Health information technology: fallacies and sober realities.
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.
Karsh
Ben-Tzion
BT
Department of Industrial and Systems Engineering and Systems Engineering Initiative for Patient Safety, University of Wisconsin, Madison, Wisconsin 53706, USA. bkarsh@engr.wisc.edu
Weinger
Matthew B
MB
Abbott
Patricia A
PA
Wears
Robert L
RL
D001294:Attitude to Health; D004059:Diffusion of Innovation; D006291:Health Policy; D006801:Humans; D008490:Medical Informatics / Q000639:trends*; D013673:Technology Assessment, Biomedical; D014481:United States