Document Detail


A review of human factors principles for the design and implementation of medication safety alerts in clinical information systems.
MedLine Citation:
PMID:  20819851     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The objective of this review is to describe the implementation of human factors principles for the design of alerts in clinical information systems. First, we conduct a review of alarm systems to identify human factors principles that are employed in the design and implementation of alerts. Second, we review the medical informatics literature to provide examples of the implementation of human factors principles in current clinical information systems using alerts to provide medication decision support. Last, we suggest actionable recommendations for delivering effective clinical decision support using alerts. A review of studies from the medical informatics literature suggests that many basic human factors principles are not followed, possibly contributing to the lack of acceptance of alerts in clinical information systems. We evaluate the limitations of current alerting philosophies and provide recommendations for improving acceptance of alerts by incorporating human factors principles in their design.
Authors:
Shobha Phansalkar; Judy Edworthy; Elizabeth Hellier; Diane L Seger; Angela Schedlbauer; Anthony J Avery; David W Bates
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  Journal of the American Medical Informatics Association : JAMIA     Volume:  17     ISSN:  1527-974X     ISO Abbreviation:  J Am Med Inform Assoc     Publication Date:    2010 Sep-Oct
Date Detail:
Created Date:  2010-09-07     Completed Date:  2010-11-15     Revised Date:  2011-09-13    
Medline Journal Info:
Nlm Unique ID:  9430800     Medline TA:  J Am Med Inform Assoc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  493-501     Citation Subset:  IM    
Affiliation:
Division of General Internal Medicine, Brigham and Women's Hospital, Boston, MA, USA. sphansalkar@partners.org
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MeSH Terms
Descriptor/Qualifier:
Hospital Information Systems / organization & administration*
Human Engineering / methods*
Humans
Medical Order Entry Systems*
Comments/Corrections

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