, B., Bloomrosen, M., Dente, M. A., Hashmat, B., Koppel, R., Overhage, J. M., Payne, T. H., Rosenbloom, S. T., Weaver, C., & Zhang, J. (2013) · Journal of the American Medical Informatics Association · doi:10.1136/amiajnl-2012-001458 · Cited by 618 · see citing works
Clinical Decision-Support Systems
Musen, M. A., Blackford Middleton, A., & Greenes, R. A. (2013) · Springer eBooks · doi:10.1007/978-1-4471-4474-8_22 · Cited by 577 · see citing works
(2013) · Europe PMC (PubMed Central) · Cited by 396 · see citing works
Electronic medical records and physician stress in primary care: results from the MEMO Study
Babbott, S., Manwell, L. B., Brown, R., Montague, E., Williams, E., Schwartz, M., Hess, E., & Linzer, M. (2014) · Journal of the American Medical Informatics Association · doi:10.1136/amiajnl-2013-001875 · Cited by 366 · see citing works
Sligo, J. L., Gauld, R. D. C., Roberts, V., & Villa, L. (2016) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2016.09.007 · Cited by 277 · see citing works
The science of human factors: separating fact from fiction
Russ, A., Fairbanks, R., Karsh, B., Militello, L., Saleem, J. J., & Wears, R. (2013) · BMJ Quality & Safety · doi:10.1136/bmjqs-2012-001450 · Cited by 262 · see citing works
“35 36 ) B.”
BackgroundSelf-citationAmann, J., Vetter, D., Blomberg, S. N., Christensen, H. C., Coffee, M., Gerke, S., Gilbert, T. K., Hagendorff, T., Holm, S., Livne, M., et al. (2022) · PLOS Digital Health · doi:10.1371/journal.pdig.0000016 · Cited by 251 · see citing works
Human factors and ergonomics as a patient safety practice
Carayon, P., Xie, A., & Kianfar, S. (2013) · BMJ Quality & Safety · doi:10.1136/bmjqs-2013-001812 · Cited by 272 · see citing works
Information Chaos in Primary Care: Implications for Physician Performance and Patient Safety
Beasley, J. W., Wetterneck, T. B., Temte, J. L., Lapin, J. A., Smith, P. D., Rivera-Rodriguez, A. J., & Karsh, B.-T. (2011) · The Journal of the American Board of Family Medicine · doi:10.3122/jabfm.2011.06.100255 · Cited by 242 · see citing works
“EHRs contribute to more timely and available information but caveats exist, many of which have been discussed.(11,45) EHRs generally are designed to facilitate data entry to conduct and document the process of care.”
Self-citationGeorgsson, M., & Staggers, N. (2016) · Journal of the American Medical Informatics Association · doi:10.1093/jamia/ocv099 · Cited by 200 · see citing works
An analysis of electronic health record-related patient safety concerns
Meeks, D. W., Smith, M. W., Taylor, L., Sittig, D. F., Scott, J. M., & Singh, H. (2014) · Journal of the American Medical Informatics Association · doi:10.1136/amiajnl-2013-002578 · Cited by 207 · see citing works
Valdez, R. S., Holden, R. J., Novak, L. L., & Veinot, T. C. (2014) · Journal of the American Medical Informatics Association · doi:10.1136/amiajnl-2014-002826 · Cited by 195 · see citing works
Ratwani, R. M., Fairbanks, R. J. T., Hettinger, A. Z., & Benda, N. C. (2015) · Journal of the American Medical Informatics Association · doi:10.1093/jamia/ocv050 · Cited by 205 · see citing works
“In addition, providers often feel that there are missed opportunities; the systems do not fully support their cognitive workflow or information needs and often display data in ways that inhibit clinicians from easily drawing insights.(7,8)”
BackgroundUsing FDA reports to inform a classification for health information technology safety problems
Magrabi, F., Ong, M.-S., Runciman, W., & Coiera, E. (2012) · Journal of the American Medical Informatics Association · doi:10.1136/amiajnl-2011-000369 · Cited by 193 · see citing works
“CPOE (1) did not present procedures and tests as a standardized list; (2) did not adequately distinguish the range of preparations available for a medication in the list presented to users; (3) were unable to handle variable dose medications (eg, when venlafaxine was ordered as 150 mg daily at 09:00 and 75 mg daily at…”
Effects of health information technology on patient outcomes: a systematic review
Brenner, S. K., Kaushal, R., Grinspan, Z. M., Joyce, C. L., Kim, I., Allard, R. J., Delgado, D., & Abramson, E. L. (2015) · Journal of the American Medical Informatics Association · doi:10.1093/jamia/ocv138 · Cited by 126 · see citing works
Clinical Decision-Support Systems
Musen, M. A., Blackford Middleton, A., & Greenes, R. A. (2021) · Springer eBooks · doi:10.1007/978-3-030-58721-5_24 · Cited by 125 · see citing works
State of science: human factors and ergonomics in healthcare
Hignett, S. M., Carayon, P., Buckle, P., & Catchpole, K. C. (2013) · Ergonomics · doi:10.1080/00140139.2013.822932 · Cited by 123 · see citing works
“That research requires HFE research aimed at developing a deep understanding of healthcare work (Cook 2003; Karsh et al. 2010).”
BackgroundMethodInfluentialDesign of decision support interventions for medication prescribing
Horsky, J., Phansalkar, S., Desai, A. A., Bell, D. S., & Blackford Middleton, A. (2013) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2013.02.003 · Cited by 108 · see citing works
“Leaders in those fields have long recognized the close inverse relationship between usability levels and error rates and require their respective IT systems to have excellent usability characteristics [29].”
BackgroundPaper persistence, workarounds, and communication breakdowns in computerized consultation management
Saleem, J. J., Russ, A. L., Neddo, A., Blades, P. T., Doebbeling, B. N., & FORESMAN, B. H. (2011) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2011.03.016 · Cited by 110 · see citing works
“[29] B.”
BackgroundGeorgsson, M., & Staggers, N. (2015) · Journal of Biomedical Informatics · doi:10.1016/j.jbi.2015.11.008 · Cited by 89 · see citing works
Waterson, P. E. (2013) · Applied Ergonomics · doi:10.1016/j.apergo.2013.07.004 · Cited by 96 · see citing works
Patterson, B. W., Pulia, M. S., Ravi, S., Hoonakker, P., Hundt, A. S., Wiegmann, D. A., Wirkus, E. J., Johnson, S. M., & Carayon, P. (2019) · Annals of Emergency Medicine · doi:10.1016/j.annemergmed.2018.10.034 · Cited by 100 · see citing works
“Given the complexity of the sociotechnical systems (such as the ED) in which they are implemented, 13,14 however, clinical decision support technologies have the potential for negative consequences.”
BackgroundUsing a sociotechnical framework to understand adaptations in health IT implementation
Novak, L. L., Holden, R. J., Anders, S. H., Hong, J. Y., & Karsh, B. (2013) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2013.01.009 · Cited by 97 · see citing works
“Research on unintended consequences has focused on patient safety IT, and has shown a lack of realistic representations of clinical work in tool design and implementation (7, 8, 39-41).”
BackgroundSelf-citationFlanagan, M., Saleem, J. J., Millitello, L. G., Russ, A. L., & Doebbeling, B. N. (2013) · Journal of the American Medical Informatics Association · doi:10.1136/amiajnl-2012-000982 · Cited by 91 · see citing works
“10 Following from this perspective, health IT users are not solely to blame for workarounds or non-compliance.”
BackgroundPrognostic models will be victims of their own success, unless…
Lenert, M. C., Matheny, M. E., & Walsh, C. G. (2019) · Journal of the American Medical Informatics Association · doi:10.1093/jamia/ocz145 · Cited by 90 · see citing works
Finding the Meaning in Meaningful Use
Classen, D. C., & Bates, D. W. (2011) · New England Journal of Medicine · doi:10.1056/nejmsb1103659 · Cited by 89 · see citing works
Health Information Technology in Healthcare Quality and Patient Safety: Literature Review
Feldman, S. S., Buchalter, S. E., & Hayes, L. (2018) · JMIR Medical Informatics · doi:10.2196/10264 · Cited by 80 · see citing works
“The literature is mixed on the degree to which health information technology (IT) as a valuable suite of tools, applications, and systems that have contributed to actual savings and efficiencies [1-4].”
Holden, R. J., Rivera-Rodriguez, A. J., Faye, H., Scanlon, M. C., & Karsh, B. (2012) · Cognition Technology & Work · doi:10.1007/s10111-012-0229-4 · Cited by 88 · see citing works
“…of the nature of work that the technology will support; this understanding is sometimes ecologically invalid—that is, quite different from the nature of work as it is actually done (Berg 1999; Carroll and Campbell 1989; Forsythe 1996; Karsh et al. 2010; Wears and Berg 2005; Woods 1998).”
BackgroundSelf-citationQuality and Safety Implications of Emergency Department Information Systems
Farley, H. L., Baumlin, K. M., Hamedani, A. G., Cheung, D., Edwards, M. R., Fuller, D. C., Genes, N. G., Griffey, R. T., Kelly, J. J., McClay, J. C., et al. (2013) · Annals of Emergency Medicine · doi:10.1016/j.annemergmed.2013.05.019 · Cited by 85 · see citing works
Macroergonomics in Health Care Quality and Patient Safety
Carayon, P., Karsh, B., Gürses, A. P., Holden, R. J., Hoonakker, P., Hundt, A. S., Montague, E. N. H., Rodriguez, A. J., & Wetterneck, T. B. (2013) · Reviews of Human Factors and Ergonomics · doi:10.1177/1557234x13492976 · Cited by 85 · see citing works
Self-citationOzok, A. A., Wu, H., Garrido, M. M., Pronovost, P. J., & Gürses, A. P. (2013) · Applied Ergonomics · doi:10.1016/j.apergo.2013.09.005 · Cited by 80 · see citing works
Wears, R. L., & Sutcliffe, K. M. (2019) · Oxford University Press eBooks · doi:10.1093/oso/9780190271268.001.0001 · Cited by 83 · see citing works
Self-citationHolden, R. J., Asan, O., Wozniak, E. M., Flynn, K. E., & Scanlon, M. C. (2016) · BMC Medical Informatics and Decision Making · doi:10.1186/s12911-016-0388-y · Cited by 85 · see citing works
“…and those published elsewhere, we strongly refute the notion that implementing health IT results in actual use (i.e., the field of dreams fallacy [1]) and endorse the statement that “ the benefits of healthcare technologies can only be attained if nurses accept and intend to fully use them ”…”
BackgroundResultPowering-Up Primary Care Teams: Advanced Team Care With In-Room Support
Sinsky, C. A., & Bodenheimer, T. S. (2019) · The Annals of Family Medicine · doi:10.1370/afm.2422 · Cited by 83 · see citing works
Does user-centred design affect the efficiency, usability and safety of CPOE order sets?
Chan, J., Shojania, K. G., Easty, A., & Etchells, E. E. (2011) · Journal of the American Medical Informatics Association · doi:10.1136/amiajnl-2010-000026 · Cited by 80 · see citing works
“identified only 11 articles that addressed any usability aspects of CPOE design, and none had a quantitative evaluative component. Usability will likely be an important enabler for compliance with meaningful use legislation in the US.”
BackgroundAdoption factors of electronic health record systems
Spatar, D., Kok, O. M., Basoglu, N., & Daim, T. (2019) · Technology and Society · doi:10.1016/j.techsoc.2019.101144 · Cited by 68 · see citing works
Melnick, E. R., Shafer, K., Rodulfo, N., Shi, J., Hess, E. P., Wears, R. L., Qureshi, R. A., & Post, L. A. (2015) · Academic Emergency Medicine · doi:10.1111/acem.12824 · Cited by 72 · see citing works
Self-citationUsing statistical text classification to identify health information technology incidents
Chai, K. E. K., Anthony, S., Coiera, E. W., & Magrabi, F. (2013) · Journal of the American Medical Informatics Association · doi:10.1136/amiajnl-2012-001409 · Cited by 68 · see citing works
Ali, S. M., Giordano, R., Saima, L., & Walker, D. (2015) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2015.12.017 · Cited by 63 · see citing works
Typical Electronic Health Record Use in Primary Care Practices and the Quality of Diabetes Care
Crosson, J. C., Ohman‐Strickland, P., Cohen, D. J., Clark, E. C., & Crabtree, B. F. (2012) · The Annals of Family Medicine · doi:10.1370/afm.1370 · Cited by 62 · see citing works
Consumer E-Health: An Overview of Research Evidence and Implications for Future Policy
Hordern, A., Georgiou, A., Whetton, S., & Prgomet, M. (2011) · Health Information Management Journal · doi:10.1177/183335831104000202 · Cited by 68 · see citing works
“clinical and organisational risks involved (Karsh et al. 2010).”
BackgroundThe case for randomized controlled trials to assess the impact of clinical information systems
Liu, J. L. Y., & Wyatt, J. C. (2011) · Journal of the American Medical Informatics Association · doi:10.1136/jamia.2010.010306 · Cited by 66 · see citing works
“Clinical information systems can do no harm Karsh et al recently pointed out that ‘many [system] designers and policy makers believe that the risks of HIT [Health Information Technology] are minor and easily manageable,’ but in reality their belief is not warranted.(84) The authors called this ‘the ‘Risk Free HIT’ fal…”
BackgroundEducational Impact of the Electronic Medical Record
Schenarts, P. J., & Schenarts, K. D. (2011) · Journal of surgical education · doi:10.1016/j.jsurg.2011.10.008 · Cited by 65 · see citing works
Spanish-Language Consumer Health Information Technology Interventions: A Systematic Review
Chaet, A., Morshedi, B., Wells, K. M., Barnes, L. E., & Valdez, R. S. (2016) · Journal of Medical Internet Research · doi:10.2196/jmir.5794 · Cited by 54 · see citing works
“Design of technologies without consideration of the end user can lead to user frustration, error and misuse, and technology abandonment [41-44].”
Electronic Health Records and Improved Patient Care: Opportunities for Applied Psychology
Ratwani, R. M. (2017) · Current Directions in Psychological Science · doi:10.1177/0963721417700691 · Cited by 70 · see citing works
Jormanainen, V. J. (2018) · Finnish Journal of eHealth and eWelfare · doi:10.23996/fjhw.74511 · Cited by 52 · see citing works
A typology of electronic health record workarounds in small-to-medium size primary care practices
Friedman, A., Crosson, J. C., Howard, J., Clark, E. C., Pellerano, M. B., Karsh, B., Crabtree, B. F., Jaén, C. R., & Cohen, D. J. (2013) · Journal of the American Medical Informatics Association · doi:10.1136/amiajnl-2013-001686 · Cited by 56 · see citing works
Self-citationHeinrichs, H., Kies, A., Nagel, S. K., & Kiessling, F. (2025) · Journal of Medical Internet Research · doi:10.2196/74187 · Cited by 66 · see citing works
“This mismatch aligns with the law of Grudin [47], which posits that those required to use new technologies bear the burden of their inefficiencies.”
Patient-centered care requires a patient-oriented workflow model
Ozkaynak, M., Brennan, P. F., Hanauer, D. A., Johnson, S. A., Aarts, J. E. C. M., Zheng, K., & Haque, S. N. (2013) · Journal of the American Medical Informatics Association · doi:10.1136/amiajnl-2013-001633 · Cited by 56 · see citing works
Automation and Computers and Their Contribution to Human Well-being and Resilience
Filip, F. G. (2021) · Studies in Informatics and Control · doi:10.24846/v30i4y202101 · Cited by 56 · see citing works
Zachariah, M., Phansalkar, S., Seidling, H. M., Neri, P. M., Cresswell, K. M., Duke, J. D., Bloomrosen, M., Volk, L. A., & Bates, D. W. (2011) · Journal of the American Medical Informatics Association · doi:10.1136/amiajnl-2011-000362 · Cited by 53 · see citing works
“text-based information within alerts should be utilized for efficient cognitive processing by the user.(9) While human factors have been well studied in the general safety literature, few studies have addressed human factors and the design of clinical information systems empirically.”
BackgroundMethodHoonakker, P., Carayon, P., Brown, R., Cartmill, R. S., Wetterneck, T. B., & Walker, J. M. (2012) · Journal of the American Medical Informatics Association · doi:10.1136/amiajnl-2012-001114 · Cited by 49 · see citing works
Human Factors and Health Information Technology: Current Challenges and Future Directions
Kannampallil, T., & Patel, V. L. (2014) · Yearbook of Medical Informatics · doi:10.15265/iy-2014-0005 · Cited by 48 · see citing works
“The HCP performance model relies on the core HFE principles of improving healthcare technology, practices and processes through the design of tools and interventions that support HCP performance [49-51].”
MethodSafety huddles to proactively identify and address electronic health record safety
Menon, S., Singh, H., Giardina, T. D., Rayburn, W. L., Davis, B. P., Russo, E. M., & Sittig, D. F. (2016) · Journal of the American Medical Informatics Association · doi:10.1093/jamia/ocw153 · Cited by 48 · see citing works
McCrorie, C., Benn, J. J., Johnson, O. A., & Scantlebury, A. (2019) · BMC Medical Informatics and Decision Making · doi:10.1186/s12911-019-0952-3 · Cited by 49 · see citing works
Tariq, A., Georgiou, A., & Westbrook, J. I. (2012) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2012.08.006 · Cited by 50 · see citing works
“Technologies designed for single users, or for users performing discrete tasks in isolated sessions are misconceived [75,76].”
BackgroundMazur, L. M., Mosaly, P. R., Moore, C., Comitz, E., Yu, F., Falchook, A. D., Eblan, M. J., Hoyle, L. M., Tracton, G., Chera, B. S., et al. (2016) · Journal of the American Medical Informatics Association · doi:10.1093/jamia/ocw016 · Cited by 45 · see citing works
Seeing patient safety ‘Like a State’
Wears, R. L., & Hunte, G. (2014) · Safety Science · doi:10.1016/j.ssci.2014.02.007 · Cited by 47 · see citing works
Self-citationKanaparthy, N. S., Villuendas-Rey, Y., Bakare, T., Diao, Z., Iscoe, M., Loza, A., Wright, D., Safranek, C., Faustino, I. V., Brackett, A., et al. (2025) · JMIR AI · doi:10.2196/76743 · Cited by 57 · see citing works
“Medicine and health IT are replete with examples of prematurely adopted technologies that failed to meet expectations [15].”
Healthcare information systems: the cognitive challenge
Lintern, G., & Motavalli, A. (2018) · BMC Medical Informatics and Decision Making · doi:10.1186/s12911-018-0584-z · Cited by 47 · see citing works
“Furthermore, clinicians have experienced them as disruptive and inefficient [9, 10].”
BackgroundMethodInfluentialCohen, J. F., Bancilhon, J., & Jones, M. (2013) · South African Computer Journal · doi:10.18489/sacj.v50i1.175 · Cited by 49 · see citing works
“However, implementing new IT systems into healthcare is often problematic [1] [2] and the diffusion of IT innovations into the frontlines of healthcare practice is often met by resistance [3] [4] [5].”
BackgroundBorsci, S., Buckle, P., & Walne, S. (2019) · Applied Ergonomics · doi:10.1016/j.apergo.2019.103007 · Cited by 49 · see citing works
“Satisfaction measures are strongly related to other important dimensions of quality, such as perceived usefulness and acceptance (Holden and Karsh, 2010; Karsh et al., 2010; Or and Karsh, 2009; Or et al., 2011) therefore, the ability to monitor end-user satisfaction of products and services…”
BackgroundOr, C. K., Holden, R. J., & Valdez, R. S. (2022) · Automation, collaboration, and e-services · doi:10.1007/978-3-031-10788-7_6 · Cited by 48 · see citing works
Gardner, R. M., Clemmer, T. P., Evans, R. S., & Mark, R. G. (2013) · Springer eBooks · doi:10.1007/978-1-4471-4474-8_19 · Cited by 44 · see citing works
E-prescribing: A focused review and new approach to addressing safety in pharmacies and primary care
Abraham, O., & Chui, M. A. (2012) · Research in Social and Administrative Pharmacy · doi:10.1016/j.sapharm.2012.09.004 · Cited by 43 · see citing works
“Issues arising from using such HIT safely are increasingly being recognized as more healthcare organizations across the health system implement these technologies.(34)”
BackgroundHuman Factors and Ergonomics in Health Care
Carayon, P., Alyousef, B., & Xie, A. (2012) · Wiley eBooks · doi:10.1002/9781118131350.ch57 · Cited by 45 · see citing works
Exploring nurses’ confirmed expectations regarding health IT: A phenomenological study
Zadvinskis, I. M., Chipps, E. M., & Yen, P. (2013) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2013.11.001 · Cited by 43 · see citing works
Self-Management of Wellness and Illness in an Aging Population
Mitzner, T. L., McBride, S. E., Barg‐Walkow, L. H., & Rogers, W. A. (2013) · Reviews of Human Factors and Ergonomics · doi:10.1177/1557234x13492979 · Cited by 42 · see citing works
Mueller, M., Knop, M., Niehaves, B., & Adarkwah, C. C. (2020) · JMIR Medical Informatics · doi:10.2196/20813 · Cited by 34 · see citing works
“As telemedical solutions such as VC are not widely used in health care [43,44], this user group represents a majority of patients.”
BackgroundRajvanshi, H., Jain, Y., Kaintura, N., Soni, C., Chandramohan, R., Srinivasan, R., Telasey, V., Bharti, P. K., Jain, D., Surve, M., et al. (2021) · Malaria Journal · doi:10.1186/s12936-021-03623-3 · Cited by 38 · see citing works
Holden, R. J., Brown, R., Scanlon, M. C., & Karsh, B. (2012) · Research in Social and Administrative Pharmacy · doi:10.1016/j.sapharm.2012.01.004 · Cited by 37 · see citing works
Self-citationThe undiagnosed pandemic: Burnout and depression within the surgical community
DeCaporale-Ryan, L. N., Sakran, J. V., Grant, S. B., Alseidi, A. A., Rosenberg, T., Goldberg, R. F., Sanfey, H. A., DuBose, J. J., Stawicki, S. P., Ricca, R. L., et al. (2017) · Current Problems in Surgery · doi:10.1067/j.cpsurg.2017.07.001 · Cited by 40 · see citing works
Unintended Consequences of EHR Systems: A Narrative Review
Vanderhook, S., & Abraham, J. (2017) · Proceedings of the International Symposium on Human Factors and Ergonomics in Health Care · doi:10.1177/2327857917061048 · Cited by 37 · see citing works
“The design must incorporate the multiple users and the multiple workflow possibilities and deviations for nonroutine conditions (Karsh et al., 2010).”
BackgroundInfluentialHudson, D., Kushniruk, A. W., Borycki, E. M., & Zuege, D. J. (2018) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2018.01.010 · Cited by 36 · see citing works
Melberg, A., Diallo, A. H., Storeng, K. T., Tylleskär, T., & Moland, K. M. (2018) · Social Science & Medicine · doi:10.1016/j.socscimed.2018.09.001 · Cited by 35 · see citing works
Clinical Decision Support and Malpractice Risk
Greenberg, M. D., & Ridgely, M. S. (2011) · JAMA · doi:10.1001/jama.2011.929 · Cited by 35 · see citing works
“These sorts of results could prevent the technologies from achieving their potential benefits in making patients safer and in reducing the risks of medication error.(5) The Office of the National Coordinator for Health Information Technology (ONC) is addressing this problem through its Advancing Clinical Decision Supp…”
BackgroundPowell, L., Sittig, D. F., Chrouser, K. L., & Singh, H. (2020) · JAMA Network Open · doi:10.1001/jamanetworkopen.2020.6752 · Cited by 34 · see citing works
Information Quality in Healthcare
Cabitza, F., & Batini, C. (2016) · Data-centric systems and applications · doi:10.1007/978-3-319-24106-7_13 · Cited by 32 · see citing works
Al‐Dorzi, H. M., Tamim, H., Cherfan, A. J., Hassan, M. A., Taher, S. M., & Arabi, Y. M. (2011) · BMC Medical Informatics and Decision Making · doi:10.1186/1472-6947-11-71 · Cited by 28 · see citing works
“…of health information technology which undermine its efficacy and suggested that collaboration between human factors engineers, applied psychologists, medical sociolo-gists, communication scientists, cognitive scientists and interaction designers were needed to overcome these challenges [32].”
BackgroundUsability of a novel clinician interface for genetic results
Neri, P. M., Pollard, S. E., Volk, L. A., Newmark, L. P., Varugheese, M., Baxter, S. M., Aronson, S., Rehm, H. L., & Bates, D. W. (2012) · Journal of Biomedical Informatics · doi:10.1016/j.jbi.2012.03.007 · Cited by 32 · see citing works
Klappe, E. S., de Keizer, N. F., & Ronald Cornet, A. (2020) · Applied Clinical Informatics · doi:10.1055/s-0040-1712466 · Cited by 31 · see citing works
Review of Social and Organizational Issues in Health Information Technology
Kuziemsky, C. E. (2015) · Healthcare Informatics Research · doi:10.4258/hir.2015.21.3.152 · Cited by 30 · see citing works
“A systematic review of HIT implementation identified better reporting of context as the biggest need in HIT evaluation [35].”
BackgroundSmith, M., Murphy, D., Laxmisan, A., Sittig, D., Reis, B., Esquivel, A., & Singh, H. (2013) · Applied Clinical Informatics · doi:10.4338/aci-2013-04-ra-0019 · Cited by 31 · see citing works
“In this way AWARE avoids the problem of burdening providers with data entry tasks for administrative purposes [58].”
BackgroundBorycki, E. M., Carayon, P., Jaspers, M., Sylvia Pelayo, A., & Beuscart-Zéphir, M.-C. (2013) · Yearbook of Medical Informatics · doi:10.1055/s-0038-1638835 · Cited by 30 · see citing works
“More importantly, researchers have identified that some software features, functions and workflows either improve or detract HIT’s safety and quality [11, 12, 23-26].”
BackgroundBrumen, B., Heričko, M., Sevčnikar, A., Završnik, J., & Hölbl, M. (2013) · Journal of Medical Internet Research · doi:10.2196/jmir.2471 · Cited by 31 · see citing works
“Because of time constraints, many health care goals, and the tasks or decisions needed to pursue those goals, these are intentionally deferred until a future opportunity [82], if it ever comes.”
The decision aid is the easy part: workflow challenges of shared decision making in cancer care
Salwei, M. E., Ancker, J. S., & Weinger, M. B. (2023) · JNCI Journal of the National Cancer Institute · doi:10.1093/jnci/djad133 · Cited by 31 · see citing works
Self-citationElectronic health records: research into design and implementation
Beasley, J. W., Holden, R. J., & Sullivan, F. (2011) · British Journal of General Practice · doi:10.3399/bjgp11x601244 · Cited by 29 · see citing works
Understanding health care communication preferences of veteran primary care users
LaVela, S. L., Schectman, G., Gering, J., Locatelli, S. M., Gawron, A., & Weaver, F. M. (2012) · Patient Education and Counseling · doi:10.1016/j.pec.2012.06.004 · Cited by 29 · see citing works
“However, despite advances in the availability of communication technologies, adoption of these methods remains low in general, among both patients and providers [8].”
BackgroundIs Healthcare Information Technology Based on Evidence?
Koppel, R. (2013) · Yearbook of Medical Informatics · doi:10.1055/s-0038-1638826 · Cited by 23 · see citing works
Understanding Unintended Consequences and Health Information Technology
Randell, R., Borycki, E. M., & Kuziemsky, C. E. (2016) · Yearbook of Medical Informatics · doi:10.15265/iy-2016-027 · Cited by 29 · see citing works
“While there is a body of research on organizational and social issues and HIT [11-14], these issues remain underrepresented in evaluation strategies involving UICs [12, 14].”
Human Factors of Health Information Technology—Challenges and Opportunities
Asan, O., & Carayon, P. (2017) · International Journal of Human-Computer Interaction · doi:10.1080/10447318.2017.1282755 · Cited by 28 · see citing works
Adeleke, I. T. (2015) · American Journal of Health Research · doi:10.11648/j.ajhr.s.2015030101.13 · Cited by 28 · see citing works
“Furthermore, researchers have reported that sites where CPOE were implemented still experience high rates of medication errors and adverse drug events (ADEs) [20], errors related to entry, retrieval, communication and coordination of health information [21] and low adoption rate of HIT [22].”
BackgroundMethods for Addressing Technology-induced Errors: The Current State
Dexheimer, J. W., Cossio, C. H. L., Gong, Y., Jensen, S., Kaipio, J., Kennebeck, S., Kirkendall, E. S., Kushniruk, A. W., Kuziemsky, C. E., Marcilly, R., et al. (2016) · Yearbook of Medical Informatics · doi:10.15265/iy-2016-029 · Cited by 26 · see citing works
“Poorly implemented HIT has the potential to lead to large scale errors, particularly in complex situations and contexts [59].”
A literature review of human factors and ergonomics within the pharmacy dispensing process
Weir, N., Newham, R., & Bennie, M. (2019) · Research in Social and Administrative Pharmacy · doi:10.1016/j.sapharm.2019.08.029 · Cited by 28 · see citing works
Resilient practices in maintaining safety of health information technologies
Smith, M. W., Ash, J. S., Sittig, D. F., & Singh, H. (2014) · Journal of Cognitive Engineering and Decision Making · doi:10.1177/1555343414534242 · Cited by 26 · see citing works
“…management of EHR-related safety is critical given the inherent safety risks associated with EHRs (Ash, Sittig, Campbell, Guappone, & Dykstra, 2007; Karsh, Weinger, Abbott, & Wears, 2010; Sittig & Singh, 2009; Skorve, 2010; Walker et al., 2008) and the rapid adoption of HIT in the United States…”
BackgroundA qualitative study of physician perspectives on adaptation to electronic health records
Sieck, C. J., Pearl, N., Bright, T. J., & Yen, P.-Y. (2020) · BMC Medical Informatics and Decision Making · doi:10.1186/s12911-020-1030-6 · Cited by 26 · see citing works
Melnick, E. R., Lopez, K., Hess, E. P., Abujarad, F., Brandt, C., Shiffman, R. N., & Post, L. A. (2015) · eGEMs (Generating Evidence & Methods to improve patient outcomes) · doi:10.13063/2327-9214.1136 · Cited by 24 · see citing works
“Understanding that users may “have very limited insight into their own performance, and even more limited ability to articulate what might improve it,” we triangulated the focus group findings with direct field observation in the form of a cognitive task analysis.(13) The analysis”
MethodRe-examining health IT policy: what will it take to derive value from our investment?
Riskin, L., Koppel, R., & Riskin, D. J. (2014) · Journal of the American Medical Informatics Association · doi:10.1136/amiajnl-2014-003065 · Cited by 24 · see citing works
“As of 2014, the benefit of HIT remains controversial.(9,14)”
Background
- Authors
- Karsh, B.-T., Weinger, M. B., Abbott, P. A., & Wears, R. L.
- Affiliations
- University of Wisconsin–Madison (US)
- Vanderbilt University (US)
- Johns Hopkins University (US)
- University of Florida (US)
- Corresponding author
- Karsh, Ben-Tzion
- Venue
- Journal of the American Medical Informatics Association
- Publisher
- Oxford University Press (OUP)
- Published
- 2010-11
- Volume
- 17
- Issue
- 6
- Pages
- 617-623
- ISSN
- 1067-5027 (ISSN-L)
- 1527-974X
- PMC
- PMC3000760
- OpenAlex
- W2115602750
- Cited by
- 365
- References
- 116
- Citations by year
- 2026: 4 · 2025: 7 · 2024: 10 · 2023: 7 · 2022: 10 · 2021: 18 · 2020: 29 · 2019: 42 · 2018: 25 · 2017: 21 · 2016: 24 · 2015: 36 · 2014: 28 · 2013: 48 · 2012: 34
- FWCI
- 62.14
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of the American Medical Informatics Association (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Centers for Disease Control and Prevention (R18SH017899)
- Agency for Healthcare Research and Quality (R18HS017902, HS016651, U18HS016651)
- U.S. National Library of Medicine (R01LM008923)
- Topics
- Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
- Social Sciences › Sociology and Political Science › Information Systems Theories and Implementation
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Technology and Human Factors in Education and Health
- Keywords
- health information technology, quality of care, health care costs, human factors engineering, cognitive engineering
- MeSH terms
- Attitude to Health, Diffusion of Innovation, Health Policy, Humans, Medical Informatics, Technology Assessment, Biomedical, United States
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-10-07.
Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-07.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
