Health information technologies: From hazardous to the dark side

This article explores the effects of health information technologies (HIT) in operating rooms (ORs). When functioning well, HIT are a boon to mankind. However, HIT in the OR also create hazards for patients for a number of interrelated reasons. We introduce 5 interrelated components of hazard situations for medical teams operating in the OR: complexity, overload/underload, inadequate individual training, inadequate training of medical teams, and overconfidence of surgeons. These components of hazard situations in the OR may negatively impact patient safety. We discuss implications, especially in terms of individuals and medical teams in the OR, as well as work substitution as a broader aspect of the potential dark side of health IT.

[1]  B Searles,et al.  2010 Survey on cell phone use while performing cardiopulmonary bypass , 2011, Perfusion.

[2]  A. Darzi,et al.  The simulated operating theatre: comprehensive training for surgical teams , 2004, Quality and Safety in Health Care.

[3]  Varun Grover,et al.  Technostress: Technological Antecedents and Implications , 2011, MIS Q..

[4]  Nicole J. Borges,et al.  Personality and Medical Specialty Choice: A Literature Review and Integration , 2002 .

[5]  Noel E. Sharkey,et al.  Robotic Surgery: On the Cutting Edge of Ethics , 2013, Computer.

[6]  Cordula Wagner,et al.  Changes in adverse event rates in hospitals over time: a longitudinal retrospective patient record review study , 2013, BMJ quality & safety.

[7]  K. Catchpole.  Spreading human factors expertise in healthcare: untangling the knots in people and systems , 2013, BMJ quality & safety.

[8]  C. Delaney,et al.  Short-term outcomes for robotic colorectal surgery by provider volume. , 2013, Journal of the American College of Surgeons.

[9]  S. Jackson,et al.  The Measurement of experienced burnout , 1981 .

[10]  G. Barbash,et al.  New technology and health care costs--the case of robot-assisted surgery. , 2010, The New England journal of medicine.

[11]  Praveen Pathak,et al.  The Impact of Automation of Systems on Medical Errors: Evidence from Field Research , 2011, Inf. Syst. Res..

[12]  Piers Gatenby.  The robot will see you now? , 2018, BMJ Health & Care Informatics.

[13]  J. Sexton,et al.  Error, stress, and teamwork in medicine and aviation: cross sectional surveys , 2000, BMJ : British Medical Journal.

[14]  Monideepa Tarafdar,et al.  The Impact of Technostress on Role Stress and Productivity , 2007, J. Manag. Inf. Syst..

[15]  Matthew B. Weinger,et al.  Effects of Intraoperative Reading on Vigilance and Workload during Anesthesia Care in an Academic Medical Center , 2009, Anesthesiology.

[16]  J. Sexton,et al.  Error, Stress, and Teamwork in Medicine and Aviation: Cross Sectional Surveys , 2001 .

[17]  B A Shapiro,et al.  Why must the practice of anesthesiology change? It's economics, doctor! , 1997, Anesthesiology.

[18]  Rhona Flin,et al.  Crew resource management: improving team work in high reliability industries , 2002 .

[19]  Wolff Schlotz,et al.  Perceived Work Overload and Chronic Worrying Predict Weekend–Weekday Differences in the Cortisol Awakening Response , 2004, Psychosomatic medicine.

[20]  Jie Shen,et al.  Changing the skill-mix of the health care workforce , 2004, Journal of health services research & policy.

[21]  Top 10 health technology hazards for 2014. , 2013, Health devices.

[22]  J. Neily,et al.  Association between implementation of a medical team training program and surgical mortality. , 2010, JAMA.

[23]  Warren D. Smith,et al.  Performing laparoscopic surgery is significantly more stressful for the surgeon than open surgery , 2001, Surgical Endoscopy.

[24]  D. Longnecker,et al.  Navigation in Uncharted Waters: Is Anesthesiology on Course for the 21st Century? , 1997, Anesthesiology.

[25]  Michael A. Riley,et al.  Divided attention during adaptation to visual-motor rotation in an endoscopic surgery simulator , 2005, Cognition, Technology & Work.

[26]  C. Hug,et al.  Rovenstine Lecture: Patient Values, Hippocrates, Science, and Technology: What We (Physicians) Can Do versus What We Should Do for the Patient , 2000, Anesthesiology.

[27]  W. Berry,et al.  An estimation of the global volume of surgery: a modelling strategy based on available data , 2008, The Lancet.

[28]  Eric J. Johnson,et al.  A componential analysis of cognitive effort in choice , 1990 .

[29]  S. Choi,et al.  Intensity of Extremely Low-frequency Electromagnetic Fields Produced in Operating Rooms during Surgery at the Standing Position of Anesthesiologists , 2009, Anesthesiology.

[30]  B. Shiv,et al.  Heart and Mind in Conflict: The Interplay of Affect and Cognition in Consumer Decision Making , 1999 .

[31]  Michael A. Osborne,et al.  The future of employment: How susceptible are jobs to computerisation? , 2017 .

[32]  Gilad Ravid,et al.  Information overload and the message dynamics of online interaction spaces: a theoretical model and empirical exploration , 2004, IEEE Engineering Management Review.

[33]  David M Studdert,et al.  Analysis of errors reported by surgeons at three teaching hospitals. , 2003, Surgery.

[34]  Timothy J. Vogus,et al.  The Safety Organizing Scale: Development and Validation of a Behavioral Measure of Safety Culture in Hospital Nursing Units , 2007, Medical care.

[35]  A. Spigelman.  Consultant surgeons' opinion of the skills required of basic surgical trainees , 2000, The British journal of surgery.

[36]  E. Hallowell,et al.  Overloaded circuits: why smart people underperform. , 2005, Harvard business review.

[37]  M. Marchetti,et al.  Can virtual reality simulators be a certification tool for bariatric surgeons? , 2013, Surgical Endoscopy.

[38]  Ara Darzi,et al.  A Human Factors Analysis of Technical and Team Skills Among Surgical Trainees During Procedural Simulations in a Simulated Operating Theatre , 2005, Annals of surgery.

[39]  R. Flin,et al.  Non-technical skills for surgeons in the operating room: a review of the literature. , 2006, Surgery.

[40]  C. Wickens.  Engineering psychology and human performance, 2nd ed. , 1992 .

[41]  J. G. Hollands,et al.  Engineering Psychology and Human Performance , 1984 .

[42]  Jeroan J. Allison,et al.  A Message from the New Medical Care Co-Editors-in-Chief: Building upon a Legacy of Scholarship and Impact , 2007 .

[43]  T. Caeiro,et al.  [Error in medicine]. , 2004, Medicina.

[44]  Top 10 health technology hazards for 2013. , 2012, Health devices.

[45]  R. Andersen,et al.  Societal and individual determinants of medical care utilization in the United States. , 1973, The Milbank Memorial Fund quarterly. Health and society.

[46]  Nick Sevdalis,et al.  Multidisciplinary Crisis Simulations: The Way Forward for Training Surgical Teams , 2007, World Journal of Surgery.

[47]  Bin Zheng,et al.  Measuring mental workload during the performance of advanced laparoscopic tasks , 2009, Surgical Endoscopy.

[48]  WH0/HSS/EHT/DIM/10.4 MedicAl devices: MAnAging the Mismatch An outcome of the Priority Medical Devices project Increasing complexity of , 2010 .

[49]  Betty Vandenbosch,et al.  Information Overload in a Groupware Environment: Now You See It, Now You Don't , 1998, J. Organ. Comput. Electron. Commer..