A review of human factors principles for the design and implementation of medication safety alerts in clinical information systems

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,...

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Veröffentlicht in:Journal of the American Medical Informatics Association : JAMIA 2010-09, Vol.17 (5), p.493-501
Hauptverfasser: Phansalkar, Shobha, Edworthy, Judy, Hellier, Elizabeth, Seger, Diane L, Schedlbauer, Angela, Avery, Anthony J, Bates, David W
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container_end_page 501
container_issue 5
container_start_page 493
container_title Journal of the American Medical Informatics Association : JAMIA
container_volume 17
creator Phansalkar, Shobha
Edworthy, Judy
Hellier, Elizabeth
Seger, Diane L
Schedlbauer, Angela
Avery, Anthony J
Bates, David W
description 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.
doi_str_mv 10.1136/jamia.2010.005264
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source Oxford University Press Journals All Titles (1996-Current); MEDLINE; EZB-FREE-00999 freely available EZB journals; PubMed Central
subjects Ergonomics - methods
Hospital Information Systems - organization & administration
Humans
Medical Order Entry Systems
Review Paper
title A review of human factors principles for the design and implementation of medication safety alerts in clinical information systems
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