Sociotechnical challenges to developing technologies for patient. This paper proposes a sociotechnical assessment tool stathi for health informatics implementations. Conceptual challenges for advancing the socio technical underpinnings of health informatics open med inform j 2010. Sociotechnical challenges to developing technologies for. Understanding health information technology adoption from. Taking a socio technical perspective, health informatics focuses on the interplay between the health care environment and the systems used to manage the environment. However, this discourse, through its own framing, fails to account for social changes within which technological innovations unfold e.
This explanatory note applies to all education providers seeking accreditation of programs of. Msc in global ehealth programme restructure proposal. Costs and benefits of health information technology. Does the implementation of an electronic prescribing. Understanding health information technology adoption from a sociotechnical perspective introduction health information technology hit has been recognized as one of the most important means to improve the quality, efficiency as well as effectiveness of healthcare services pan et al. Research has shown that a sociotechnical approach, optimizing the interaction between the relevant social, environmental and technical subsystems, is preferred. Health informatics and health technology an explanatory note. It is assumed that health information technologies will fit into the environment and be easily adopted by the user. A sociotechnical perspective having great arrangement in word and layout, so you will not really feel uninterested in reading. Investigating integrated sociotechnical approaches to health informatics. Hci research in health informatics research have been the cognitive perspective and the sociotechnical perspective. The university of tasmania program explores the various interpretations of health informatics, ranging from a technological focus to a sociotechnical focus, and considers the implications of adopting one or another of these interpretations.
Undertaking sociotechnical evaluations of health information. We explore why even projects allegedly using sound methodologies repeatedly fail to give adequate attention to socio technical issues, and we present an initial draft of a structured assessment tool for health informatics implementation that. Evaluation, health information technology, sociotechnical. In 2007, he received his phd in informatics, with a thesis on electronic patient record and coordination in hospital settings. On the importance of using a multidimensional sociotechnical. The paper argues for the importance of the perspective of changing as a way to account for the. Critically discuss the role of a sociotechnical perspective on the development and future evolution of the electronic health record and other structures within health informatics. Health informatics a sociotechnical perspective in. Complex systems, evaluation studies, medical informatics, sociotechnical, theory. A social informatics perspective on sociotechnical networks. A unifying sociotechnical model of health information. Environments may be people in different roles such as users, designers, and evaluators, but also nonhuman constructs such as organizations, work practices, guidelines and protocols, buildings and markets. Understanding health information technology adoption from a.
Nick holds an adjunct position of professor at the university of colorado, denver, usa, and is currently director of the international council of nurses ehealth programme. Integrating cognitive and socio technical theoretical. These stem from a lack of existing agreement on various components of a sociotechnical system, possible study designs, and data analysis strategies. This chapter introduces an 8dimensional model specifically designed to address the socio technical challenges involved in design, development, implementation, use, and evaluation of hit within complex adaptive healthcare systems. A sociotechnical perspective of health information technology.
A new sociotechnical model for studying health information. The university of tasmania emphasizes health informatics as a sociotechnical discipline and profession. Sociotechnical perspectives assume that organisational and human socio factors. Quality attributes in telemedicine video conferencing cynthia lerouge, monica j. Sociotechnical approaches to the study of information systems. Unfortunately, knowledge of sociotechnical principles and their vital importance in hi does not seem to be widespread among practitioners. Telemedicine is one type of health care system that is used increasingly in many medical applications. How important is it for the data to be in a machinereadable format. The need to broaden the scope of sociotechnical perspectives has been acknowledged for some time. The application of sociotechnical perspectives to health informatics was advocated as a means for understanding and mitigating the poor uptake and performance of information systems within health care 79. A national initiative in emergency informatics robin r. Patient care information systems and health care work. In 1994 sittig identified the grand challenge of health informatics as being to identify techniques to ease incorporation of information.
November 3, 20101 emergency informatics is an emerging interdisciplinary, sociotechnical field that addresses the information processes realtime collection, analysis, distribution, and visualization for prevention, preparedness, response and recovery from. The application of sociotechnical perspectives to health informatics was advocated as a means for understanding and mitigating the poor uptake and performance of information systems within health. Just as health informatics professionals were becoming interested in the approach, lamb et al. The sst takes the format of a workshop, or a series of workshops. Understanding health information technology adoption from a socio technical perspective introduction health information technology hit has been recognized as one of the most important means to improve the quality, efficiency as well as effectiveness of healthcare services pan et al. A critical component of safe and effective use of health it is usabilitythe effectiveness, efficiency, and satisfaction with which the intended users can. In this paper, the sociotechnical perspective is understood to refer primarily to the. With the aid of a socio technical sys tems model, safety and quality of care concerns are examined to which these trends give rise. Health informatics and health technology an explanatory note 1.
Taking a sociotechnical perspective, health informatics focuses on the interplay between the health care environment and the systems used to manage the environment. Gps, nurses, radiologists, and with technologies such as files, computer screens and. He has nearly 20 years experience of theoretical and applied research in health informatics, with a particular focus on health records and terminologies. A health and biomedical perspective3rdedition, springer, 2009 berkowitz and. This paper proposes a socio technical assessment tool stathi for health informatics implementations. A guide for the safe use of electronic clinical handover tools.
Figure 1 dimensions commonly explored in sociotechnical evaluations of health information technologies sociotechnical evaluations should ideally be undertaken using a prospective design, as this can help to map and understand the interplay between the technology and the social context, and thereby identify important insights into how the. Conceptual challenges for advancing the sociotechnical underpinnings of health informatics open med inform j 2010. Sociotechnical approaches share several starting points. Putting the technical back into socio technical systems research.
Health information technologies prescreening form 58 figure figure 1. A unifying sociotechnical model of health information technology implementation, use, and evaluation dean f. Tools to help patients access and use their own medical data are widely expected to empower them to manage their health better. Broadening the sociotechnical horizons of health informatics.
Telemedicine is one type of health care system that is used increasingly in many medical applications, including direct patient care exams. Research has shown that a socio technical approach, optimizing the interaction between the relevant social, environmental and technical subsystems, is preferred. On the importance of using a multidimensional sociotechnical model to study health information technology. Chop 5th annual healthcare informatics symposium, the childrens hospital of philadelphia, pennslyvinia. Integrating health informatics into australian higher. Pdf a sociotechnical perspective of health information. Undertaking sociotechnical evaluations of health information technologies there is an increasing international recognition that the evaluation of health information technologies should involve assessments of both the technology and the socialorganisational contexts into which it is deployed. Briggs centre for healthcare modelling and informatics, university of portsmouth, uk. Four rules for the reinvention of health care bmj 2004. A sociotechnical systems sts approach can address the underuse of pro apps.
Understanding health information technology adoption. He is stable pc member of severa l international conferences and associate editor of the international journal of medical informatics. It utilizes perspectives such as constructivist or interpretive. This chapter introduces an 8dimensional model specifically designed to address the sociotechnical challenges involved in design, development, implementation, use, and evaluation of hit within complex adaptive healthcare systems. The pluralistic effort required to fulfill this objective demarcates health informatics as a discipline that necessarily integrates both socialhuman and. Investigating integrated socio technical approaches to health informatics. A secondary purpose, from a policy perspective, is to raise awareness and stimulate some critical thinking about the issues. With the aid of a sociotechnical sys tems model, safety and quality of care concerns are examined to which these trends give rise.
Current challenges and future directions method we searched for literature on hfe in health care settings that were available in pubmed, cinahl, cochran, and other related data bases. The objective of this work is to lead to the design of health information user interfaces and. The crosson et al 1 and koopman et al 2 articles in this issue provide excellent illustrations and validation of the need for a systematic approach to make health information technology hit safe and effective for use within health care. Socio technical approaches can be seen as a continuously involving of innovators and recipients in dealing with complex and evolving artifacts mumford, 2006, and a breaking down of barriers to acknowledge the entangled nature of the technical and the social components in human activity systems trist, 1981. A sociotechnical perspective, oxford university press, south melbourne, p. Imia yearbook of medical informatics 2014 59 human factors and health information technology. Does the implementation of an electronic prescribing system. While context should be considered in the design and evaluation of health information systems hiss there is a shortcoming of empirical research on contextual aspects of hit. Masters programme in health informatics spring semester 2015 degree thesis, 30 credits author. In health informatics, the quality of a system can have a significant impact on the health and well being of people dependent on it. Putting the technical back into sociotechnical systems research. Guide to health informatics, third edition, 3rd edition.
International journal of medical informatics, 55 2, pp. The sociotechnical systems approach to design is well documented. Investigating the potential to improve the free flow of health care information a survey of new zealand clinicians and health providers. Health information technology patient safety action. Technical theoretical perspectives in health informatics abstract the purpose of this presentation is to present our approach to integrating cognitive and sociotechnical theoretical perspectives for assessing the impact of health information systems. We explore why even projects allegedly using sound methodologies repeatedly fail to give adequate attention to sociotechnical issues, and we present an initial draft of a structured assessment tool for health informatics implementation that encapsulates sociotechnical good practice. The final paper by whetton and georgiou whetton s. Anticipating and addressing the unintended consequences of health it and policy. Evaluate the stages in health informatics development and the scope and diversity of the field critically discuss the role of a socio technical perspective on the development and future evolution of the electronic health record and other structures within health informatics critically discuss factors influencing the. Undertaking sociotechnical evaluations of health information technologies 79 such approaches are most usefully employed, explain what sociotechnical evaluations involve, and reflect on the potential pitfalls associated with such work and how these might be avoided. A sociotechnical perspective of health information. This conference integrates the sociotechnical and humancentereddesign hcd approaches and showcases current research on context sensitive health informatics. A sociotechnical assessment tool for health informatics.
Informatics in primary care vol 21, no 2 2014 cresswell et al. Quality attributes in telemedicine video conferencing. Clinical informatics research and development, partners healthcare system, harvard medical school. Building safer systems for better care identified means by which health it can lead to safer care, as well as introduce new safety risks. Converging trends sound preventive health practices and therapeutic advances. Informaticists must take all of the elements of this model into consideration to solve realworld hit problems. The application of sociotechnical perspectives to health informatics was. Hci research in health informatics research have been the cognitive perspective and the socio technical perspective. From a broad policy perspective we identified and summarised evidence in five themes. Currently, he is an assistant professor since 2011 at the university of milanobicocca milan, italy where he teaches humancomputer interaction and data visualization. Pdf conceptual challenges for advancing the sociotechnical.
Pdf sociotechnical changing in healthcare researchgate. Each of these theoretical perspectives has had an important impact on the design and evaluation of health information systems and hci in healthcare. Journal of the american medical informatics association, volume 21. Sociotechnical aspect of health informatics nawanan theeraampornpunt, md, phdexcept where citing other works august 22, 2012. In the traditional perspective, health it related adverse events are generally not recognized as systemic problems, that is, as problems whose causation or presence is influenced by all parts of the sociotechnical system iom report p. Aug 25, 2012 sociotechnical aspect of health informatics 1. Even though electronic prescribing systems are widely advocated as one of the most effective means of improving patient safety, they may also introduce new risks that are not immediately obvious. Information extraction and summarization from medical documents. Conceptual challenges for advancing the sociotechnical. This perspective is often called the sociotechnical perspective as it seeks to understand. There are, however, a number of challenges associated with sociotechnical evaluations of health information technologies summarised in table 1. Senior analyst, tom andersson, information security governance section, swedish civil contingencies agency. May 12, 2011 even though electronic prescribing systems are widely advocated as one of the most effective means of improving patient safety, they may also introduce new risks that are not immediately obvious. Enhancing patient safety and quality of care by improving.
Sociotechnical approaches can be seen as a continuously involving of innovators and recipients in dealing with complex and evolving artifacts mumford, 2006, and a breaking down of barriers to acknowledge the entangled nature of the technical and the social components in. A sociotechnical assessment tool for health informatics implementations philip j. Professor, sabine koch, health informatics centre, karolinska institute cosupervisor. Deploying systems in the health care setting involves multiple stakeholders from both the clinical and managerial perspective working towards the maintenance and improvement of human life. Journal of the american medical informatics association 14 6.
Health information technology hit literature flow 21. A sociotechnical systems approach to the use of health it for patient. Conceptual models have been developed to address challenges inherent in studying health information technology hit. Socio technical approaches share several starting points. Context sensitive health informatics is about health information technologies and their environments. Through the study of specific incidents related to the processes involved in the administration of medication, we sought to find out if the prescribing system had unintended consequences in creating. The sociotechnical assessment tool for health informatics stathi proposed here aims to help bridge the gap between research and practice by distilling key factors of good practice into a simple, readily. Enhancing patient safety and quality of care by improving the. Ahimas reality 2016 has a new mission to transform the him workforce through educationor else.
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