Health information technology: fallacies and sober realities

被引：203

作者：

Karsh, Ben-Tzion ^{[1
,2
]}

Weinger, Matthew B. ^{[3
,4
]}

Abbott, Patricia A. ^{[5
,6
]}

Wears, Robert L. ^{[7
,8
]}

机构：

[1] Univ Wisconsin, Dept Ind & Syst Engn, Madison, WI 53706 USA

[2] Univ Wisconsin, Syst Engn Initiat Patient Safety, Madison, WI 53706 USA

[3] Vanderbilt Univ, Sch Med, Ctr Perioperat Res Qual, Nashville, TN 37212 USA

[4] VA Tennessee Valley Healthcare Syst, Ctr Geriatr Res Educ & Clin, Nashville, TN USA

[5] Johns Hopkins Univ, Sch Med, Div Hlth Sci Informat, Baltimore, MD USA

[6] Johns Hopkins Univ, Sch Nursing, Dept Hlth Syst & Outcomes, Baltimore, MD USA

[7] Univ Florida, Dept Emergency Med, Jacksonville, FL USA

[8] Univ London Imperial Coll Sci Technol & Med, Clin Safety Res Unit, London, England

来源：

JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION | 2010年 / 17卷 / 06期

关键词：

PHYSICIAN ORDER ENTRY; CLINICAL DECISION-SUPPORT; ADVERSE DRUG EVENTS; PATIENT SAFETY; MEDICAL INFORMATICS; AMBULATORY-CARE; NATIONAL-SURVEY; SYSTEMS; DESIGN; PERFORMANCE;

D O I：

10.1136/jamia.2010.005637

中图分类号：

TP [自动化技术、计算机技术];

学科分类号：

0812 ;

摘要：

Current research suggests that the rate of adoption of health information technology (HIT) is low, and that HIT may not have the touted beneficial effects on quality of care or costs. The twin issues of the failure of HIT adoption and of HIT efficacy stem primarily from a series of fallacies about HIT. We discuss 12 HIT fallacies and their implications for design and implementation. These fallacies must be understood and addressed for HIT to yield better results. Foundational cognitive and human factors engineering research and development are essential to better inform HIT development, deployment, and use.

引用

页码：617 / 623

页数：7

共 114 条

[81] A SYSTEMS-APPROACH TO ORGANIZATIONAL ERROR [J].