Health IT and Patient Safety: Building Safer Systems for Better Care

Evaluating health information systems-related errors using the human, organization, process, technology-fit (HOPT-fit) framework

“…Analyzing workflow interruptions can establish the generic and specific nature of problems by showing how a poor HIS design is a mismatch with the practical work of clinicians, given that they are too busy to document what happens during service delivery. 12,55,64 The fit component in the HOT-fit framework can serve as a tool to evaluate the alignment of HIS, process, organization, and human elements. 13 Meanwhile, Lean methods can analyze and optimize workflows by focusing on detailed process components.…”

“…1,54 Implementation also needs to be evaluated on-site to explore the safety difference between designed and actual work. 12,55 Comprehensive testing is critical in ensuring smooth HIS implementation.…”

“…15,46 Hence, designing and simplifying HIS may be more effective than training all clinicians to use unnecessary complex systems that yield additional cognitive tasks and misunderstanding. 12 Consequently, system design and implementation must be corrected and improved to prevent errors. 24,43 Incident reports and usability testing can inform design.…”

“…Error can be caused by nearly any interaction within the care system, at any time of care provision, and in all healthcare locations. 12 Specifically, 26 we defined HIS-related errors as "medical errors (MEs) that are related to the overall stages of system development life cycle (SDLC) and HIS interactions with its sociotechnical aspects". 23 More errors occur at the post-implementation stage, 1,5,11,25,27 but most prevention measures at the pre-implementation stage indicate the importance of early prevention.…”

Optimizing Clinical Decision Support System Functionality by Leveraging Specific Human-Computer Interaction Elements: Insights From a Systematic Review

“…Usability—this concept refers to efficiency, effectiveness, and physician satisfaction [ 24 , 25 ]. It emphasizes maximizing system facilitators to enhance usability [ 26 , 27 ].…”