Health information technology:Fallacies and Sober realities – Redux A homage to Bentzi Karsh and Robert Wears

Patricia A. Abbott; Matthew B. Weinger

doi:10.1016/j.apergo.2019.102973

Health information technology:Fallacies and Sober realities – Redux A homage to Bentzi Karsh and Robert Wears

Patricia A. Abbott, Matthew B. Weinger

School of Medicine

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

Since the publication of “Health Information Technology: Fallacies and Sober Realities” in 2010, health information technology (HIT) has become nearly ubiquitous in US healthcare facilities. Yet, HIT has yet to achieve its putative benefits of higher quality, safer, and lower cost care. There has been variable but largely marginal progress at addressing the 12 HIT fallacies delineated in the original paper. Here, we revisit several of the original fallacies and add five new ones. These fallacies must be understood and addressed by all stakeholders for HIT to be a positive force in achieving the high value healthcare system the nation deserves. Foundational cognitive and human factors engineering research and development continue to be essential to HIT development, deployment, and use.

Original language	English (US)
Article number	102973
Journal	Applied Ergonomics
Volume	82
DOIs	https://doi.org/10.1016/j.apergo.2019.102973
State	Published - Jan 2020

Keywords

Clinical informatics
Decision support
Fallacies
HIT
Human factors engineering
Patient safety
Sober realities
Systems engineering
User-centered design

ASJC Scopus subject areas

Human Factors and Ergonomics
Physical Therapy, Sports Therapy and Rehabilitation
Safety, Risk, Reliability and Quality
Engineering (miscellaneous)

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10.1016/j.apergo.2019.102973

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title = "Health information technology:Fallacies and Sober realities – Redux A homage to Bentzi Karsh and Robert Wears",

abstract = "Since the publication of “Health Information Technology: Fallacies and Sober Realities” in 2010, health information technology (HIT) has become nearly ubiquitous in US healthcare facilities. Yet, HIT has yet to achieve its putative benefits of higher quality, safer, and lower cost care. There has been variable but largely marginal progress at addressing the 12 HIT fallacies delineated in the original paper. Here, we revisit several of the original fallacies and add five new ones. These fallacies must be understood and addressed by all stakeholders for HIT to be a positive force in achieving the high value healthcare system the nation deserves. Foundational cognitive and human factors engineering research and development continue to be essential to HIT development, deployment, and use.",

keywords = "Clinical informatics, Decision support, Fallacies, HIT, Human factors engineering, Patient safety, Sober realities, Systems engineering, User-centered design",

author = "Abbott, {Patricia A.} and Weinger, {Matthew B.}",

note = "Funding Information: - Dr. Abbott's effort was supported in part by the University of Michigan School of Nursing and the Rita & Alex Hillman Foundation. - Dr. Weinger's effort was supported in part by the Institute for Medicine and Public Health, Vanderbilt University Medical Center and by the Geriatric Research Education and Clinical Center (GRECC) of the VA Tennessee Valley Healthcare System. Publisher Copyright: {\textcopyright} 2019",

year = "2020",

month = jan,

doi = "10.1016/j.apergo.2019.102973",

language = "English (US)",

volume = "82",

journal = "Applied Ergonomics",

issn = "0003-6870",

publisher = "Elsevier Limited",

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AU - Abbott, Patricia A.

AU - Weinger, Matthew B.

N1 - Funding Information: - Dr. Abbott's effort was supported in part by the University of Michigan School of Nursing and the Rita & Alex Hillman Foundation. - Dr. Weinger's effort was supported in part by the Institute for Medicine and Public Health, Vanderbilt University Medical Center and by the Geriatric Research Education and Clinical Center (GRECC) of the VA Tennessee Valley Healthcare System. Publisher Copyright: © 2019

PY - 2020/1

Y1 - 2020/1

N2 - Since the publication of “Health Information Technology: Fallacies and Sober Realities” in 2010, health information technology (HIT) has become nearly ubiquitous in US healthcare facilities. Yet, HIT has yet to achieve its putative benefits of higher quality, safer, and lower cost care. There has been variable but largely marginal progress at addressing the 12 HIT fallacies delineated in the original paper. Here, we revisit several of the original fallacies and add five new ones. These fallacies must be understood and addressed by all stakeholders for HIT to be a positive force in achieving the high value healthcare system the nation deserves. Foundational cognitive and human factors engineering research and development continue to be essential to HIT development, deployment, and use.

AB - Since the publication of “Health Information Technology: Fallacies and Sober Realities” in 2010, health information technology (HIT) has become nearly ubiquitous in US healthcare facilities. Yet, HIT has yet to achieve its putative benefits of higher quality, safer, and lower cost care. There has been variable but largely marginal progress at addressing the 12 HIT fallacies delineated in the original paper. Here, we revisit several of the original fallacies and add five new ones. These fallacies must be understood and addressed by all stakeholders for HIT to be a positive force in achieving the high value healthcare system the nation deserves. Foundational cognitive and human factors engineering research and development continue to be essential to HIT development, deployment, and use.

KW - Clinical informatics

KW - Decision support

KW - Fallacies

KW - HIT

KW - Human factors engineering

KW - Patient safety

KW - Sober realities

KW - Systems engineering

KW - User-centered design

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UR - http://www.scopus.com/inward/citedby.url?scp=85074159763&partnerID=8YFLogxK

U2 - 10.1016/j.apergo.2019.102973

DO - 10.1016/j.apergo.2019.102973

M3 - Article

C2 - 31677422

AN - SCOPUS:85074159763

SN - 0003-6870

VL - 82

JO - Applied Ergonomics

JF - Applied Ergonomics

M1 - 102973

ER -

Health information technology:Fallacies and Sober realities – Redux A homage to Bentzi Karsh and Robert Wears

Abstract

Keywords

ASJC Scopus subject areas

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