title: Failure to provide clinicians useful IT systems: opportunities to leapfrog current technologies.
abstract: OBJECTIVE
  To discuss why clinical information systems are failing.
  
  
  METHODS
  Subjectively analyzing the development of clinical IT systems during the last decades.
  
  
  CONCLUSIONS
  The challenge is to anticipate what information clinicians need and then deliver it in a way that is tailored for their unique views. Clinicians need workstations that offer the highest level possible of user-determined flexibility and customization. We envision and outline a so-called point of care work station, automatically scaling to the display, hardware capacity, operating system, applications (local or distributed) the user needs and across diverse health IT systems.
authors.affiliation: IBM Research, Center for Healthcare Management, Professor Emerita, Johns Hopkins University School of Nursing, Baltimore, MD 21210, USA. marionball@us.ibm.com
authors.forename: M J
authors.initials: MJ
authors.lastname: Ball
authors.forename: J S
authors.initials: JS
authors.lastname: Silva
authors.forename: S
authors.initials: S
authors.lastname: Bierstock
authors.forename: J V
authors.initials: JV
authors.lastname: Douglas
authors.forename: A F
authors.initials: AF
authors.lastname: Norcio
authors.forename: J
authors.initials: J
authors.lastname: Chakraborty
authors.forename: J
authors.initials: J
authors.lastname: Srini
mesh_terms: D022126:Access to Information; D006804:Ergonomics; D006801:Humans; D007256:Information Systems / Q000458:organization & administration*; D019095:Point-of-Care Systems / Q000458:organization & administration*; D013672:Technology / Q000458:organization & administration*; D014481:United States