ArticleApplied ergonomics2021
Workflow integration analysis of a human factors-based clinical decision support in the emergency department.
Article in Applied ergonomics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 3 of them syntheses that pooled 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.
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
42 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Improving Explainability and Integrability of Medical AI to Promote Health Care Professional Acceptance and Use: Mixed Systematic Review.Journal of medical Internet research · 2025Pooled it
- Facilitators and Barriers to Implementing AI in Routine Medical Imaging: Systematic Review and Qualitative Analysis.Journal of medical Internet research · 2025Pooled it
- Exploring the role of professional identity in the implementation of clinical decision support systems-a narrative review.Implementation science : IS · 2024Pooled it
- Clinician perceptions of a clinical decision support system to reduce cardiovascular risk among prediabetes patients in a predominantly rural healthcare system.BMC medical informatics and decision making · 2022Trial
- Impacts of a Statewide Prescription Drug Monitoring Program-Healthcare Practitioner Perspectives.Pharmacology research & perspectives · 2026Article
- Exploring Ambient Artificial Intelligence to Enhance Learning and Feedback During Operating Room-to-Intensive Care Unit Handoffs: Co-Design and Simulation Study.JMIR medical education · 2026Article
- A Futures Framework for Clinical AI Governance: Anticipating Emerging Risks, Shifting Roles, and Regulatory Challenges.Journal of medical Internet research · 2026Article
- Governance for safe and responsible AI in healthcare organisations: a scoping review of frameworks.NPJ digital medicine · 2026Article
- Comprehensive recommendations for the implementation of artificial intelligence in healthcare: a narrative review on facilitators and barriers.BMJ open quality · 2026Review
- Experiences of Alert Fatigue and Its Contributing Factors in Hospitals: Qualitative Study.Journal of medical Internet research · 2026Article
- Assessing Health Care Professionals' Perceptions of a New System in Clinical Workflows: Systems Engineering Initiative for Patient Safety-Based Consensual Qualitative Research.Journal of medical Internet research · 2026Article
- User-Centered Redesign of a Clinical Decision Support System for Pneumonia in the Emergency Department.Applied clinical informatics · 2026Article
- Smart emergency care: a narrative review of predictive machine learning models.Annals of translational medicine · 2025Review
- Sociotechnical influences on the adoption and use of AI-enabled clinical decision support systems in ophthalmology: a theory-based interview study.BMC health services research · 2025Article
- Human-centered design of an artificial intelligence monitoring system: the Vanderbilt Algorithmovigilance Monitoring and Operations System.JAMIA open · 2025Article
- "I worry we'll blow right by it:" Barriers to Uptake of the STRATIFY-CDS for Acute Heart Failure.Applied clinical informatics · 2025Article
- A systematic review of clinicians' acceptance and use of clinical decision support systems over time.NPJ digital medicine · 2025Article
- Multisite Implementation of a Sexual Health Survey and Clinical Decision Support to Promote Adolescent Sexually Transmitted Infection Screening.Applied clinical informatics · 2025Article
- Development of a Human Factors-Based Guideline to Support the Design, Evaluation, and Continuous Improvement of Clinical Decision Support.Mayo Clinic proceedings. Digital health · 2025Article
- The social experience of uncertainty: a qualitative analysis of emergency department care for suspected pneumonia for the design of decision support.BMC medical informatics and decision making · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
Numerous challenges with the implementation, acceptance, and use of health IT are related to poor usability and a lack of integration of the technologies into clinical workflow, and have, therefore, limited the potential of these technologies to improve patient safety. We propose a definition and conceptual model of health IT workflow integration. Using interviews of 12 emergency department (ED) physicians, we identify 134 excerpts of barriers and facilitators to workflow integration of a human factors (HF)-based clinical decision support (CDS) implemented in the ED. Using data on these 134 barriers and facilitators, we distinguish 25 components of workflow integration of the CDS, which are described according to four dimensions of workflow integration: time, flow, scope of patient journey, and level. The proposed definition and conceptual model of workflow integration can be used to inform health IT design; this is the purpose of the proposed checklist that can help to ensure consideration of workflow integration during the development of health IT.
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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.