Human factors and health information technology: current challenges and future directions

Vimla Patel, T. G. Kannampallil

Research output: Contribution to journalReview article

14 Citations (Scopus)

Abstract

OBJECTIVES: Recent federal mandates and incentives have spurred the rapid growth, development and adoption of health information technology (HIT). While providing significant benefits for better data integration, organization, and availability, recent reports have raised questions regarding their potential to cause medication errors, decreased clinician performance, and lowered efficiency. The goal of this survey article is to (a) examine the theoretical and foundational models of human factors and ergonomics (HFE) that are being advocated for achieving patient safety and quality, and their use in the evaluation of healthcare systems; (b) and the potential for macroergonomic HFE approaches within the context of current research in biomedical informatics.

METHODS: We reviewed literature (2007-2013) on the use of HFE approaches in healthcare settings, from databases such as Pubmed, CINAHL, and Cochran.

CONCLUSIONS: The use of HFE methods is still in its infancy - better integration of HFE within the design lifecycle, and quality improvement efforts can further the ability of informatics researchers to address the key concerns regarding the complexity in clinical settings and develop HIT solutions that are designed within the social fabric of the considered setting.

RESULTS: Based on the review, we discuss the systems-oriented models, their use in the evaluation of HIT, and examples of their use in the evaluation of EHR systems, clinical workflow processes, and medication errors. We also discuss the opportunities for better integrating HFE methods within biomedical informatics research and its potential advantages.

Original languageEnglish (US)
Pages (from-to)58-66
Number of pages9
JournalYearbook of medical informatics
Volume9
DOIs
StatePublished - Aug 15 2014
Externally publishedYes

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Medical Informatics
Human Engineering
Informatics
Medication Errors
Biomedical Research
Delivery of Health Care
Aptitude
Workflow
Patient Safety
Quality Improvement
Growth and Development
PubMed
Direction compound
Motivation
Theoretical Models
Research Personnel
Databases
Efficiency

Keywords

  • human factors
  • macroergonomics
  • patient safety
  • socio-technical frameworks
  • Systems-oriented approach

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Human factors and health information technology : current challenges and future directions. / Patel, Vimla; Kannampallil, T. G.

In: Yearbook of medical informatics, Vol. 9, 15.08.2014, p. 58-66.

Research output: Contribution to journalReview article

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