{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T22:21:51Z","timestamp":1773267711281,"version":"3.50.1"},"reference-count":106,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2010,3,25]],"date-time":"2010-03-25T00:00:00Z","timestamp":1269475200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cogn Tech Work"],"published-print":{"date-parts":[[2011,3]]},"DOI":"10.1007\/s10111-010-0141-8","type":"journal-article","created":{"date-parts":[[2010,3,24]],"date-time":"2010-03-24T04:53:31Z","timestamp":1269406411000},"page":"11-29","source":"Crossref","is-referenced-by-count":108,"title":["Cognitive performance-altering effects of electronic medical records: an application of the human factors paradigm for patient safety"],"prefix":"10.1007","volume":"13","author":[{"given":"Richard J.","family":"Holden","sequence":"first","affiliation":[]}],"member":"297","published-online":{"date-parts":[[2010,3,25]]},"reference":[{"key":"141_CR1","doi-asserted-by":"crossref","first-page":"404","DOI":"10.1377\/hlthaff.28.2.404","volume":"28","author":"J Aarts","year":"2009","unstructured":"Aarts J, Koppel R (2009) Implementation of computerized physician order entry in seven countries. Health Aff 28:404\u2013414","journal-title":"Health Aff"},{"key":"141_CR2","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1197\/jamia.M1372","volume":"11","author":"J Aarts","year":"2004","unstructured":"Aarts J, Doorewaard H, Berg M (2004) Understanding implementation: the case of a computerized physician order entry system in a large Dutch university medical center. J Am Med Inform Assoc 11:207\u2013216","journal-title":"J Am Med Inform Assoc"},{"key":"141_CR3","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1016\/0749-5978(91)90020-T","volume":"50","author":"I Ajzen","year":"1991","unstructured":"Ajzen I (1991) The theory of planned behavior. Org Behav Hum Decis Process 50:179\u2013211","journal-title":"Org Behav Hum Decis Process"},{"key":"141_CR4","doi-asserted-by":"crossref","unstructured":"Ammenwerth E, Iller C, Mahler C (2006) IT-adoption and the interaction of task, technology and individuals: a fit framework and a case study. BMC Med Inform Decis Mak, 6: http:\/\/www.biomedcentral.com\/1472-6947\/1476\/1473","DOI":"10.1186\/1472-6947-6-3"},{"key":"141_CR5","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1197\/jamia.M1684","volume":"12","author":"JS Ash","year":"2005","unstructured":"Ash JS, Bates DW (2005) Factors and forces affecting EHR system adoption: report of a 2004 ACMI discussion. J Am Med Inform Assoc 12:8\u201312","journal-title":"J Am Med Inform Assoc"},{"key":"141_CR6","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1197\/jamia.M1471","volume":"11","author":"JS Ash","year":"2004","unstructured":"Ash JS, Berg M, Coiera E (2004) Some unintended consequences of information technology in health care: the nature of patient care information system-related errors. J Am Med Inform Assoc 11:104\u2013112","journal-title":"J Am Med Inform Assoc"},{"key":"141_CR7","doi-asserted-by":"crossref","first-page":"S21","DOI":"10.1016\/j.ijmedinf.2006.05.017","volume":"76S","author":"JS Ash","year":"2007","unstructured":"Ash JS, Sittig DF, Dykstra RH, Guappone K, Carpenter JD et al (2007) Categorizing the unintended sociotechnical consequences of computerized provider order entry. Int J Med Inform 76S:S21\u2013S27","journal-title":"Int J Med Inform"},{"key":"141_CR8","doi-asserted-by":"crossref","first-page":"S69","DOI":"10.1016\/j.ijmedinf.2008.07.015","volume":"78S","author":"JS Ash","year":"2009","unstructured":"Ash JS, Sittig DF, Dykstra R, Campbell E, Guappone K (2009) The unintended consequences of computerized provider order entry: findings from a mixed methods exploration. Int J Med Inform 78S:S69\u2013S76","journal-title":"Int J Med Inform"},{"key":"141_CR9","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1108\/17511870710721471","volume":"20","author":"M Ball\u00e9","year":"2007","unstructured":"Ball\u00e9 M, R\u00e9gnier A (2007) Lean as a learning system in a hospital ward. Leadersh Health Serv 20:33\u201341","journal-title":"Leadersh Health Serv"},{"key":"141_CR10","doi-asserted-by":"crossref","first-page":"1311","DOI":"10.1001\/jama.280.15.1311","volume":"280","author":"DW Bates","year":"1998","unstructured":"Bates DW, Leape LL, Cullen DJ, Laird N, Peterson LA et al (1998) Effect of computerized physician order entry and a team intervention on prevention of serious medication errors. JAMA 280:1311\u20131316","journal-title":"JAMA"},{"key":"141_CR11","doi-asserted-by":"crossref","first-page":"2527","DOI":"10.1056\/NEJMhpr066212","volume":"356","author":"D Blumenthal","year":"2007","unstructured":"Blumenthal D, Glaser JP (2007) Information technology comes to medicine. N Engl J Med 356:2527\u20132534","journal-title":"N Engl J Med"},{"key":"141_CR12","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1197\/jamia.M2184","volume":"14","author":"AM Bobb","year":"2007","unstructured":"Bobb AM, Payne TH, Gross PA (2007) Viewpoint: controversies surrounding use of order sets for clinical decision support in computerized provider order entry. J Am Med Inform Assoc 14:41\u201347","journal-title":"J Am Med Inform Assoc"},{"key":"141_CR13","doi-asserted-by":"crossref","first-page":"547","DOI":"10.1197\/jamia.M2042","volume":"13","author":"EM Campbell","year":"2006","unstructured":"Campbell EM, Sittig DF, Ash JS, Guappone KP, Dykstra RH (2006) Types of unintended consequences related to computerized provider order entry. J Am Med Inform Assoc 13:547\u2013556","journal-title":"J Am Med Inform Assoc"},{"key":"141_CR14","doi-asserted-by":"crossref","first-page":"525","DOI":"10.1016\/j.apergo.2006.04.011","volume":"37","author":"P Carayon","year":"2006","unstructured":"Carayon P (2006) Human factors of complex sociotechnical systems. Appl Ergon 37:525\u2013535","journal-title":"Appl Ergon"},{"key":"141_CR15","doi-asserted-by":"crossref","first-page":"i50","DOI":"10.1136\/qshc.2005.015842","volume":"15","author":"P Carayon","year":"2006","unstructured":"Carayon P, Schoofs Hundt A, Karsh B, Gurses AP, Alvarado CJ et al (2006) Work system design for patient safety: the SEIPS model. Qual Saf Health Care 15:i50\u2013i58","journal-title":"Qual Saf Health Care"},{"key":"141_CR16","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1080\/01449290701628178","volume":"28","author":"P Carayon","year":"2009","unstructured":"Carayon P, Smith P, Hundt AS, Kuruchittham V, Li Q (2009) Implementation of an electronic health records system in a small clinic: the viewpoint of clinic staff. Behav Inf Technol 28:5\u201320","journal-title":"Behav Inf Technol"},{"key":"141_CR17","volume-title":"Set phasers on stun: and other true tales of design, technology and human error","author":"SM Casey","year":"1993","unstructured":"Casey SM (1993) Set phasers on stun: and other true tales of design, technology and human error. Aegean, Santa Barbara"},{"key":"141_CR18","doi-asserted-by":"crossref","first-page":"E12","DOI":"10.7326\/0003-4819-144-10-200605160-00125","volume":"144","author":"B Chaudhry","year":"2006","unstructured":"Chaudhry B, Wu S, Maglione M, Mojica W, Roth E et al (2006) Systematic review: impact of health information technology on quality, efficiency, and costs of medical care. Ann Intern Med 144:E12\u2013E22","journal-title":"Ann Intern Med"},{"key":"141_CR19","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1518\/001872007X312423","volume":"49","author":"SWA Dekker","year":"2007","unstructured":"Dekker SWA (2007) Doctors are more dangerous than gun owners: a rejoinder to error counting. Hum Factors 49:177\u2013184","journal-title":"Hum Factors"},{"key":"141_CR20","doi-asserted-by":"crossref","first-page":"240","DOI":"10.1007\/s101110200022","volume":"4","author":"SWA Dekker","year":"2002","unstructured":"Dekker SWA, Woods DD (2002) MABA-MABA or Abracadabra? Progress on human-automation co-ordination. Cogn Technol Work 4:240\u2013244","journal-title":"Cogn Technol Work"},{"key":"141_CR21","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1080\/146392200308426","volume":"1","author":"PG Dempsey","year":"2000","unstructured":"Dempsey PG, Wogalter MS, Hancock PA (2000) What\u2019s in a name? Using terms from definitions to examine the fundamental foundation of human factors and ergonomics science. Theor Issues Ergon Sci 1:3\u201310","journal-title":"Theor Issues Ergon Sci"},{"key":"141_CR22","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1377\/hlthaff.17.4.7","volume":"4","author":"DM Eddy","year":"1998","unstructured":"Eddy DM (1998) Performance measurement: problems and solutions. Health Aff 4:7\u201325","journal-title":"Health Aff"},{"key":"141_CR23","unstructured":"Emanuel L, Berwick D, Conway J, Combes J, Hatlie M et al. (2008) What exactly is patient safety? In: K. Henriksen, J. B. Battles, M. A. Keyes, M. L. Grady (eds) Advances in patient safety: new directions and alternative approaches AHRQ publication No 08-0034-1, vol 1. Assessment Agency for Healthcare Research and Quality, Rockville"},{"key":"141_CR24","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1037\/0033-295X.87.3.215","volume":"87","author":"KA Ericsson","year":"1980","unstructured":"Ericsson KA, Simon HA (1980) Verbal reports as data. Psychol Rev 87:215\u2013251","journal-title":"Psychol Rev"},{"key":"141_CR25","doi-asserted-by":"crossref","first-page":"865","DOI":"10.1377\/hlthaff.27.3.865","volume":"27","author":"MF Furukawa","year":"2008","unstructured":"Furukawa MF, Raghu TS, Spaulding TJ, Vinze A (2008) Adoption of health information technology for medication safety in U.S. hospitals, 2006. Health Aff 27:865\u2013875","journal-title":"Health Aff"},{"key":"141_CR26","doi-asserted-by":"crossref","first-page":"213","DOI":"10.2307\/249689","volume":"19","author":"DL Goodhue","year":"1995","unstructured":"Goodhue DL, Thompson RL (1995) Task-technology fit and individual performance. MIS Quart 19:213\u2013236","journal-title":"MIS Quart"},{"key":"141_CR27","doi-asserted-by":"crossref","first-page":"1506","DOI":"10.1542\/peds.2005-1287","volume":"116","author":"YY Han","year":"2005","unstructured":"Han YY, Carcillo JA, Venkataraman ST, Clark RSB, Watson RS et al (2005) Unexpected increased mortality after implementation of a commercially sold computerized physician order entry system. Pediatrics 116:1506\u20131512","journal-title":"Pediatrics"},{"key":"141_CR28","first-page":"31","volume-title":"Handbook of research on advances in health informatics and electronic healthcare applications: global adoption and impact of information communication technologies IGI global","author":"MI Harrison","year":"2010","unstructured":"Harrison MI, Koppel R (2010) Interactive sociotechnical analysis: identifying and coping with unintended consequences of IT implementation. In: Khoumbati K, Dwivedi YK, Srivastava A, Lal B (eds) Handbook of research on advances in health informatics and electronic healthcare applications: global adoption and impact of information communication technologies IGI global. Hershey, PA, pp 31\u201349"},{"key":"141_CR29","doi-asserted-by":"crossref","first-page":"542","DOI":"10.1197\/jamia.M2384","volume":"14","author":"MI Harrison","year":"2007","unstructured":"Harrison MI, Koppel R, Bar-Lev S (2007) Unintended consequences of information technologies in health care\u2014an interactive sociotechnical analysis. J Am Med Inform Assoc 14:542\u2013549","journal-title":"J Am Med Inform Assoc"},{"key":"141_CR30","volume-title":"Advances in patient safety: new directions and alternative approaches. AHRQ Publication No. 08-0034","year":"2008","unstructured":"Henriksen K, Battles JB, Keyes MA, Grady ML (eds) (2008) Advances in patient safety: new directions and alternative approaches. AHRQ Publication No. 08-0034. Agency for Healthcare Research and Quality, Rockville"},{"key":"141_CR31","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1109\/MIS.2002.1005633","volume":"17","author":"RR Hoffman","year":"2002","unstructured":"Hoffman RR, Hancock PA, Ford KM, Hayes P (2002) The triples rule. IEEE Intell Syst 17:62\u201365","journal-title":"IEEE Intell Syst"},{"key":"141_CR32","unstructured":"Holden RJ (2009) People or systems? To blame is human. The fix is to engineer. Professional Safety, December, 34\u201341"},{"key":"141_CR33","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1016\/j.ijmedinf.2009.12.003","volume":"79","author":"RJ Holden","year":"2010","unstructured":"Holden RJ (2010) Physicians\u2019 beliefs about using EMR and CPOE: in pursuit of a contextualized understanding of health IT use behavior. Int J Med Inform 79:71\u201380","journal-title":"Int J Med Inform"},{"key":"141_CR34","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1080\/01449290601138245","volume":"28","author":"RJ Holden","year":"2009","unstructured":"Holden RJ, Karsh B (2009) A theoretical model of health information technology usage behaviour with implications for patient safety. Behav Inf Technol 28:21\u201338","journal-title":"Behav Inf Technol"},{"key":"141_CR35","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1016\/j.jbi.2009.07.002","volume":"43","author":"RJ Holden","year":"2010","unstructured":"Holden RJ, Karsh B (2010) The technology acceptance model: its past and its future in health care. J Biomed Inform 43:159\u2013172","journal-title":"J Biomed Inform"},{"key":"141_CR36","unstructured":"Holden RJ, Alper SJ, Scanlon MC, Murkowski K, Rivera AJ et al. (2008) Challenges and problem-solving strategies during medication management: a study of a pediatric hospital before and after bar-coding. Paper presented at the Proceedings of the 2nd International Conference on Healthcare Systems Ergonomics and Patient Safety, Strasbourg, France"},{"key":"141_CR37","doi-asserted-by":"crossref","first-page":"768","DOI":"10.1177\/154193120805201201","volume":"52","author":"RJ Holden","year":"2008","unstructured":"Holden RJ, Scanlon MC, Brown RL, Karsh B (2008b) What is IT? New conceptualizations and measures of pediatric nurses\u2019 acceptance of bar-coded medication administration information technology. Annu Meet Hum Factors Ergon Soc 52:768\u2013772","journal-title":"Annu Meet Hum Factors Ergon Soc"},{"key":"141_CR38","doi-asserted-by":"crossref","first-page":"1170","DOI":"10.1080\/001401397187685","volume":"40","author":"E Hollnagel","year":"1997","unstructured":"Hollnagel E (1997) Cognitive ergonomics: it\u2019s all in the mind. Ergonomics 40:1170\u20131182","journal-title":"Ergonomics"},{"key":"141_CR39","doi-asserted-by":"crossref","DOI":"10.1201\/9781420038194","volume-title":"Joint cognitive systems: foundations of cognitive systems engineering","author":"E Hollnagel","year":"2005","unstructured":"Hollnagel E, Woods DD (2005) Joint cognitive systems: foundations of cognitive systems engineering. CRC Press, New York"},{"key":"141_CR40","volume-title":"Resilience engineering: concepts and precepts","year":"2006","unstructured":"Hollnagel E, Woods DD, Leveson N (eds) (2006) Resilience engineering: concepts and precepts. Ashgate, Aldershot, UK"},{"key":"141_CR41","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1197\/jamia.M1740","volume":"12","author":"J Horsky","year":"2005","unstructured":"Horsky J, Kuperman GJ, Patel VL (2005) Comprehensive analysis of a medication dosing error related to CPOE. J Am Med Inform Assoc 12:377\u2013382","journal-title":"J Am Med Inform Assoc"},{"key":"141_CR42","volume-title":"To err is human: building a safer health system","author":"Institute of Medicine","year":"2000","unstructured":"Institute of Medicine (2000) To err is human: building a safer health system. Institute of Medicine Report on Medical Errors. National Academies Press, Washington, DC"},{"key":"141_CR43","volume-title":"Key capabilities of an electronic health record system","author":"Institute of Medicine","year":"2003","unstructured":"Institute of Medicine (2003) Key capabilities of an electronic health record system. National Academies Press, Washington, DC"},{"key":"141_CR44","volume-title":"Preventing medication errors","author":"Institute of Medicine","year":"2007","unstructured":"Institute of Medicine (2007) Preventing medication errors. National Academies Press, Washington, DC"},{"key":"141_CR45","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1111\/j.1365-2575.1992.tb00064.x","volume":"2","author":"J Ivari","year":"1992","unstructured":"Ivari J (1992) The organizational fit of information systems. J Inform Syst 2:3\u201329","journal-title":"J Inform Syst"},{"key":"141_CR46","doi-asserted-by":"crossref","first-page":"848","DOI":"10.1016\/j.ijmedinf.2008.06.007","volume":"77","author":"AK Jha","year":"2008","unstructured":"Jha AK, Doolan D, Grandt D, Scott T, Bates DW (2008) The use of health information technology in seven nations. Int J Med Inform 77:848\u2013854","journal-title":"Int J Med Inform"},{"key":"141_CR47","doi-asserted-by":"crossref","first-page":"1628","DOI":"10.1056\/NEJMsa0900592","volume":"360","author":"AK Jha","year":"2009","unstructured":"Jha AK, DesRoches CM, Campbell EG, Donelan K, Rao SR et al (2009) Use of electronic health records in U.S. hospitals. N Engl J Med 360:1628\u20131638","journal-title":"N Engl J Med"},{"key":"141_CR48","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1136\/jamia.1997.0040094","volume":"4","author":"B Kaplan","year":"1997","unstructured":"Kaplan B (1997) Addressing organizational issues into the evaluation of medical systems. J Am Med Inform Assoc 4:94\u2013101","journal-title":"J Am Med Inform Assoc"},{"key":"141_CR49","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1016\/S1386-5056(01)00184-8","volume":"64","author":"B Kaplan","year":"2001","unstructured":"Kaplan B (2001) Evaluating informatics applications\u2014some alternative approaches: theory, social interactionism, and call for methodological pluralism. Int J Med Inform 64:39\u201356","journal-title":"Int J Med Inform"},{"key":"141_CR50","first-page":"337","volume-title":"Work system analysis: the key to understanding health care systems. Advances in patient safety: from research to implementation","author":"B Karsh","year":"2005","unstructured":"Karsh B, Alper SJ (2005) Work system analysis: the key to understanding health care systems. Advances in patient safety: from research to implementation. Agency for Healthcare Research and Quality, Rockville, MD, pp 337\u2013348"},{"key":"141_CR51","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1016\/j.apergo.2005.07.003","volume":"37","author":"B Karsh","year":"2006","unstructured":"Karsh B, Escoto KH, Beasley JW, Holden RJ (2006a) Toward a theoretical approach to medical error reporting system research and design. Appl Ergon 37:283\u2013295","journal-title":"Appl Ergon"},{"key":"141_CR52","doi-asserted-by":"crossref","first-page":"i59","DOI":"10.1136\/qshc.2005.015974","volume":"15","author":"B Karsh","year":"2006","unstructured":"Karsh B, Holden RJ, Alper SJ, Or CKL (2006b) A human factors engineering paradigm for patient safety\u2014designing to support the performance of the health care professional. Qual Saf Health Care 15:i59\u2013i65","journal-title":"Qual Saf Health Care"},{"key":"141_CR53","doi-asserted-by":"crossref","first-page":"374","DOI":"10.1080\/10447310902864993","volume":"25","author":"B Karsh","year":"2009","unstructured":"Karsh B, Holden RJ, Escoto KH, Alper SJ, Scanlon MC et al (2009) Do beliefs about hospital technologies predict nurses\u2019 perceptions of quality of care? A study of task-technology fit in two pediatric hospitals. Int J Hum Comput Interact 25:374\u2013389","journal-title":"Int J Hum Comput Interact"},{"key":"141_CR54","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1136\/qhc.11.3.261","volume":"11","author":"R Kaushal","year":"2002","unstructured":"Kaushal R, Bates DW (2002) Information technology and medication safety: what is the benefit? Qual Saf Health Care 11:261\u2013265","journal-title":"Qual Saf Health Care"},{"key":"141_CR55","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1109\/MIS.2003.1200735","volume":"18","author":"G Klein","year":"2003","unstructured":"Klein G, Ross KG, Moon BM, Klein DE, Hoffman RR et al (2003) Macrocognition. IEEE Intell Syst 18:81\u201385","journal-title":"IEEE Intell Syst"},{"key":"141_CR56","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1109\/MIS.2004.74","volume":"19","author":"G Klein","year":"2004","unstructured":"Klein G, Woods DD, Bradshaw JM, Hoffman RR, Feltovich PJ (2004) Ten challenges for making automation a \u201cteam player\u201d in joint human-agent activity. IEEE Intell Syst 19:91\u201395","journal-title":"IEEE Intell Syst"},{"key":"141_CR57","doi-asserted-by":"crossref","first-page":"1197","DOI":"10.1001\/jama.293.10.1197","volume":"293","author":"R Koppel","year":"2005","unstructured":"Koppel R, Metlay JP, Cohen A, Abaluck B, Localio AR et al (2005) Role of computerized physician order entry systems in facilitating medication errors. JAMA 293:1197\u20131203","journal-title":"JAMA"},{"key":"141_CR58","doi-asserted-by":"crossref","first-page":"408","DOI":"10.1197\/jamia.M2616","volume":"15","author":"R Koppel","year":"2008","unstructured":"Koppel R, Wetterneck TB, Telles JL, Karsh B (2008) Workarounds to barcode medication administration systems: their occurrences, causes, and threats to patient safety. J Am Med Inform Assoc 15:408\u2013423","journal-title":"J Am Med Inform Assoc"},{"key":"141_CR59","doi-asserted-by":"crossref","first-page":"919","DOI":"10.1001\/jama.2009.239","volume":"301","author":"BM Kuehn","year":"2009","unstructured":"Kuehn BM (2009) IT vulnerabilities highlighted by errors, malfunctions at Veterans\u2019 Medical Centers. JAMA 301:919\u2013920","journal-title":"JAMA"},{"key":"141_CR60","doi-asserted-by":"crossref","first-page":"31","DOI":"10.7326\/0003-4819-139-1-200307010-00010","volume":"139","author":"GJ Kuperman","year":"2003","unstructured":"Kuperman GJ, Gibson RF (2003) Computer physician order entry: benefits, costs, and issues. Ann Intern Med 139:31\u201339","journal-title":"Ann Intern Med"},{"key":"141_CR61","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1016\/j.cca.2009.03.020","volume":"404","author":"LL Leape","year":"2009","unstructured":"Leape LL (2009) Errors in medicine. Clin Chim Acta 404:2\u20135","journal-title":"Clin Chim Acta"},{"key":"141_CR62","doi-asserted-by":"crossref","first-page":"274","DOI":"10.1006\/jbin.2001.1028","volume":"34","author":"L Lin","year":"2001","unstructured":"Lin L, Vicente KJ, Doyle DJ (2001) Patient safety, potential adverse drug events, and medical device design: a human factors engineering approach. J Biomed Inform 34:274\u2013284","journal-title":"J Biomed Inform"},{"key":"141_CR63","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1177\/001872678303600301","volume":"36","author":"ML Markus","year":"1983","unstructured":"Markus ML, Robey D (1983) The organizational validity of management information systems. Hum Relat 36:203\u2013226","journal-title":"Hum Relat"},{"key":"141_CR64","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1136\/bmj.320.7226.50","volume":"320","author":"N Mays","year":"2000","unstructured":"Mays N, Pope C (2000) Qualitative research in health care: assessing quality in qualitative research. Br Med J 320:50\u201352","journal-title":"Br Med J"},{"key":"141_CR65","doi-asserted-by":"crossref","first-page":"510","DOI":"10.7326\/0003-4819-144-7-200604040-00010","volume":"144","author":"CJ McDonald","year":"2006","unstructured":"McDonald CJ (2006) Computerization can create safety hazards: a barcoding near miss. Ann Intern Med 144:510\u2013516","journal-title":"Ann Intern Med"},{"key":"141_CR66","volume-title":"Qualitative data analysis","author":"MB Miles","year":"1994","unstructured":"Miles MB, Huberman AM (1994) Qualitative data analysis. Sage, Thousand Oaks, CA"},{"key":"141_CR67","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1377\/hlthaff.23.2.116","volume":"23","author":"RH Miller","year":"2004","unstructured":"Miller RH, Sim I (2004) Physicians\u2019 use of electronic medical records: barriers and solutions. Health Aff 23:116\u2013126","journal-title":"Health Aff"},{"key":"141_CR68","doi-asserted-by":"crossref","first-page":"753","DOI":"10.1016\/j.apergo.2008.07.004","volume":"40","author":"A Miller","year":"2009","unstructured":"Miller A, Scheinkestel C, Steele C (2009) The effects of clinical information presentation on physicians\u2019 and nurses\u2019 decision-making in ICUs. Appl Ergon 40:753\u2013761","journal-title":"Appl Ergon"},{"key":"141_CR69","unstructured":"National Alliance for Health Information Technology (2008) Defining key health information technology terms [Electronic Version]. Retrieved June 13, 2008 from http:\/\/definitions.nahit.org\/doc\/HITTermsFinalReport_051508.pdf"},{"key":"141_CR70","volume-title":"Special characteristics of safety critical organizations: work psychological perspective","author":"P Oedewald","year":"2007","unstructured":"Oedewald P, Reiman T (2007) Special characteristics of safety critical organizations: work psychological perspective. VTT Technical Research Centre, Espoo"},{"key":"141_CR71","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1002\/jhrm.5600270405","volume":"27","author":"PA Palmieri","year":"2009","unstructured":"Palmieri PA, Peterson LT, Ford EW (2009) Technological iatrogenesis: new risks force heightened management awareness. J Healthc Risk Manag 27:19\u201324","journal-title":"J Healthc Risk Manag"},{"key":"141_CR72","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1377\/hlthaff.28.2.357","volume":"2","author":"ST Parente","year":"2009","unstructured":"Parente ST, McCullough JS (2009) Health information technology and patient safety: evidence from panel data. Health Aff 2:357\u2013360","journal-title":"Health Aff"},{"key":"141_CR73","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1518\/001872006776412234","volume":"48","author":"ES Patterson","year":"2006","unstructured":"Patterson ES, Rogers ML, Chapman RJ, Render ML (2006) Compliance with intended use of bar code medication administration in acute and long-term care: an observational study. Hum Factors 48:15\u201322","journal-title":"Hum Factors"},{"key":"141_CR74","unstructured":"Patterson ES, Cook RI, Woods DD, Render ML (2010) Gaps and resilience. In: Bogner MS (ed) Human error in medicine, 2nd edn. Erlbaum, Hillsdale (in press)"},{"key":"141_CR75","doi-asserted-by":"crossref","first-page":"2244","DOI":"10.2146\/ajhp080488","volume":"65","author":"CA Pedersen","year":"2008","unstructured":"Pedersen CA, Gumpper KF (2008) ASHP national survey on informatics: assessment of the adoption and use of pharmacy informatics in U.S. hospitals\u20142007. Am J Health Syst Pharm 65:2244\u20132264","journal-title":"Am J Health Syst Pharm"},{"key":"141_CR76","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1097\/01209203-200503000-00010","volume":"1","author":"SJ Perry","year":"2005","unstructured":"Perry SJ, Wears RL, Cook RI (2005) The role of automation in complex system failures. J Patient Saf 1:56\u201361","journal-title":"J Patient Saf"},{"key":"141_CR77","doi-asserted-by":"crossref","first-page":"735","DOI":"10.1016\/j.ijmedinf.2008.04.001","volume":"77","author":"H Pirnejad","year":"2008","unstructured":"Pirnejad H, Niazkhani Z, van der Sijs H, Berg M, Bal R (2008) Impact of a computerized physician order entry system on nurse\u2013physician collaboration in the medication process. Int J Med Inform 77:735\u2013744","journal-title":"Int J Med Inform"},{"key":"141_CR78","doi-asserted-by":"crossref","first-page":"176","DOI":"10.1016\/j.jbi.2004.11.009","volume":"38","author":"L Pizziferri","year":"2005","unstructured":"Pizziferri L, Kittler AF, Volk LA, Honour MM, Gupta S et al (2005) Primary care physician time utilization before and after implementation of an electronic health record: a time-motion study. J Biomed Inform 38:176\u2013188","journal-title":"J Biomed Inform"},{"key":"141_CR79","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1016\/j.neuroscience.2005.06.005","volume":"139","author":"BR Postle","year":"2006","unstructured":"Postle BR (2006) Working memory as an emergent property of the mind and brain. Neuroscience 139:23\u201338","journal-title":"Neuroscience"},{"key":"141_CR80","doi-asserted-by":"crossref","first-page":"768","DOI":"10.1136\/bmj.320.7237.768","volume":"320","author":"J Reason","year":"2000","unstructured":"Reason J (2000) Human error: models and management. Br Med J 320:768\u2013770","journal-title":"Br Med J"},{"key":"141_CR81","doi-asserted-by":"crossref","first-page":"613","DOI":"10.1197\/jamia.M3050","volume":"16","author":"MH Reckmann","year":"2009","unstructured":"Reckmann MH, Westbrook JI, Koh Y, Lo C, Day RO (2009) Does computerized provider order entry reduce prescribing errors for hospital inpatients? A systematic review. J Am Med Inform Assoc 16:613\u2013623","journal-title":"J Am Med Inform Assoc"},{"key":"141_CR82","doi-asserted-by":"crossref","first-page":"475","DOI":"10.1518\/001872008X288556","volume":"50","author":"EM Roth","year":"2008","unstructured":"Roth EM (2008) Uncovering the requirements of cognitive work. Hum Factors 50:475\u2013480","journal-title":"Hum Factors"},{"key":"141_CR83","doi-asserted-by":"crossref","unstructured":"Saleem JJ, Russ AL, Johnson TR, Zhang J, Sittig DF (2009) Current challenges and opportunities for better integration of human factors research with development of clinical information systems. Yearb Med Inform 48\u201358","DOI":"10.1055\/s-0038-1638638"},{"key":"141_CR84","doi-asserted-by":"crossref","DOI":"10.23970\/AHRQEPCERTA132","volume-title":"Costs and benefits of health information technology. Evidence Report\/Technology Assessment No. 132","author":"PG Shekelle","year":"2006","unstructured":"Shekelle PG, Morton SC, Keeler EB (2006) Costs and benefits of health information technology. Evidence Report\/Technology Assessment No. 132. Agency for Healthcare Research and Quality, Rockville, MD"},{"key":"141_CR85","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1177\/106286060401900302","volume":"19","author":"MP Silver","year":"2004","unstructured":"Silver MP, Geis MS, Bateman KA (2004) Improving health care systems performance: a human factors approach. Am J Med Qual 19:93\u2013102","journal-title":"Am J Med Qual"},{"key":"141_CR86","doi-asserted-by":"crossref","first-page":"561","DOI":"10.1197\/jamia.M1711","volume":"12","author":"DF Sittig","year":"2005","unstructured":"Sittig DF, Krall M, Kaalaas-Sittig J, Ash JS (2005) Emotional aspects of computer-based provider order entry: a qualitative study. J Am Med Inform Assoc 12:561\u2013567","journal-title":"J Am Med Inform Assoc"},{"key":"141_CR87","first-page":"27","volume-title":"A case for the case study","author":"G Sjoberg","year":"1991","unstructured":"Sjoberg G, Williams N, Vaughan TR, Sjoberg AF (1991) The case study approach in social research: basic methodological issues. In: Feagin JR, Orum AM, Sjoberg G (eds) A case for the case study. University of North Carolina Press, Chapel Hill, pp 27\u201379"},{"key":"141_CR88","first-page":"78","volume":"83","author":"SJ Spear","year":"2005","unstructured":"Spear SJ (2005) Fixing health care from the inside, today. Harv Bus Rev 83:78\u201391","journal-title":"Harv Bus Rev"},{"key":"141_CR89","volume-title":"Quality in qualitative evaluation: a framework for assessing research evidence","author":"L Spencer","year":"2003","unstructured":"Spencer L, Ritchie J, Lewis J, Dillon L (2003) Quality in qualitative evaluation: a framework for assessing research evidence. Government Chief Social Researcher\u2019s Office, Cabinet Office, London"},{"key":"141_CR90","volume-title":"Advances in patient safety: new directions and alternative approaches AHRQ publication no 08\u20130034-4","author":"AM Steele","year":"2008","unstructured":"Steele AM, DeBrow M (2008) Efficiency gains with computerized provider order entry. In: Henriksen K, Battles JB, Keyes MA, Grady ML (eds) Advances in patient safety: new directions and alternative approaches AHRQ publication no 08\u20130034-4, vol 4. Technology and Medication Safety Agency for Healthcare Research and Quality, Rockville, MD"},{"key":"141_CR91","doi-asserted-by":"crossref","first-page":"1057","DOI":"10.1056\/NEJMp0900665","volume":"360","author":"R Steinbrook","year":"2009","unstructured":"Steinbrook R (2009) Health care and the American Recovery and Reinvestment Act. N Engl J Med 360:1057\u20131060","journal-title":"N Engl J Med"},{"key":"141_CR92","volume-title":"Basics of qualitative research: grounded theory, procedures and techniques","author":"A Strauss","year":"1990","unstructured":"Strauss A, Corbin J (1990) Basics of qualitative research: grounded theory, procedures and techniques. Sage, Newbury Park"},{"key":"141_CR93","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1177\/1557234X0600200102","volume":"2","author":"YJ Tenney","year":"2006","unstructured":"Tenney YJ, Pew RW (2006) Situation awareness catches on: what? So what? Now what? Rev Hum Factors Ergon 2:1\u201334","journal-title":"Rev Hum Factors Ergon"},{"key":"141_CR94","unstructured":"The Leapfrog Group (2008) Computerized physician order entry. Retrieved October 30, 2009 from http:\/\/www.leapfroggroup.org\/media\/file\/Leapfrog-Computer_Physician_Order_Entry_Fact_Sheet.pdf"},{"key":"141_CR95","doi-asserted-by":"crossref","first-page":"S122","DOI":"10.1016\/j.ijmedinf.2006.06.004","volume":"76S","author":"S Thielke","year":"2007","unstructured":"Thielke S, Hammond K, Helbig S (2007) Copying and pasting of examinations within the electronic medical record. Int J Med Inform 76S:S122\u2013S128","journal-title":"Int J Med Inform"},{"key":"141_CR96","doi-asserted-by":"crossref","DOI":"10.1201\/b12457","volume-title":"Cognitive work analysis: toward safe, productive and healthy computer-based work","author":"KJ Vicente","year":"1999","unstructured":"Vicente KJ (1999) Cognitive work analysis: toward safe, productive and healthy computer-based work. Erlbaum, Mahwah"},{"key":"141_CR97","volume-title":"Patient safety","author":"C Vincent","year":"2006","unstructured":"Vincent C (2006) Patient safety. Elsevier, London"},{"key":"141_CR98","doi-asserted-by":"crossref","first-page":"114","DOI":"10.1197\/jamia.M2378","volume":"15","author":"AA Vogelsmeier","year":"2008","unstructured":"Vogelsmeier AA, Halbesleben JRB, Scott-Cawiezzel JR (2008) Technology implementation and workarounds in the nursing home. J Am Med Inform Assoc 15:114\u2013119","journal-title":"J Am Med Inform Assoc"},{"key":"141_CR99","doi-asserted-by":"crossref","first-page":"467","DOI":"10.1377\/hlthaff.28.2.467","volume":"28","author":"JM Walker","year":"2009","unstructured":"Walker JM, Carayon P (2009) From tasks to processes: the case for changing health information technology to improve health care. Health Aff 28:467\u2013477","journal-title":"Health Aff"},{"key":"141_CR100","doi-asserted-by":"crossref","first-page":"272","DOI":"10.1197\/jamia.M2618","volume":"15","author":"JM Walker","year":"2008","unstructured":"Walker JM, Carayon P, Leveson N, Paulus RA, Tooker J et al (2008) EHR safety: the way forward to safe and effective systems. J Am Med Inform Assoc 15:272\u2013277","journal-title":"J Am Med Inform Assoc"},{"key":"141_CR101","doi-asserted-by":"crossref","first-page":"502","DOI":"10.1016\/j.annemergmed.2008.03.015","volume":"52","author":"RL Wears","year":"2008","unstructured":"Wears RL (2008) The error of counting \u201cerrors\u201d. Ann Emerg Med 52:502\u2013503","journal-title":"Ann Emerg Med"},{"key":"141_CR102","volume-title":"Managing the unexpected: resilient performance in an age of uncertainty","author":"KE Weick","year":"2007","unstructured":"Weick KE, Sutcliffe KM (2007) Managing the unexpected: resilient performance in an age of uncertainty, 2nd edn. Jossey-Bass, San Francisco","edition":"2"},{"key":"141_CR103","doi-asserted-by":"crossref","first-page":"387","DOI":"10.1197\/jamia.M2338","volume":"14","author":"JP Weiner","year":"2007","unstructured":"Weiner JP, Kfuri T, Chan K, Fowles JB (2007) \u201ce-Iatrogenesis\u201d: the most critical unintended consequence of CPOE and other HIT. J Am Med Inform Assoc 14:387\u2013388","journal-title":"J Am Med Inform Assoc"},{"key":"141_CR104","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1016\/B978-0-08-057090-7.50011-4","volume-title":"Human factors in aviation","author":"CD Wickens","year":"1988","unstructured":"Wickens CD, Flach JM (1988) Information processing. In: Wiener EL, Nagel DC (eds) Human factors in aviation. Academic Press, San Diego, pp 111\u2013155"},{"key":"141_CR105","doi-asserted-by":"crossref","first-page":"557","DOI":"10.1016\/S0003-6870(00)00034-X","volume":"31","author":"JR Wilson","year":"2000","unstructured":"Wilson JR (2000) Fundamentals of ergonomics in theory and practice. Appl Ergon 31:557\u2013567","journal-title":"Appl Ergon"},{"key":"141_CR106","unstructured":"World Health Organization (2009) WHO Patient Safety. Retrieved October 30, 2009 from http:\/\/www.who.int\/patientsafety\/en\/"}],"container-title":["Cognition, Technology &amp; Work"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s10111-010-0141-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s10111-010-0141-8\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s10111-010-0141-8","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,6,3]],"date-time":"2020-06-03T07:38:32Z","timestamp":1591169912000},"score":1,"resource":{"primary":{"URL":"http:\/\/link.springer.com\/10.1007\/s10111-010-0141-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,3,25]]},"references-count":106,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2011,3]]}},"alternative-id":["141"],"URL":"https:\/\/doi.org\/10.1007\/s10111-010-0141-8","relation":{},"ISSN":["1435-5558","1435-5566"],"issn-type":[{"value":"1435-5558","type":"print"},{"value":"1435-5566","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,3,25]]}}}