ArticleJournal of the American Board of Family Medicine : JABFM
Information chaos in primary care: implications for physician performance and patient safety.
Article in Journal of the American Board of Family Medicine : JABFM. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 110 papers, 2 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
110 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Usability Evaluation of Dashboards: A Systematic Literature Review of Tools.BioMed research international · 2023Pooled it
- Requirements and challenges of hospital dashboards: a systematic literature review.BMC medical informatics and decision making · 2022Pooled it
- Learning from Misses: Evaluating a Clinical Decision Support for Chronic Pain Management in Primary Care.Applied clinical informatics · 2025Trial
- User Actions within a Clinical Decision Support Alert for the Management of Hypertension in Chronic Kidney Disease.Applied clinical informatics · 2025Trial
- Does Clinical Decision Support Increase Appropriate Medication Prescribing for Cardiovascular Risk Reduction?Journal of the American Board of Family Medicine : JABFM · 2023Trial
- Effect of Clinical Decision Support at Community Health Centers on the Risk of Cardiovascular Disease: A Cluster Randomized Clinical Trial.JAMA network open · 2022Trial
- The effect of EHR-integrated patient-reported outcomes on satisfaction with chronic pain care.The American journal of managed care · 2016Trial
- Public health communications and alert fatigue.BMC health services research · 2013Trial
- The Growing Use of Copy-Paste and Its Impact on Creation and Propagation of Documentation Errors.CHEST pulmonary · 2026Article
- Data Volume and the Need for Clinical Decision Support in Glaucoma Care.Ophthalmology science · 2026Article
- Towards an information-centric architecture framework for health information logistics: a design science research study.BMC medical informatics and decision making · 2026Article
- Predicting Electronic Health Record Usability: Scoping Review of Adoption Models, Metrics, and Future Directions.JMIR human factors · 2026Article
- Article
- Simulation-Based Evaluation of a Large Language Model-Enabled Clinical Decision Support Platform in Oncology.JCO clinical cancer informatics · 2026Article
- Optimizing Documentation Integrity of Ophthalmic Diagnostic Test Interpretation through Electronic Health Record Clinical Decision Support.Applied clinical informatics · 2025Article
- Development of a Clinical Decision Support Tool to Implement Asthma Management Guidelines in Pediatric Primary Care: Qualitative Study.JMIR formative research · 2025Article
- Investigation of Information Overload in Electronic Health Records: Protocol for Usability Study.JMIR research protocols · 2025Article
- Collection and sharing of health information in mental health and related systems in Australia: perspectives of people who access mental health services.BMC psychiatry · 2024Article
- Factors Contributing to Successful Information System Implementation and Employee Well-Being in Health Care and Social Welfare Professionals: Comparative Cross-Sectional Study.JMIR medical informatics · 2024Article
- Precision feedback: A conceptual model.Learning health systems · 2024Article
50 more citing papers are in PubMed but not listed here.
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Authors and funding
7 authors.
Funding
Abstract
purposeThe purpose of this article is to explore the concept of information chaos as it applies to the issues of patient safety and physician workload in primary care and to propose a research agenda.
methodsWe use a human factors engineering perspective to discuss the concept of information chaos in primary care and explore implications for its impact on physician performance and patient safety.
resultsInformation chaos is comprised of various combinations of information overload, information underload, information scatter, information conflict, and erroneous information. We provide a framework for understanding information chaos, its impact on physician mental workload and situation awareness, and its consequences, and we discuss possible solutions and suggest a research agenda that may lead to methods to reduce the problem.
conclusionsInformation chaos is experienced routinely by primary care physicians. This is not just inconvenient, annoying, and frustrating; it has implications for physician performance and patient safety. Additional research is needed to define methods to measure and eventually reduce information chaos.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.