Human expertise is limited by both cognitive workload and the boundaries of attention. With the spread and integration of healthcare informatics, cognitive decision support (CDS) technologies have been suggested as a means for improving the effectiveness and efficiency of healthcare. The current panel brings together leading human factors and medical experts in the fields of decision-making, design, and human-system interaction to provide their insight and perspective on the following question: What contributions can human factors science bring to bear on (1) the design, (2) integration, and (3) training necessary for effective CDS implementation?
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References
1.
BatesD.W.KupermanG.J.WangS.GandhiT.KittlerA.VolkL. (2003). Ten commandments for effective clinical decision support: Making the practice of evidence-based medicine a reality. Journal of the American Medical Informatics Association, 10, 523–530.
2.
HennemanPhilip L.FisherDonald L.HennemanElizabeth A.PhamTuan A.MeiYi Y.TalatiRakeshNathansonBrian H.RocheJoan2008. Providers do not verify patient identity during computer order entry. Academic emergency medicine, 15 (7):641–8.
3.
HaugP. J.RochaB. H. S. C.EvansR. S. (2003). Decision support in medicine: Lessons from the HELP system. International Journal of Medical Informatics, 69, 273–284.
4.
HuntD. L.HaynesR. B.HannaS. E.SmithK. (1998). Effects of computer-based clinical decision support systems on physician performance and patient outcomes: A systematic review. JAMA, 280(15), 1339–1346.
5.
KawamotoKHoulihanC. A.BalasE. A.LobachD. F. (2005). Improving clinical practice using clinical decision support systems: A systematic review of trials to identify features critical to success. BMJ, 330, 765–773.
6.
MarquardJLRobinsonSM.Reducing perceptual and cognitive challenges in making decisions with models. In: KuglerTJcSmith, editors. Decision Modeling and Behavior in Uncertain and Complex Environments; 2007.
7.
SwetsJ. A.DawesR. M.MonahanJ. (2000). Psychological science can improve diagnostic decisions. Psychological Science in the Public Interest, 1(1), 1–26.
8.
TateA. R.UnderwoodJ.AcostaD. M.Julia-SapeE.MajosC. (2006). Development of a decision support system for diagnosis and grading of brain tumours using in vivo magnetic resonance single voxel spectra, NMR in Biomedicine, 19(4), 411–434.
9.
TuckerALEdmondsonAC.Why hospitals don't learn from failures: Organizational and psychological dynamics that inhibit system change. California Management Review. 2003;45(2):55–72.
