Richard Holden | Vanderbilt University (original) (raw)

Papers by Richard Holden

Research paper thumbnail of That's nice, but what does IT do? Evaluating the impact of bar coded medication administration by measuring changes in the process of care

International journal of industrial ergonomics, Jan 1, 2011

Health information technology (IT) is widely endorsed as a way to improve key health care outcome... more Health information technology (IT) is widely endorsed as a way to improve key health care outcomes, particularly patient safety. Applying a human factors approach, this paper models more explicitly how health IT might improve or worsen outcomes. The human factors model specifies that health IT transforms the work system, which transforms the process of care, which in turn transforms the outcome of care. This study reports on transformations of the medication administration process that resulted from the implementation of one type of IT: bar coded medication administration (BCMA). Registered nurses at two large pediatric hospitals in the US participated in a survey administered before and after one of the hospitals implemented BCMA. Nurses’ perceptions of the administration process changed at the hospital that implemented BCMA, whereas perceptions of nurses at the control hospital did not. BCMA appeared to improve the safety of the processes of matching medications to the medication administration record and checking patient identification. The accuracy, usefulness, and consistency of checking patient identification improved as well. In contrast, nurses’ perceptions of the usefulness, time efficiency, and ease of the documentation process decreased post-BCMA. Discussion of survey findings is supplemented by observations and interviews at the hospital that implemented BCMA.By considering the way that IT transforms the work system and the work process a practitioner can better predict the kind of outcomes that the IT might produce. More importantly, the practitioner can achieve or prevent outcomes of interest by using design and redesign aimed at controlling work system and process transformations.

Research paper thumbnail of What stands in the way of technology-mediated patient safety improvements?: a study of facilitators and barriers to physicians' use of electronic health records

Journal of patient safety, Jan 1, 2011

Research paper thumbnail of Electronic health records: research into design and implementation

The British journal of general practice : the journal of the Royal College of General Practitioners, Jan 1, 2011

Research paper thumbnail of How does lean work in emergency care? A case study of a lean-inspired intervention at the Astrid Lindgren Children's hospital, Stockholm, Sweden

BMC health services research, Jan 1, 2012

Research paper thumbnail of Pharmacy workers' perceptions and acceptance of bar-coded medication technology in a pediatric hospital

Research in social & administrative pharmacy : RSAP, Jan 1, 2012

BACKGROUND: The safety benefits of bar-coded medication-dispensing and administration (BCMA) tech... more BACKGROUND: The safety benefits of bar-coded medication-dispensing and administration (BCMA) technology depend on its intended users favorably perceiving, accepting, and ultimately using the technology. OBJECTIVES: (1) To describe pharmacy workers' perceptions and acceptance of a recently implemented BCMA system and (2) to model the relationship between perceptions and acceptance of BCMA. METHODS: Pharmacists and pharmacy technicians at a Midwest U.S. pediatric hospital were surveyed following the hospital's implementation of a BCMA system. Twenty-nine pharmacists' and 10 technicians' self-reported perceptions and acceptance of the BCMA system were analyzed, supplemented by qualitative observational and free-response survey data. Perception-acceptance associations were analyzed using structural models. RESULTS: The BCMA system's perceived ease of use was rated low by pharmacists and moderate by pharmacy technicians. Both pharmacists and technicians perceived that the BCMA system was not useful for improving either personal job performance or patient care. Pharmacy workers perceived that individuals important to them encouraged BMCA use. Pharmacy workers generally intended to use BCMA but reported low satisfaction with the system. Perceptions explained 72% of the variance in intention to use BCMA and 79% of variance in satisfaction with BCMA. CONCLUSIONS: To promote their acceptance and use, BCMA and other technologies must be better designed and integrated into the clinical work system. Key steps to achieving better design and integration include measuring clinicians' acceptance and elucidating perceptions and other factors that shape acceptance.

Research paper thumbnail of Self-reported violations during medication administration in two paediatric hospitals

BMJ quality & safety, Jan 1, 2012

Violations of safety protocols are paths to adverse outcomes that have been poorly addressed by e... more Violations of safety protocols are paths to adverse outcomes that have been poorly addressed by existing safety efforts. This study reports on nurses' self-reported violations in the medication administration process.

Research paper thumbnail of Effects of mental demands during dispensing on perceived medication safety and employee well-being: A study of workload in pediatric hospital pharmacies

Research in Social and …, Jan 1, 2010

Research paper thumbnail of A human factors framework and study of the effect of nursing workload on patient safety and employee quality of working life

BMJ Quality & …, Jan 1, 2011

Research paper thumbnail of PEDIATRIC PHARMACY WORKLOAD: GOOD, BAD, AND… COMPLICATED!

Proceedings of the 2nd …, Jan 1, 2008

Research paper thumbnail of Lean Thinking in Emergency Departments: A Critical Review

Annals of Emergency Medicine, Jan 1, 2010

Research paper thumbnail of Toward a theoretical approach to medical error reporting system research and design

Applied Ergonomics, Jan 1, 2006

Research paper thumbnail of A review of medical error reporting system design considerations and a proposed cross-level systems research framework

Human Factors: The Journal of the Human …, Jan 1, 2007

Research paper thumbnail of Physicians' beliefs about using EMR and CPOE: In pursuit of a contextualized understanding of health IT use behavior

International journal of medical informatics, Jan 1, 2010

Research paper thumbnail of Cognitive performance-altering effects of electronic medical records: an application of the human factors paradigm for patient safety

Cognition, Technology & Work, Jan 1, 2010

Research paper thumbnail of A human factors engineering paradigm for patient safety: designing to support the performance of the healthcare professional

Quality and Safety in …, Jan 1, 2006

Research paper thumbnail of A change management framework for macroergonomic field research

Applied Ergonomics, Jan 1, 2008

Research paper thumbnail of Do beliefs about hospital technologies predict nurses' perceptions of quality of care? A study of task-technology fit in two pediatric hospitals

… Journal of Human- …, Jan 1, 2009

Research paper thumbnail of The technology acceptance model: its past and its future in health care

Journal of biomedical informatics, Jan 1, 2010

Research paper thumbnail of A theoretical model of health information technology usage behaviour with implications for patient safety

Behaviour & Information Technology, Jan 1, 2009

Research paper thumbnail of People or Systems? To blame is human. The fix is to engineer

Research paper thumbnail of That's nice, but what does IT do? Evaluating the impact of bar coded medication administration by measuring changes in the process of care

International journal of industrial ergonomics, Jan 1, 2011

Health information technology (IT) is widely endorsed as a way to improve key health care outcome... more Health information technology (IT) is widely endorsed as a way to improve key health care outcomes, particularly patient safety. Applying a human factors approach, this paper models more explicitly how health IT might improve or worsen outcomes. The human factors model specifies that health IT transforms the work system, which transforms the process of care, which in turn transforms the outcome of care. This study reports on transformations of the medication administration process that resulted from the implementation of one type of IT: bar coded medication administration (BCMA). Registered nurses at two large pediatric hospitals in the US participated in a survey administered before and after one of the hospitals implemented BCMA. Nurses’ perceptions of the administration process changed at the hospital that implemented BCMA, whereas perceptions of nurses at the control hospital did not. BCMA appeared to improve the safety of the processes of matching medications to the medication administration record and checking patient identification. The accuracy, usefulness, and consistency of checking patient identification improved as well. In contrast, nurses’ perceptions of the usefulness, time efficiency, and ease of the documentation process decreased post-BCMA. Discussion of survey findings is supplemented by observations and interviews at the hospital that implemented BCMA.By considering the way that IT transforms the work system and the work process a practitioner can better predict the kind of outcomes that the IT might produce. More importantly, the practitioner can achieve or prevent outcomes of interest by using design and redesign aimed at controlling work system and process transformations.

Research paper thumbnail of What stands in the way of technology-mediated patient safety improvements?: a study of facilitators and barriers to physicians' use of electronic health records

Journal of patient safety, Jan 1, 2011

Research paper thumbnail of Electronic health records: research into design and implementation

The British journal of general practice : the journal of the Royal College of General Practitioners, Jan 1, 2011

Research paper thumbnail of How does lean work in emergency care? A case study of a lean-inspired intervention at the Astrid Lindgren Children's hospital, Stockholm, Sweden

BMC health services research, Jan 1, 2012

Research paper thumbnail of Pharmacy workers' perceptions and acceptance of bar-coded medication technology in a pediatric hospital

Research in social & administrative pharmacy : RSAP, Jan 1, 2012

BACKGROUND: The safety benefits of bar-coded medication-dispensing and administration (BCMA) tech... more BACKGROUND: The safety benefits of bar-coded medication-dispensing and administration (BCMA) technology depend on its intended users favorably perceiving, accepting, and ultimately using the technology. OBJECTIVES: (1) To describe pharmacy workers' perceptions and acceptance of a recently implemented BCMA system and (2) to model the relationship between perceptions and acceptance of BCMA. METHODS: Pharmacists and pharmacy technicians at a Midwest U.S. pediatric hospital were surveyed following the hospital's implementation of a BCMA system. Twenty-nine pharmacists' and 10 technicians' self-reported perceptions and acceptance of the BCMA system were analyzed, supplemented by qualitative observational and free-response survey data. Perception-acceptance associations were analyzed using structural models. RESULTS: The BCMA system's perceived ease of use was rated low by pharmacists and moderate by pharmacy technicians. Both pharmacists and technicians perceived that the BCMA system was not useful for improving either personal job performance or patient care. Pharmacy workers perceived that individuals important to them encouraged BMCA use. Pharmacy workers generally intended to use BCMA but reported low satisfaction with the system. Perceptions explained 72% of the variance in intention to use BCMA and 79% of variance in satisfaction with BCMA. CONCLUSIONS: To promote their acceptance and use, BCMA and other technologies must be better designed and integrated into the clinical work system. Key steps to achieving better design and integration include measuring clinicians' acceptance and elucidating perceptions and other factors that shape acceptance.

Research paper thumbnail of Self-reported violations during medication administration in two paediatric hospitals

BMJ quality & safety, Jan 1, 2012

Violations of safety protocols are paths to adverse outcomes that have been poorly addressed by e... more Violations of safety protocols are paths to adverse outcomes that have been poorly addressed by existing safety efforts. This study reports on nurses' self-reported violations in the medication administration process.

Research paper thumbnail of Effects of mental demands during dispensing on perceived medication safety and employee well-being: A study of workload in pediatric hospital pharmacies

Research in Social and …, Jan 1, 2010

Research paper thumbnail of A human factors framework and study of the effect of nursing workload on patient safety and employee quality of working life

BMJ Quality & …, Jan 1, 2011

Research paper thumbnail of PEDIATRIC PHARMACY WORKLOAD: GOOD, BAD, AND… COMPLICATED!

Proceedings of the 2nd …, Jan 1, 2008

Research paper thumbnail of Lean Thinking in Emergency Departments: A Critical Review

Annals of Emergency Medicine, Jan 1, 2010

Research paper thumbnail of Toward a theoretical approach to medical error reporting system research and design

Applied Ergonomics, Jan 1, 2006

Research paper thumbnail of A review of medical error reporting system design considerations and a proposed cross-level systems research framework

Human Factors: The Journal of the Human …, Jan 1, 2007

Research paper thumbnail of Physicians' beliefs about using EMR and CPOE: In pursuit of a contextualized understanding of health IT use behavior

International journal of medical informatics, Jan 1, 2010

Research paper thumbnail of Cognitive performance-altering effects of electronic medical records: an application of the human factors paradigm for patient safety

Cognition, Technology & Work, Jan 1, 2010

Research paper thumbnail of A human factors engineering paradigm for patient safety: designing to support the performance of the healthcare professional

Quality and Safety in …, Jan 1, 2006

Research paper thumbnail of A change management framework for macroergonomic field research

Applied Ergonomics, Jan 1, 2008

Research paper thumbnail of Do beliefs about hospital technologies predict nurses' perceptions of quality of care? A study of task-technology fit in two pediatric hospitals

… Journal of Human- …, Jan 1, 2009

Research paper thumbnail of The technology acceptance model: its past and its future in health care

Journal of biomedical informatics, Jan 1, 2010

Research paper thumbnail of A theoretical model of health information technology usage behaviour with implications for patient safety

Behaviour & Information Technology, Jan 1, 2009

Research paper thumbnail of People or Systems? To blame is human. The fix is to engineer