Evidence map›Paper›PMID 31265064›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2019

Six habits of highly successful health information technology: powerful strategies for design and implementation.

Jessica M Ray, Raj M Ratwani, Christine A Sinsky, Richard M Frankel, Mark W Friedberg, Seth M Powsner, David I Rosenthal, Robert M Wachter, Edward R Melnick

Abstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Jessica M RayDepartment of Emergency Medicine, Yale University School of Medicine, New Haven, Connecticut, USA.
Raj M RatwaniNational Center for Human Factors in Healthcare, MedStar Health, Washington, DC, USA.
Christine A SinskyProfessional Satisfaction and Practice Sustainability, American Medical Association, Chicago, Illinois, USA.
Richard M FrankelRegenstrief Institute, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Mark W FriedbergRAND Corporation, Santa Monica, California, USA.
Seth M PowsnerDepartment of Emergency Medicine, Yale University School of Medicine, New Haven, Connecticut, USA.
David I RosenthalDepartment of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut, USA.
Robert M WachterDepartment of Medicine, University of California, San Francisco, San Francisco, USA.
Edward R MelnickDepartment of Emergency Medicine, Yale University School of Medicine, New Haven, Connecticut, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Healthcare information technologies are now a routine component of patient-clinician interactions. Originally designed for operational functions including billing and regulatory compliance, these systems have had unintended consequences including increased exam room documentation, divided attention during the visit, and use of scribes to alleviate documentation burdens. In an age in which technology is ubiquitous in everyday life, we must re-envision healthcare technology to support both clinical operations and, above all, the patient-clinician relationship. We present 6 habits for designing user-centered health technologies: (1) put patient care first, (2) assemble a team with the right skills, (3) relentlessly ask WHY, (4) keep it simple, (5) be Darwinian, and (6) don't lose the forest for the trees. These habits should open dialogues between developers, implementers, end users, and stakeholders, as well as outline a path for better, more usable technology that puts patients and their clinicians back at the center of care.

Indexed as

Medical InformaticsMedical Informatics ApplicationsUser-Centered DesignHumansPatient CarePhysician-Patient Relationsdigital healthdoctor-patient relationshiphealth information technologyhuman centered designuser centered design

Identifiers

PMID31265064
PMCPMC7647223

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.