Yearb Med Inform 2015; 24(01): 75-78
DOI: 10.15265/IY-2015-033
Original Article
Georg Thieme Verlag KG Stuttgart

Human Factors and Ergonomics in the Design of Health Information Technology: Trends and Progress in 2014

S. Pelayo
1   INSERM CIC-IT 1403 Evalab, CHU Lille, UDSL EA 2694, Lille University, Lille, France
,
MS. Ong
2   Children’s Hospital Informatics Program, Boston Children’s Hospital, Boston MA 02115, United States
3   Center for Health Informatics, Australian Institute of Health Innovation, Macquarie University, Sydney, Australia
,
Section Editors for the IMIA Yearbook Section on Human Factors and Organizational Issues › Author Affiliations
Further Information

Correspondence to:

Sylvia Pelayo
INSERM CIC-IT 1403
Université Lille 2, CHRU de Lille
Lille, France

Publication History

13 August 2015

Publication Date:
10 March 2018 (online)

 

Summary

Objective: To summarize significant contributions to the research on human factors and organizational issues in medical informatics.

Methods: An extensive search using PubMed/Medline and Web of Science® was conducted to identify the scientific contributions, published in 2014, to human factors and organizational issues in medical informatics, with a focus on health information technology (HIT) usability. The selection process comprised three steps: (i) 15 candidate best papers were selected by the two section editors, (ii) external reviewers from a pool of international experts reviewed each candidate best paper, and (iii) the final selection of three best papers was made by the editorial board of the IMIA Yearbook.

Results: Noteworthy papers published in 2014 describe an efficient, easy to implement, and useful process for detecting and mitigating human factors and ergonomics (HFE) issues of HIT. They contribute to promote the HFE approach with interventions based on rigorous and well-conducted methods when designing and implementing HIT.

Conclusion: The application of HFE in the design and implementation of HIT remains limited, and the impact of incorporating HFE principles on patient safety is understudied. Future works should be conducted to advance this field of research, so that the safety and quality of patient care are not compromised by the increasing adoption of HIT.


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  • References

  • 1 Berg M, Coiera E. Some unintended consequences of information technology in health care: the nature of patient care information system-related errors. J Am Med Inform Assoc 2004; MarApr 11 (Suppl. 02) 104-12.
  • 2 Magrabi F, Ong MS, Runciman B, Coiera E. Using FDA reports to inform a classification for health information technology safety problems. J Am Med Inform Assoc 2012; 19 (Suppl. 01) 45-53.
  • 3 Magrabi F, Ong MS, Runciman B, Coiera E. An analysis of computer-related patient safety incidents to inform the development of a classification. J Am Med Inform Assoc 2010; 17 (Suppl. 06) 663-670.
  • 4 Carayon P, Xie A, Kianfar S. Human factors and ergonomics as a patient safety practice. BMJ Qual Saf 2014; Mar 23 (Suppl. 03) 196-205.
  • 5 Institute of Medicine (IOM).. Patient safety: achieving a new standard for care. National Academies Press; 2003
  • 6 Patel VL, Zhang J, Yoskowitz NA, Green R, Sayan OR. Translational cognition for decision support in critical care environments: a review. J Biomed Inform 2008; Jun 41 (Suppl. 03) 413-31.
  • 7 Zhang J. Human-centered computing in health information systems. Part 1: analysis and design. J Biomed Inform 2005; Feb 38 (Suppl. 01) 1-3.
  • 8 Zhang J. Human-centered computing in health information systems part 2: evaluation. J Biomed Inform 2005; Jun 38 (Suppl. 03) 173-5.
  • 9 Institute of Medicine (IOM).. Health IT and Patient Safety: Building Safer Systems for Better Care. Washington, DC: Institute of Medicine; 2011
  • 10 ANSI/AAMI HE75:2009.. Human factors engineering - Design of medical devices. Arlington, VA.:
  • 11 International Standardization Organization.. Ergo-nomic requirements for office work with visual display terminals (VDTs) -- Part 11: Guidance on usability (Rep N° 9241-11). Geneva: International Standardization Organization; 1998
  • 12 Beuscart-Zéphir MC, Borycki E, Carayon P, Jaspers MW, Pelayo S. Evolution of human factors research and studies of health information technologies: the role of patient safety. Yearb Med Inform 2013; 8 (Suppl. 01) 67-77.
  • 13 International Organisation for Standardization, ISO 9241-210:2010 Ergonomics of human-system interaction - Part 210: Human centred design for interactive systems. Geneva: 2010
  • 14 Marcilly R, Beuscart-Zéphir MC, Ammenwerth E, Pelayo S. Seeking evidence to support usability principles for medication-related clinical decision support (CDS) functions. Stud Health Technol Inform 2013; 192: 427-31.
  • 15 Marcilly R, Boog C, Leroy N, Pelayo S. Perceived usefulness of a usability issues reporting form to help understand “usability-induced use-errors”: a preliminary study. Stud Health Technol Inform 2014; 205: 880-4.
  • 16 Patel VL, Kannampallil TG. Human factors and health information technology: current challenges and future directions. Yearb Med Inform 2014 Aug 15 9 (Suppl. 01) 58-66.
  • 17 Safren MA, Chapanis A. A critical incident study of hospital medication errors. Hospitals 1960 May 1 34: 32-4 passim.
  • 18 Saleem JJ, Russ AL, Sanderson P, Johnson TR, Zhang J, Sittig DF. Current challenges and opportunities for better integration of human factors research with development of clinical information systems. Yearb Med Inform 2009; 48-58.
  • 19 Lamy JB, Séroussi B, Griffon N, Kerdelhué G, Jaulent MC, Bouaud J. Toward a formalization of the process to select IMIA Yearbook best papers. Methods Inf Med 2015; 54 (Suppl. 02) 135-44.
  • 20 Meeks DW, Smith MW, Taylor L, Sittig DF, Scott JM, Singh H. An analysis of electronic health record-related patient safety concerns. J Am Med Inform Assoc 2014; Nov-Dec 21 (Suppl. 06) 1053-9.
  • 21 Goddard K, Roudsari A, Wyatt JC. Automation bias: empirical results assessing influencing factors. Int J Med Inform 2014; May 83 (Suppl. 05) 368-75.
  • 22 Flewwelling CJ, Easty AC, Vicente KJ, Cafazzo JA. The use of fault reporting of medical equipment to identify latent design flaws. J Biomed Inform 2014; Oct 51: 80-5.
  • 23 Friedman A, Crosson JC, Howard J, Clark EC, Pellerano M, Karsh BT. et al. A typology of electronic health record workarounds in small-to-medium size primary care practices. J Am Med Inform Assoc 2014; Feb 21 e1 e78-83.
  • 24 Russ AL, Zillich AJ, Melton BL, Russell SA, Chen S, Spina JR. et al. Applying human factors principles to alert design increases efficiency and reduces prescribing errors in a scenario-based simulation. J Am Med Inform Assoc 2014; Oct 21 e2 e287-96.
  • 25 Jensen S, Rasmussen SL, Lyng KM. Evaluation of a clinical simulation-based assessment method for EHR-platforms. Stud Health Technol Inform 2014; 205: 925-9.
  • 26 Jorritsma W, Cnossen F, van Ooijen PM. Merits of usability testing for PACS selection. Int J Med Inform 2014; Jan 83 (Suppl. 01) 27-36.
  • 27 Walji MF, Kalenderian E, Piotrowski M, Tran D, Kookal KK, Tokede O. et al. Are three methods better than one? A comparative assessment of usability evaluation methods in an EHR. Int J Med Inform 2014; May 83 (Suppl. 05) 361-7.
  • 28 Moore LJ, Wilson MR, McGrath JS, Waine E, Masters RS, Vine SJ. Surgeons’ display reduced mental effort and workload while performing robotically assisted surgical tasks, when compared to conventional laparoscopy. Surg Endosc 2014 Nov 27. [Epub ahead of print]
  • 29 Phansalkar S, Zachariah M, Seidling HM, Mendes C, Volk L, Bates DW. Evaluation of medication alerts in electronic health records for compliance with human factors principles. J Am Med Inform Assoc 2014; Oct 21 e2 e332-40.
  • 30 Baker TB, Gustafson DH, Shah D. How can research keep up with eHealth? Ten strategies for increasing the timeliness and usefulness of eHealth research. J Med Internet Res 2014 Feb 19 16 (Suppl. 02) e36.
  • 31 Peek ST, Wouters EJ, van Hoof J, Luijkx KG, Boeije HR, Vrijhoef HJ. Factors influencing acceptance of technology for aging in place: a systematic review. Int J Med Inform 2014; Apr 83 (Suppl. 04) 235-48.
  • 32 Guise V, Anderson J, Wiig S. Patient safety risks associated with telecare: a systematic review and narrative synthesis of the literature. BMC Health Serv Res 2014 Nov 25 14 (Suppl. 01) 588.
  • 33 Mirkovic J, Kaufman DR, Ruland CM. Supporting cancer patients in illness management: usability evaluation of a mobile app. JMIR Mhealth Uhealth 2014 Aug 13 2 (Suppl. 03) e33.

Correspondence to:

Sylvia Pelayo
INSERM CIC-IT 1403
Université Lille 2, CHRU de Lille
Lille, France

  • References

  • 1 Berg M, Coiera E. Some unintended consequences of information technology in health care: the nature of patient care information system-related errors. J Am Med Inform Assoc 2004; MarApr 11 (Suppl. 02) 104-12.
  • 2 Magrabi F, Ong MS, Runciman B, Coiera E. Using FDA reports to inform a classification for health information technology safety problems. J Am Med Inform Assoc 2012; 19 (Suppl. 01) 45-53.
  • 3 Magrabi F, Ong MS, Runciman B, Coiera E. An analysis of computer-related patient safety incidents to inform the development of a classification. J Am Med Inform Assoc 2010; 17 (Suppl. 06) 663-670.
  • 4 Carayon P, Xie A, Kianfar S. Human factors and ergonomics as a patient safety practice. BMJ Qual Saf 2014; Mar 23 (Suppl. 03) 196-205.
  • 5 Institute of Medicine (IOM).. Patient safety: achieving a new standard for care. National Academies Press; 2003
  • 6 Patel VL, Zhang J, Yoskowitz NA, Green R, Sayan OR. Translational cognition for decision support in critical care environments: a review. J Biomed Inform 2008; Jun 41 (Suppl. 03) 413-31.
  • 7 Zhang J. Human-centered computing in health information systems. Part 1: analysis and design. J Biomed Inform 2005; Feb 38 (Suppl. 01) 1-3.
  • 8 Zhang J. Human-centered computing in health information systems part 2: evaluation. J Biomed Inform 2005; Jun 38 (Suppl. 03) 173-5.
  • 9 Institute of Medicine (IOM).. Health IT and Patient Safety: Building Safer Systems for Better Care. Washington, DC: Institute of Medicine; 2011
  • 10 ANSI/AAMI HE75:2009.. Human factors engineering - Design of medical devices. Arlington, VA.:
  • 11 International Standardization Organization.. Ergo-nomic requirements for office work with visual display terminals (VDTs) -- Part 11: Guidance on usability (Rep N° 9241-11). Geneva: International Standardization Organization; 1998
  • 12 Beuscart-Zéphir MC, Borycki E, Carayon P, Jaspers MW, Pelayo S. Evolution of human factors research and studies of health information technologies: the role of patient safety. Yearb Med Inform 2013; 8 (Suppl. 01) 67-77.
  • 13 International Organisation for Standardization, ISO 9241-210:2010 Ergonomics of human-system interaction - Part 210: Human centred design for interactive systems. Geneva: 2010
  • 14 Marcilly R, Beuscart-Zéphir MC, Ammenwerth E, Pelayo S. Seeking evidence to support usability principles for medication-related clinical decision support (CDS) functions. Stud Health Technol Inform 2013; 192: 427-31.
  • 15 Marcilly R, Boog C, Leroy N, Pelayo S. Perceived usefulness of a usability issues reporting form to help understand “usability-induced use-errors”: a preliminary study. Stud Health Technol Inform 2014; 205: 880-4.
  • 16 Patel VL, Kannampallil TG. Human factors and health information technology: current challenges and future directions. Yearb Med Inform 2014 Aug 15 9 (Suppl. 01) 58-66.
  • 17 Safren MA, Chapanis A. A critical incident study of hospital medication errors. Hospitals 1960 May 1 34: 32-4 passim.
  • 18 Saleem JJ, Russ AL, Sanderson P, Johnson TR, Zhang J, Sittig DF. Current challenges and opportunities for better integration of human factors research with development of clinical information systems. Yearb Med Inform 2009; 48-58.
  • 19 Lamy JB, Séroussi B, Griffon N, Kerdelhué G, Jaulent MC, Bouaud J. Toward a formalization of the process to select IMIA Yearbook best papers. Methods Inf Med 2015; 54 (Suppl. 02) 135-44.
  • 20 Meeks DW, Smith MW, Taylor L, Sittig DF, Scott JM, Singh H. An analysis of electronic health record-related patient safety concerns. J Am Med Inform Assoc 2014; Nov-Dec 21 (Suppl. 06) 1053-9.
  • 21 Goddard K, Roudsari A, Wyatt JC. Automation bias: empirical results assessing influencing factors. Int J Med Inform 2014; May 83 (Suppl. 05) 368-75.
  • 22 Flewwelling CJ, Easty AC, Vicente KJ, Cafazzo JA. The use of fault reporting of medical equipment to identify latent design flaws. J Biomed Inform 2014; Oct 51: 80-5.
  • 23 Friedman A, Crosson JC, Howard J, Clark EC, Pellerano M, Karsh BT. et al. A typology of electronic health record workarounds in small-to-medium size primary care practices. J Am Med Inform Assoc 2014; Feb 21 e1 e78-83.
  • 24 Russ AL, Zillich AJ, Melton BL, Russell SA, Chen S, Spina JR. et al. Applying human factors principles to alert design increases efficiency and reduces prescribing errors in a scenario-based simulation. J Am Med Inform Assoc 2014; Oct 21 e2 e287-96.
  • 25 Jensen S, Rasmussen SL, Lyng KM. Evaluation of a clinical simulation-based assessment method for EHR-platforms. Stud Health Technol Inform 2014; 205: 925-9.
  • 26 Jorritsma W, Cnossen F, van Ooijen PM. Merits of usability testing for PACS selection. Int J Med Inform 2014; Jan 83 (Suppl. 01) 27-36.
  • 27 Walji MF, Kalenderian E, Piotrowski M, Tran D, Kookal KK, Tokede O. et al. Are three methods better than one? A comparative assessment of usability evaluation methods in an EHR. Int J Med Inform 2014; May 83 (Suppl. 05) 361-7.
  • 28 Moore LJ, Wilson MR, McGrath JS, Waine E, Masters RS, Vine SJ. Surgeons’ display reduced mental effort and workload while performing robotically assisted surgical tasks, when compared to conventional laparoscopy. Surg Endosc 2014 Nov 27. [Epub ahead of print]
  • 29 Phansalkar S, Zachariah M, Seidling HM, Mendes C, Volk L, Bates DW. Evaluation of medication alerts in electronic health records for compliance with human factors principles. J Am Med Inform Assoc 2014; Oct 21 e2 e332-40.
  • 30 Baker TB, Gustafson DH, Shah D. How can research keep up with eHealth? Ten strategies for increasing the timeliness and usefulness of eHealth research. J Med Internet Res 2014 Feb 19 16 (Suppl. 02) e36.
  • 31 Peek ST, Wouters EJ, van Hoof J, Luijkx KG, Boeije HR, Vrijhoef HJ. Factors influencing acceptance of technology for aging in place: a systematic review. Int J Med Inform 2014; Apr 83 (Suppl. 04) 235-48.
  • 32 Guise V, Anderson J, Wiig S. Patient safety risks associated with telecare: a systematic review and narrative synthesis of the literature. BMC Health Serv Res 2014 Nov 25 14 (Suppl. 01) 588.
  • 33 Mirkovic J, Kaufman DR, Ruland CM. Supporting cancer patients in illness management: usability evaluation of a mobile app. JMIR Mhealth Uhealth 2014 Aug 13 2 (Suppl. 03) e33.