Work system barriers and facilitators of a team health information technology.

Bat-Zion Hose; Pascale Carayon; Peter L.T Hoonakker; Thomas B Brazelton; Shannon M Dean; Benjamin L Eithun; Michelle M Kelly; Jonathan E Kohler; Joshua C Ross; Deborah A Rusy

Study

Work system barriers and facilitators of a team health information technology.

September 13, 2023

Hose B-Z, Carayon P, Hoonakker PLT, et al. Appl Ergon. 2023;113:104105.

View more articles from the same authors.

Health information technology (IT) usability continues to be a source of patient harm. This study describes the perspectives of a variety of pediatric trauma team members (e.g., pediatric emergency medicine attending, surgical technician, pediatric intensive care unit attending) on the usability of a potential team health IT care transition tool. Numerous barriers and facilitators were identified and varied across department and role.

PubMed citation

Available at

Related Resources From the Same Author(s)

Work system barriers and facilitators in inpatient care transitions of pediatric trauma patients.

March 11, 2020

Information flow during pediatric trauma care transitions: things falling through the cracks.

September 11, 2019

Care transition of trauma patients: processes with articulation work before and after handoff.

February 16, 2022

Team cognition in handoffs: relating system factors, team cognition functions and outcomes in two handoff processes.

June 22, 2022

Challenges and opportunities for improving patient safety through human factors and systems engineering.

December 5, 2018

SEIPS 3.0: human-centered design of the patient journey for patient safety.

February 19, 2020

Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical centers, April-June 2020.

September 23, 2020

Medication safety in two intensive care units of a community teaching hospital after electronic health record implementation: sociotechnical and human factors engineering considerations.

March 15, 2017

Using an inpatient portal to engage families in pediatric hospital care.

June 29, 2016

A family-centered rounds checklist, family engagement, and patient safety: a randomized trial.

May 31, 2017

ICU nurses' acceptance of electronic health records.

July 13, 2011

Changes in end-user satisfaction with computerized provider order entry over time among nurses and providers in intensive care units.

November 28, 2012

Factors contributing to an increase in duplicate medication order errors after CPOE implementation.

August 17, 2011

Enabling a learning healthcare system with automated computer protocols that produce replicable and personalized clinician actions.

August 4, 2021

Parent perceptions of children's hospital safety climate.

April 17, 2013

Are parents who feel the need to watch over their children's care better patient safety partners?

December 6, 2017

Application of human factors to improve usability of clinical decision support for diagnostic decision-making: a scenario-based simulation study.

January 8, 2020

Disparate perspectives: exploring healthcare professionals' misaligned mental models of older adults' transitions of care between the emergency department and skilled nursing facility.

July 21, 2021

Usability of a human factors-based clinical decision support in the emergency department: lessons learned for design and implementation.

May 11, 2022

Optimizing Pediatric Patient Safety in the Emergency Care Setting.

October 19, 2022

The effects of computerized provider order entry implementation on communication in intensive care units.

February 20, 2013

Family-initiated dialogue about medications during family-centered rounds.

February 11, 2015

Improving handoffs in the emergency department.

October 28, 2009

Strategies for improving family engagement during family-centered rounds.

May 29, 2013

Human factors systems approach to healthcare quality and patient safety.

August 14, 2013

Using social and behavioural science to support COVID-19 pandemic response.

June 3, 2020

SEIPS 2.0: a human factors framework for studying and improving the work of healthcare professionals and patients.

October 3, 2013

Implementation of the I-PASS handoff program in diverse clinical environments: a multicenter prospective effectiveness implementation study.

November 16, 2022

Association of diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient outcomes: results of the Bright STAR Collaborative.

May 18, 2022

A randomized trial of a multifactorial strategy to prevent serious fall injuries.

July 29, 2020

Surviving Sepsis Campaign: international guidelines for management of sepsis and septic shock: 2016

March 3, 2017

The top patient safety strategies that can be encouraged for adoption now.

March 13, 2013

Advancing the science of patient safety.

May 25, 2011

Prevalence of inappropriate antibiotic prescriptions among US ambulatory care visits, 2010–2011.

May 25, 2016

Complexity and challenges of the clinical diagnosis and management of Long COVID.

November 30, 2022

The MedSafer study-electronic decision support for deprescribing in hospitalized older adults: a cluster randomized clinical trial.

February 2, 2022

Strategies to prevent central line-associated bloodstream infections in acute-care hospitals: 2022 Update.

June 22, 2022

Characterising the complexity of medication safety using a human factors approach: an observational study in two intensive care units.

November 6, 2013

Using failure mode and effects analysis to plan implementation of smart i.v. pump technology.

August 23, 2006

Factors influencing the reporting of adverse medical device events: qualitative interviews with physicians about higher risk implantable devices.

March 7, 2018

Conducting an efficient proactive risk assessment prior to CPOE implementation in an intensive care unit.

June 13, 2012

The 2017 ACGME common work hour standards: promoting physician learning and professional development in a safe, humane environment.

January 31, 2018

Preventing home medication administration errors.

March 14, 2022

The safety of inpatient health care.

January 25, 2023

Implementation of a surgical comprehensive unit-based safety program to reduce surgical site infections.

July 11, 2012

Evaluation of nurse interaction with bar code medication administration technology in the work environment.

March 28, 2007

Eliminating central line-associated bloodstream infections: a national patient safety imperative.

January 15, 2014

Use of a safety climate questionnaire in UK health care: factor structure, reliability and usability.

November 22, 2006

Physicians' perspectives regarding prescription drug monitoring program use within the Department of Veterans Affairs: a multi-state qualitative study.

April 18, 2018

Communication-and-resolution programs: the challenges and lessons learned from six early adopters.

January 15, 2014

Changes in prevalence of health care-associated infections in U.S. hospitals.

November 14, 2018

Physician and nurse well-being and preferred interventions to address burnout in hospital practice: factors associated with turnover, outcomes, and patient safety.

July 19, 2023

Development of an emergency department trigger tool using a systematic search and modified Delphi process.

July 13, 2016

The impact of racism on child and adolescent health.

July 1, 2019

A new professionalism? Surgical residents, duty hours restrictions, and shift transitions.

November 17, 2010

Guidelines for opioid prescribing in children and adolescents after surgery: an expert panel opinion.

December 2, 2020

A prospective hazard and improvement analytic approach to predicting the effectiveness of medication error interventions.

February 28, 2007

Patient safety, resident well-being and continuity of care with different resident duty schedules in the intensive care unit: a randomized trial.

March 18, 2015

Recommendations to improve the usability of drug–drug interaction clinical decision support alerts.

November 25, 2015

Readiness of US general surgery residents for independent practice.

October 4, 2017

"We can't get along without each other": qualitative interviews with physicians about device industry representatives, conflict of interest and patient safety.

May 17, 2017

Disclosing harmful medical errors to patients: tackling three tough cases.

September 30, 2009

February 8, 2017

A prospective, multicenter study of pharmacist activities resulting in medication error interception in the emergency department.

February 1, 2012

Multistate point-prevalence survey of health care-associated infections.

April 9, 2014

A diagnostic time-out to improve differential diagnosis in pediatric abdominal pain.

July 14, 2021

International evaluation of an AI system for breast cancer screening.

January 29, 2020

Developing indicators of inpatient adverse drug events through nonlinear analysis using administrative data.

October 24, 2007

Implementing human factors in anaesthesia: guidance for clinicians, departments and hospitals: Guidelines from the Difficult Airway Society and the Association of Anaesthetists.

March 1, 2023

Human factors in anaesthesia: a narrative review.

February 15, 2023

Using a learning system approach to improve safety for prone-position ventilation patients.

April 26, 2023

Saving lives: a meta-analysis of team training in healthcare.

August 3, 2016

Outbreak investigation of COVID-19 among residents and staff of an independent and assisted living community for older adults in Seattle, Washington.

June 10, 2020

STARD 2015 guidelines for reporting diagnostic accuracy studies: explanation and elaboration.

October 14, 2016

Effect of standardized handoff curriculum on improved clinician preparedness in the intensive care unit: a stepped-wedge cluster randomized clinical trial.

January 24, 2018

Preventability and causes of readmissions in a national cohort of general medicine patients.

May 4, 2016

The effect of structured medication review followed by face-to-face feedback to prescribers on adverse drug events recognition and prevention in older inpatients - a multicenter interrupted time series study.

August 10, 2022

Trainees' perceptions of patient safety practices: recounting failures of supervision.

January 26, 2011

Bracing for the storm: one health care system's planning for the COVID-19 surge.

November 11, 2020

Development of trigger tools for surveillance of adverse events in ambulatory surgery.

November 10, 2010

Procedural safety in emergency care: a conceptual model and recommendations.

October 24, 2012

EHR safety: the way forward to safe and effective systems.

April 2, 2008

Effects of teamwork training on adverse outcomes and process of care in labor and delivery: a randomized controlled trial.

January 17, 2007

How strong is the evidence for the use of perioperative beta blockers in non-cardiac surgery? Systematic review and meta-analysis of randomised controlled trials.

September 7, 2005

Expert consensus on currently accepted measures of harm.

September 9, 2020

Assessing the potential adoption and usefulness of concurrent, action-oriented, electronic adverse drug event triggers designed for the outpatient setting.

June 24, 2015

Consensus building for development of outpatient adverse drug event triggers.

June 15, 2011

Design and implementation of an application and associated services to support interdisciplinary medication reconciliation efforts at an integrated healthcare delivery network.

December 6, 2006

Implementation of a mandatory checklist of protocols and objectives improves compliance with a wide range of evidence-based intensive care unit practices.

July 29, 2009

State of science: human factors and ergonomics in healthcare.

September 4, 2013

Implementing an error disclosure coaching model: a multicenter case study.

February 22, 2017

Risk managers' descriptions of programs to support second victims after adverse events.

May 13, 2015

The experiences of risk managers in providing emotional support for health care workers after adverse events.

May 11, 2016

February 13, 2008

Defining the critical role of nurses in diagnostic error prevention: a conceptual framework and a call to action.

December 6, 2017

An examination of medical malpractice claims involving physician trainees.

August 19, 2020

Work system design for patient safety: the SEIPS model.

October 12, 2011

Impact of the Agency for Healthcare Research and Quality's Safety Program for Perinatal Care.

January 23, 2019

How policy makers can smooth the way for communication-and-resolution programs.

January 29, 2014

Implementation of a colour-coded universal protocol safety initiative in Guatemala.

August 8, 2018

Related Resources

WebM&M Cases

Under Pressure: Delayed Diagnosis of Compartment Syndrome after Lower Leg Fracture.

April 24, 2024

Development and evaluation of I-PASS-to-PICU: a standard electronic template to improve referral communication for inter-facility transfers to the pediatric intensive care unit.

March 27, 2024

Assessing the impact of real-time random safety audits through full propensity score matching on reliable data from the clinical information system.

March 20, 2024

Medication errors in pediatric emergency departments: a systematic review and recommendations for enhancing medication safety.

March 20, 2024

Learning from non-routine events and teamwork in intensive care units: challenges and opportunities.

February 28, 2024

A combined assessment tool of teamwork, communication, and workload in hospital procedural units.

January 17, 2024

WebM&M Cases

The Risks of a Malpositioned Gastrostomy Tube and Poor Communication

November 29, 2023

Handoff tool improves transitions from the operating room to the neonatal intensive care unit.

November 8, 2023

Supporting nurses in acute and emergency care settings to speak up.

November 8, 2023

Battling alarm fatigue in the pediatric intensive care unit.

October 11, 2023

Scaling up a diagnostic pause at the ICU-to-ward transition: an exploration of barriers and facilitators to implementation of the ICU-PAUSE handoff tool.

September 27, 2023

Pediatric Diagnostic Safety: State of the Science and Future Directions.

September 13, 2023

Video review of simulated pediatric cardiac arrest to identify errors/latent safety threats: a mixed methods study.

September 6, 2023

Clinicians' insights on emergency department boarding: an explanatory mixed methods study evaluating patient care and clinician well-being.

August 23, 2023

Improving emergency medicine clinician awareness of prehospital-administered medications.

August 9, 2023

Anticoagulation-associated adverse drug events in hospitalized patients across two time periods.

July 26, 2023

Improving handoffs in the perioperative environment: a conceptual framework of key theories, system factors, methods, and core interventions to ensure success.

July 19, 2023

Leveraging the science of teamwork to sustain handoff improvements in cardiovascular surgery.

July 12, 2023

So many ways to be wrong: completeness and accuracy in a prospective study of OR-to-ICU handoff standardization.

July 5, 2023

WebM&M Cases

Misconnection Leading to Arterial Thrombosis

June 28, 2023

The effects of electronic nursing handover on patient safety in the general (non-COVID-19) and COVID-19 intensive care units: a quasi-experimental study.

June 14, 2023

Understanding medication safety involving patient transfer from intensive care to hospital ward: a qualitative sociotechnical factor study.

June 7, 2023

Patient Safety Innovations

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

May 31, 2023

Implementation of ED I-PASS as a standardized handoff tool in the pediatric emergency department.

May 31, 2023

Critical care teamwork in the future: the role of TeamSTEPPS in the COVID-19 pandemic and implications for the future.

March 15, 2023

WebM&M Cases

Aspergillus Mediastinitis & Endocarditis in a Pediatric Patient Complicating Cardiac Surgery and Bedside Chest Closure.

February 1, 2023

Implementation and facilitation of post-resuscitation debriefing: a comparative crossover study of two post-resuscitation debriefing frameworks.

November 2, 2022

Improving discharge safety in a pediatric emergency department.

October 26, 2022

Communication during interhospital transfers of emergency general surgery patients: a qualitative study of challenges and opportunities.

October 26, 2022

Standardization of pediatric noncardiac operating room to intensive care unit handoffs improves communication and patient care.

October 5, 2022

See More About The Topic

Intensive Care Units

Emergency Departments

Operating Room

Critical Care

Pediatric Emergency Medicine

Work system barriers and facilitators of a team health information technology.

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Work system barriers and facilitators of a team health information technology.

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site