title: Designing for Risk Assessment Systems for Patient Triage in Primary Health Care: A Literature Review.
abstract: BACKGROUND
  This literature review covers original journal papers published between 2011 and 2015. These papers review the current status of research on the application of human factors and ergonomics in risk assessment systems' design to cope with the complexity, singularity, and danger in patient triage in primary health care.
  
  
  OBJECTIVE
  This paper presents a systematic literature review that aims to identify, analyze, and interpret the application of available evidence from human factors and ergonomics to the design of tools, devices, and work processes to support risk assessment in the context of health care.
  
  
  METHODS
  Electronic search was performed on 7 bibliographic databases of health sciences, engineering, and computer sciences disciplines. The quality and suitability of primary studies were evaluated, and selected papers were classified according to 4 classes of outcomes.
  
  
  RESULTS
  A total of 1845 papers were retrieved by the initial search, culminating in 16 selected for data extraction after the application of inclusion and exclusion criteria and quality and suitability evaluation.
  
  
  CONCLUSIONS
  Results point out that the study of the implications of the lack of understanding about real work performance in designing for risk assessment in health care is very specific, little explored, and mostly focused on the development of tools.
authors.affiliation: Fundação Oswaldo Cruz, Centro de Estudos Estratégicos, Rio de Janeiro, Brazil. alessandro.jatoba@fiocruz.br.
authors.forename: Alessandro
authors.identifier: http://orcid.org/0000-0002-7059-6546
authors.initials: A
authors.lastname: Jatoba
authors.forename: Catherine Marie
authors.identifier: http://orcid.org/0000-0002-6182-958X
authors.initials: CM
authors.lastname: Burns
authors.forename: Mario Cesar Rodriguez
authors.identifier: http://orcid.org/0000-0001-9753-1278
authors.initials: MC
authors.lastname: Vidal
authors.forename: Paulo Victor Rodrigues
authors.identifier: http://orcid.org/0000-0002-9276-8193
authors.initials: PV
authors.lastname: Carvalho
keywords: clinical decision support systems; health information systems; primary health care; triage