Human Factors and Ergonomics of Health Information Technology Implementation

2011 ◽  
pp. 249-264 ◽  
Author(s):  
Ben-Tzion Karsh ◽  
Richard Holden ◽  
Calvin Or
Keyword(s):  
Information Technology ◽  
Human Factors ◽  
Health Information Technology ◽  
Health Information ◽  
Technology Implementation ◽  
Human Factors And Ergonomics

scholarly journals Human Factors and Ergonomics in the Design of Health Information Technology: Trends and Progress in 2014

2015 ◽  
Vol 24 (01) ◽  
pp. 75-78 ◽  
Author(s):  
MS. Ong ◽  
S. Pelayo ◽  
Keyword(s):  
Information Technology ◽  
Human Factors ◽  
Health Information Technology ◽  
Health Information ◽  
Medical Informatics ◽  
Selection Process ◽  
Organizational Issues ◽  
Human Factors And Ergonomics ◽  
The Impact

Summary Objective: To summarize significant contributions to the research on human factors and organizational issues in medical informatics. Methods: An extensive search using PubMed/Medline and Web of Science® was conducted to identify the scientific contributions, published in 2014, to human factors and organizational issues in medical informatics, with a focus on health information technology (HIT) usability. The selection process comprised three steps: (i) 15 candidate best papers were selected by the two section editors, (ii) external reviewers from a pool of international experts reviewed each candidate best paper, and (iii) the final selection of three best papers was made by the editorial board of the IMIA Yearbook. Results: Noteworthy papers published in 2014 describe an efficient, easy to implement, and useful process for detecting and mitigating human factors and ergonomics (HFE) issues of HIT. They contribute to promote the HFE approach with interventions based on rigorous and well-conducted methods when designing and implementing HIT.Conclusion: The application of HFE in the design and implementation of HIT remains limited, and the impact of incorporating HFE principles on patient safety is understudied. Future works should be conducted to advance this field of research, so that the safety and quality of patient care are not compromised by the increasing adoption of HIT.

scholarly journals Human factors and ergonomics in home care: Current concerns and future considerations for health information technology

Work ◽  
2009 ◽  
Vol 33 (2) ◽  
pp. 201-209 ◽  
Author(s):  
Calvin K.L. Or ◽  
Rupa S. Valdez ◽  
Gail R. Casper ◽  
Pascale Carayon ◽  
Laura J. Burke ◽  
...  
Keyword(s):  
Information Technology ◽  
Home Care ◽  
Human Factors ◽  
Health Information Technology ◽  
Health Information ◽  
Human Factors And Ergonomics ◽  
Current Concerns

Parallel Assessment Tracks for Human-Centered Design (PATH): A Framework for Transitioning to a New Health Information Technology System

2021 ◽  
Vol 65 (1) ◽  
pp. 294-298
Author(s):  
Jason J. Saleem ◽  
Kyle Maddox ◽  
Jennifer Herout ◽  
Kurt Ruark
Keyword(s):  
Information Technology ◽  
Human Factors ◽  
Health Information Technology ◽  
Health Information ◽  
Large Scale ◽  
Comprehensive Evaluation ◽  
Customer Relationship ◽  
Human Factors Engineering ◽  
Human Centered Design ◽  
Legacy System

This practice-oriented paper presents a human-centered design (HCD) framework that we developed to perform a comprehensive evaluation of a new health information technology (HIT) system under development, intended to replace a legacy system. The Department of Veterans Affairs (VA) Veteran Crisis Line (VCL) program provides a vital service in crisis intervention and suicide prevention. VCL staff rely on a Customer Relationship Management (CRM) legacy system, Medora. VCL intended to replace Medora with Microsoft Dynamics 365 (D365) CRM system. Due to wide-spread criticism of D365, the VA Human Factors Engineering (HFE) team engaged in a multi-study, mixed-method HCD evaluation to investigate the legacy system and intended replacement in terms of ability to support VCL staff needs. The HCD framework we developed to perform this evaluation may be adapted for other large-scale HIT transitions and may provide human factors practitioners with guidance to make evidence-based decisions to support (or abandon) such transitions.

scholarly journals Informatics and interaction: Applying human factors principles to optimize the design of clinical decision support for sepsis

2019 ◽  
Vol 26 (1) ◽  
pp. 642-651
Author(s):  
Laura Schubel ◽  
Danielle L Mosby ◽  
Joseph Blumenthal ◽  
Muge Capan ◽  
Ryan Arnold ◽  
...  
Keyword(s):  
Information Technology ◽  
Decision Support ◽  
Human Factors ◽  
Organ Failure ◽  
Health Information Technology ◽  
Health Information ◽  
Clinical Decision Support ◽  
Clinical Care ◽  
Clinical Decision ◽  
Wide Range

In caring for patients with sepsis, the current structure of electronic health record systems allows clinical providers access to raw patient data without imputation of its significance. There are a wide range of sepsis alerts in clinical care that act as clinical decision support tools to assist in early recognition of sepsis; however, there are serious shortcomings in existing health information technology for alerting providers in a meaningful way. Little work has been done to evaluate and assess existing alerts using implementation and process outcomes associated with health information technology displays, specifically evaluating clinician preference and performance. We developed graphical model displays of two popular sepsis scoring systems, quick Sepsis Related Organ Failure Assessment and Predisposition, Infection, Response, Organ Failure, using human factors principles grounded in user-centered and interaction design. Models will be evaluated in a larger research effort to optimize alert design to improve the collective awareness of high-risk populations and develop a relevant point-of-care clinical decision support system for sepsis.

scholarly journals Are We There Yet? Human Factors Knowledge and Health Information Technology – the Challenges of Implementation and Impact

2017 ◽  
Vol 26 (01) ◽  
pp. 84-91 ◽  
Author(s):  
P. Turner ◽  
A. Kushniruk ◽  
C. Nohr
Keyword(s):  
Information Technology ◽  
Human Factors ◽  
Health Information Technology ◽  
Health Information ◽  
System Development ◽  
Evidence Base ◽  
Unintended Consequences ◽  
Active Involvement ◽  
Usability Problems ◽  
Development Life Cycle

Summary Objective: To review the developments in human factors (HF) research on the challenges of health information technology (HIT) implementation and impact given the continuing incidence of usability problems and unintended consequences from HIT development and use. Methods: A search of PubMed/Medline and Web of Science® identified HF research published in 2015 and 2016. Electronic health records (EHRs) and patient-centred HIT emerged as significant foci of recent HF research. The authors selected prominent papers highlighting ongoing HF and usability challenges in these areas. This selective rather than systematic review of recent HF research highlights these key challenges and reflects on their implications on the future impact of HF research on HIT. Results: Research provides evidence of continued poor design, implementation, and usability of HIT, as well as technology-induced errors and unintended consequences. The paper highlights support for: (i) strengthening the evidence base on the benefits of HF approaches; (ii) improving knowledge translation in the implementation of HF approaches during HIT design, implementation, and evaluation; (iii) increasing transparency, governance, and enforcement of HF best practices at all stages of the HIT system development life cycle. Discussion and Conclusion: HF and usability approaches are yet to become embedded as integral components of HIT development, implementation, and impact assessment. As HIT becomes ever-more pervasive including with patients as end-users, there is a need to expand our conceptualisation of the problems to be addressed and the suite of tactics and strategies to be used to calibrate our pro-active involvement in its improvement.

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