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Are we there yet? Human factors knowledge and health information technology - the challenges of implementation and impact

journal contribution
posted on 2023-05-19, 10:55 authored by Paul TurnerPaul Turner, Kushniruk, A, Nohr, C

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.

History

Publication title

IMIA Yearbook of Medical Informatics

Volume

26

Issue

01

Pagination

84-91

ISSN

2364-0502

Department/School

School of Information and Communication Technology

Publisher

Schattauer GmbH

Place of publication

Germany

Rights statement

© 2017 IMIA and Schattauer GmbH

Repository Status

  • Restricted

Socio-economic Objectives

Information systems, technologies and services not elsewhere classified

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