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

Turner, P ORCID: 0000-0003-4504-2338, Nohr, C and Kushniruk, A 2017 , 'Are We There Yet? Human Factors Knowledge and Health Information Technology – the Challenges of Implementation and Impact' , IMIA Yearbook of Medical Informatics, vol. 26, no. 1 , pp. 84-91 , doi: 10.15265/IY-2017-014.

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Abstract

Objective: To review the developments in human factors (HF)research on the challenges of health information technology(HIT) implementation and impact given the continuing incidenceof usability problems and unintended consequences from HITdevelopment and use.Methods: A search of PubMed/Medline and Web of Science®identified HF research published in 2015 and 2016. Electronichealth records (EHRs) and patient-centred HIT emerged assignificant foci of recent HF research. The authors selected prominentpapers highlighting ongoing HF and usability challenges inthese areas. This selective rather than systematic review of recentHF research highlights these key challenges and reflects on theirimplications 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 technologyinducederrors and unintended consequences. The paperhighlights support for: (i) strengthening the evidence base on thebenefits of HF approaches; (ii) improving knowledge translationin the implementation of HF approaches during HIT design,implementation, and evaluation; (iii) increasing transparency,governance, and enforcement of HF best practices at all stages ofthe HIT system development life cycle.Discussion and Conclusion: HF and usability approaches are yetto become embedded as integral components of HIT development,implementation, and impact assessment. As HIT becomesever-more pervasive including with patients as end-users, thereis a need to expand our conceptualisation of the problems to beaddressed and the suite of tactics and strategies to be used tocalibrate our pro-active involvement in its improvement.

Item Type: Article
Authors/Creators:Turner, P and Nohr, C and Kushniruk, A
Keywords: human factors engineering, usability, patient safety, health information technology
Journal or Publication Title: IMIA Yearbook of Medical Informatics
Publisher: Schattauer Publishers
ISSN: 2364-0502
DOI / ID Number: 10.15265/IY-2017-014
Copyright Information:

© 2017 IMIA and Schattauer GmbH

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