Yearb Med Inform 2014; 23(01): 58-66
DOI: 10.15265/IY-2014-0005
Original Article
Georg Thieme Verlag KG Stuttgart

Human Factors and Health Information Technology: Current Challenges and Future Directions

V. L. Patel
1   Center for Cognitive Studies in Medicine and Public Health, The New York Academy of Medicine; New York, NY, USA
,
T. G. Kannampallil
1   Center for Cognitive Studies in Medicine and Public Health, The New York Academy of Medicine; New York, NY, USA
› Institutsangaben
Weitere Informationen

Correspondence to:

Vimla L. Patel
Center for Cognitive Studies
in Medicine and Public Health
The New York Academy of Medicine
1216 5th Avenue, New York, NY

Publikationsverlauf

15. August 2014

Publikationsdatum:
05. März 2018 (online)

 

Summary

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 health-care 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.

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.

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.


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Correspondence to:

Vimla L. Patel
Center for Cognitive Studies
in Medicine and Public Health
The New York Academy of Medicine
1216 5th Avenue, New York, NY

  • References

  • 1 Institute of Medicine (IOM).. Health IT and Patient Safety: Building Safer Systems for Better Care. Washington, DC: Institute of Medicine; 2011
  • 2 Linder JA, Ma J, Bates DW, Middleton B, Stafford RS. Electronic Health Record Use and the Quality of Ambulatory Care in the United States. Arch Intern Med 2007; 167 (13) 1400-5.
  • 3 Koppel R, Metlay JP, Cohen A, Abaluck B, Localio AR, Kimmel SE. et al. Role of computerized physician order entry systems in facilitating medication errors. JAMA 2005; Mar 9 293 (10) 1197-203.
  • 4 Congressional Budget Office.. Evidence on the Costs and Benefits of Health Information Technology. The Congress of the United States. 2008
  • 5 Zhang J, Walji MF. TURF: toward a unified framework of EHR usability. J Biomed Inform 2011; Dec 44 (06) 1056-67.
  • 6 Weinger MB, Wiklund ME, Gardner-Bonneau DJ. Handbook of human factors in medical device design. US: CRC Press; 2010
  • 7 Zhang J, Johnson TR, Patel VL, Paige DL, Kubose T. Using usability heuristics to evaluate patient safety of medical devices. J Biomed Inform 2003; 36 (01) 23-30.
  • 8 Malhotra S, Jordan D, Shortliffe E, Patel VL. Workflow modeling in critical care: piecing together your own puzzle. J Biomed Inform 2007; Apr 40 (02) 81-92.
  • 9 Patel VL, Kannampallil TG. Cognitive Approaches to Clinical Data Management for Decision Support: Is It Old Wine in New Bottle?. In: Holzinger A, Simonic K-M. editors. Information Quality in e-Health. Berlin, Heidelberg: Springer; 2011. p. 1-13.
  • 10 Patel VL, Kaufman DR, Kannampallil T. Diagnostic Reasoning and Decision Making in the Context of Health Information Technology. Reviews of Human Factors and Ergonomics 2013; 8: 149-90.
  • 11 Institute of Medicine (IOM).. Patient safety: achieving a new standard for care. National Academies Press; 2003
  • 12 Carayon P, Wetterneck TB, Rivera-Rodriguez AJ, Hundt AS, Hoonakker P, Holden RJ. et al. Human factors systems approach to healthcare quality and patient safety. Appl Ergon 2014; 45 (01) 14-25.
  • 13 Karsh BT, Holden RJ, Alper SJ, Or CK. A human factors engineering paradigm for patient safety: designing to support the performance of the healthcare professional. Qual Saf Health Care 2006; Dec 15 Suppl 1: i59-65.
  • 14 Salvendy G. Handbook of Human Factors and Ergonomics. Second Edition. New York: John Wiley & Sons; 1997
  • 15 Wickens C, Lee J, Liu Y, Becker SG. An Introduction to Human Factors Engineering. Second Edition. Upper Saddle River, NJ: Pearson Prentice Hall; 2004
  • 16 Walton M, Woodward H, Van Staalduinen S, Lemer C, Greaves F, Noble D. et al. The WHO patient safety curriculum guide for medical schools. Qual Saf Health Care 2010; 19: 542-6.
  • 17 Congress of the United States.. American Recovery and Reinvestment Act (ARRA) 2009. Available from: http://www.gpo.gov/fdsys/pkg/BILLS-111hr1enr/pdf/BILLS-111hr1enr.pdf.
  • 18 Ash JS, Stavri PZ, Kuperman GJ. A consensus statement on considerations for a successful CPOE implementation. J Am Med Inform Assoc 2003; May-Jun 10 (03) 229-34. .
  • 19 Berg M. Patient care information systems and health care work: a sociotechnical approach. Int J Med Inform 1999; 55 (02) 87-101.
  • 20 Carayon P, Karsh BT, Gurses AP, Holden RJ, Hoonakker P, Schoofs Hundt A. et al. Macro-ergonomics in Health Care Quality and Patient Safety. Reviews of Human Factors and Ergonomics 2013; 8 (01) 4-54.
  • 21 Gurses AP, Ozok AA, Pronovost PJ. Time to accelerate integration of human factors and ergonomics in patient safety. BMJ Qual Saf 2012; Apr 21 (04) 347-51.
  • 22 Gosbee J. Human factors engineering and patient safety. Qual Saf Health Care 2002; 11: 352-4.
  • 23 Norris BJ. Human factors and safe patient care. J Nurs Manag. 2009; 17 (02) 203-11.
  • 24 Chapanis A, Safrin MA. Of misses and medicines. J Chronic Dis 1960; Oct 12: 403-8.
  • 25 Safren MA, Chapanis A. A critical incident study of hospital medication errors. Hospitals 1960; May 1 34: 32-4 passim..
  • 26 Catchpole K. Spreading human factors expertise in healthcare: untangling the knots in people and systems. BMJ Qual Saf 2013; 10: 793-7.
  • 27 Leonard M, Graham S, Bonacum D. The human factor: the critical importance of effective team-work and communication in providing safe care. Qual Saf Health Care 2004; Oct 13 Suppl 1: i85-90.
  • 28 Gaba DM. Have we gone too far in translating ideas from aviation to patient safety?. No. BMJ. 2011 (342) c7310
  • 29 Rogers J. Have we gone too far in translating ideas from aviation to patient safety?. Yes. BMJ. 2011 (342) c7309.
  • 30 Jarrett D. Cockpit engineering. Farnham: Ashgate Publishing; 2005
  • 31 Morrow D, Lee A, Rodvold M. Analysis of problems in routine controller-pilot communication. The Int J Aviat Psychol. 1993; (03) 4.
  • 32 O’Leary M, Chappell SL. Confidential incident reporting systems create vital awareness of safety problems. ICAO J 1996; 51 (08) 11-3 27.
  • 33 Haller G, Garnerin P, Morales MA, Pfister R, Berner M, Irion O. et al. Effect of crew resource management training in a multidisciplinary obstetrical setting. Int J Qual Health Care 2008; Aug 20 (04) 254-63. .
  • 34 McCulloch P, Mishra A, Handa A, Dale T, Hirst G, Catchpole K. The effects of aviation-style non-technical skills training on technical performance and outcome in the operating theatre. Qual Saf Health Care 2009; Apr 18 (02) 109-15.
  • 35 Taylor CR, Hepworth JT, Buerhaus PI, Dittus R, Speroff T. Effect of crew resource management on diabetes care and patient outcomes in an inner-city primary care clinic. Qual Saf Health Care 2007; Aug 16 (04) 244-7.
  • 36 Catchpole KR, Dale TJ, Hirst DG, Smith JP, Giddings TA. A multicenter trial of aviation-style training for surgical teams. J Patient Saf 2010; Sep 6 (03) 180-6.
  • 37 McCulloch P, Rathbone J, Catchpole K. Interventions to improve teamwork and communications among healthcare staff. Br J Surg 2011; Apr 98 (04) 469-79.
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