SynthesisYearbook of medical informatics2015
Usability Flaws in Medication Alerting Systems: Impact on Usage and Work System.
Synthesis in Yearbook of medical informatics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Are We There Yet? Human Factors Knowledge and Health Information Technology - the Challenges of Implementation and Impact.Yearbook of medical informatics · 2017Pooled it
- Factors contributing to electronic prescribing errors in healthcare settings: a qualitative study.BMC medical informatics and decision making · 2026Article
- Assessing Medication CDS Usability: Pilot Results from 10 Outpatient Clinics.Applied clinical informatics · 2025Article
- Article
- Article
- Evaluating the Usability of an Emergency Department After Visit Summary: Staged Heuristic Evaluation.JMIR human factors · 2023Article
- Usability barriers and facilitators of a human factors engineering-based clinical decision support technology for diagnosing pulmonary embolism.International journal of medical informatics · 2022Article
- Use of Pediatric Injectable Medicines Guidelines and Associated Medication Administration Errors: A Human Reliability Analysis.The Annals of pharmacotherapy · 2021Article
- Article
- Applying a Human-Centered Design to Develop a Patient Prioritization Tool for a Pediatric Emergency Department: Detailed Case Study of First Iterations.JMIR human factors · 2020Article
- Human Factors and Usability for Health Information Technology: Old and New Challenges.Yearbook of medical informatics · 2019Article
- Building Usability Knowledge for Health Information Technology: A Usability-Oriented Analysis of Incident Reports.Applied clinical informatics · 2019Article
- Evidence-based usability design principles for medication alerting systems.BMC medical informatics and decision making · 2018Article
- Methods for Addressing Technology-induced Errors: The Current State.Yearbook of medical informatics · 2016Review
- Unintended Consequences: New Problems, New Solutions. Contributions From 2015.Yearbook of medical informatics · 2016Article
- A Survey of the Literature on Unintended Consequences Associated with Health Information Technology: 2014-2015.Yearbook of medical informatics · 2016Review
- Interface design recommendations for computerised clinical audit and feedback: Hybrid usability evidence from a research-led system.International journal of medical informatics · 2016Article
- Clinical Information Systems - From Yesterday to Tomorrow.Yearbook of medical informatics · 2016Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesPrevious research has shown that medication alerting systems face usability issues. There has been no previous attempt to systematically explore the consequences of usability flaws in such systems on users (i.e. usage problems) and work systems (i.e. negative outcomes). This paper aims at exploring and synthesizing the consequences of usability flaws in terms of usage problems and negative outcomes on the work system.
methodsA secondary analysis of 26 papers included in a prior systematic review of the usability flaws in medication alerting was performed. Usage problems and negative outcomes were extracted and sorted. Links between usability flaws, usage problems, and negative outcomes were also analyzed.
resultsPoor usability generates a large variety of consequences. It impacts the user from a cognitive, behavioral, emotional, and attitudinal perspective. Ultimately, usability flaws have negative consequences on the workflow, the effectiveness of the technology, the medication management process, and, more importantly, patient safety. Only few complete pathways leading from usability flaws to negative outcomes were identified.
conclusionUsability flaws in medication alerting systems impede users, and ultimately their work system, and negatively impact patient safety. Therefore, the usability dimension may act as a hidden explanatory variable that could explain, at least partly, the (absence of) intended outcomes of new technology.
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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.