{"id":"https://openalex.org/W2043770753","doi":"https://doi.org/10.1016/s1386-5056(02)00003-5","title":"Different lenses, improved outcomes: a new approach to the analysis and design of healthcare information systems","display_name":"Different lenses, improved outcomes: a new approach to the analysis and design of healthcare information systems","publication_year":2002,"publication_date":"2002-04-01","ids":{"openalex":"https://openalex.org/W2043770753","doi":"https://doi.org/10.1016/s1386-5056(02)00003-5","mag":"2043770753","pmid":"https://pubmed.ncbi.nlm.nih.gov/11904249"},"language":"en","primary_location":{"id":"doi:10.1016/s1386-5056(02)00003-5","is_oa":false,"landing_page_url":"https://doi.org/10.1016/s1386-5056(02)00003-5","pdf_url":null,"source":{"id":"https://openalex.org/S53142634","display_name":"International Journal of Medical Informatics","issn_l":"1386-5056","issn":["1386-5056","1872-8243"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Medical Informatics","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5008016791","display_name":"Judith A. Effken","orcid":"https://orcid.org/0000-0002-8536-6831"},"institutions":[{"id":"https://openalex.org/I138006243","display_name":"University of Arizona","ror":"https://ror.org/03m2x1q45","country_code":"US","type":"education","lineage":["https://openalex.org/I138006243"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Judith A Effken","raw_affiliation_strings":["University of Arizona College of Nursing, PO Box 210203, Tucson, AZ 85721-0203, USA. jeffken@nursing.arizona.edu","University of Arizona College of Nursing, PO Box 210203, Tucson, AZ 85721-0203, USA"],"affiliations":[{"raw_affiliation_string":"University of Arizona College of Nursing, PO Box 210203, Tucson, AZ 85721-0203, USA. jeffken@nursing.arizona.edu","institution_ids":["https://openalex.org/I138006243"]},{"raw_affiliation_string":"University of Arizona College of Nursing, PO Box 210203, Tucson, AZ 85721-0203, USA","institution_ids":["https://openalex.org/I138006243"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5008016791"],"corresponding_institution_ids":["https://openalex.org/I138006243"],"apc_list":{"value":3210,"currency":"USD","value_usd":3210},"apc_paid":null,"fwci":6.8594,"has_fulltext":false,"cited_by_count":78,"citation_normalized_percentile":{"value":0.9639421,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":90,"max":99},"biblio":{"volume":"65","issue":"1","first_page":"59","last_page":"74"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11024","display_name":"Information Systems Theories and Implementation","score":0.9905999898910522,"subfield":{"id":"https://openalex.org/subfields/3312","display_name":"Sociology and Political Science"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T11024","display_name":"Information Systems Theories and Implementation","score":0.9905999898910522,"subfield":{"id":"https://openalex.org/subfields/3312","display_name":"Sociology and Political Science"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10525","display_name":"Human-Automation Interaction and Safety","score":0.9713000059127808,"subfield":{"id":"https://openalex.org/subfields/3207","display_name":"Social Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11810","display_name":"Complex Systems and Decision Making","score":0.9682000279426575,"subfield":{"id":"https://openalex.org/subfields/1803","display_name":"Management Science and Operations Research"},"field":{"id":"https://openalex.org/fields/18","display_name":"Decision Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/sociotechnical-system","display_name":"Sociotechnical system","score":0.8653683662414551},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.7057727575302124},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.5750935673713684},{"id":"https://openalex.org/keywords/healthcare-system","display_name":"Healthcare system","score":0.5309562087059021},{"id":"https://openalex.org/keywords/information-system","display_name":"Information system","score":0.5269468426704407},{"id":"https://openalex.org/keywords/management-science","display_name":"Management science","score":0.519568920135498},{"id":"https://openalex.org/keywords/simple","display_name":"Simple (philosophy)","score":0.4934023916721344},{"id":"https://openalex.org/keywords/systems-design","display_name":"Systems design","score":0.4781545102596283},{"id":"https://openalex.org/keywords/data-science","display_name":"Data science","score":0.4642994999885559},{"id":"https://openalex.org/keywords/systems-analysis","display_name":"Systems analysis","score":0.4471313953399658},{"id":"https://openalex.org/keywords/work","display_name":"Work (physics)","score":0.4147493243217468},{"id":"https://openalex.org/keywords/complex-system","display_name":"Complex system","score":0.414314866065979},{"id":"https://openalex.org/keywords/risk-analysis","display_name":"Risk analysis (engineering)","score":0.41335850954055786},{"id":"https://openalex.org/keywords/knowledge-management","display_name":"Knowledge management","score":0.37422215938568115},{"id":"https://openalex.org/keywords/software-engineering","display_name":"Software engineering","score":0.19589796662330627},{"id":"https://openalex.org/keywords/artificial-intelligence","display_name":"Artificial intelligence","score":0.15231865644454956},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.12698304653167725},{"id":"https://openalex.org/keywords/engineering","display_name":"Engineering","score":0.11385232210159302}],"concepts":[{"id":"https://openalex.org/C127627568","wikidata":"https://www.wikidata.org/wiki/Q1639361","display_name":"Sociotechnical system","level":2,"score":0.8653683662414551},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.7057727575302124},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.5750935673713684},{"id":"https://openalex.org/C2988170871","wikidata":"https://www.wikidata.org/wiki/Q11000047","display_name":"Healthcare system","level":3,"score":0.5309562087059021},{"id":"https://openalex.org/C180198813","wikidata":"https://www.wikidata.org/wiki/Q121182","display_name":"Information system","level":2,"score":0.5269468426704407},{"id":"https://openalex.org/C539667460","wikidata":"https://www.wikidata.org/wiki/Q2414942","display_name":"Management science","level":1,"score":0.519568920135498},{"id":"https://openalex.org/C2780586882","wikidata":"https://www.wikidata.org/wiki/Q7520643","display_name":"Simple (philosophy)","level":2,"score":0.4934023916721344},{"id":"https://openalex.org/C31352089","wikidata":"https://www.wikidata.org/wiki/Q3750474","display_name":"Systems design","level":2,"score":0.4781545102596283},{"id":"https://openalex.org/C2522767166","wikidata":"https://www.wikidata.org/wiki/Q2374463","display_name":"Data science","level":1,"score":0.4642994999885559},{"id":"https://openalex.org/C24119478","wikidata":"https://www.wikidata.org/wiki/Q679871","display_name":"Systems analysis","level":2,"score":0.4471313953399658},{"id":"https://openalex.org/C18762648","wikidata":"https://www.wikidata.org/wiki/Q42213","display_name":"Work (physics)","level":2,"score":0.4147493243217468},{"id":"https://openalex.org/C47822265","wikidata":"https://www.wikidata.org/wiki/Q854457","display_name":"Complex system","level":2,"score":0.414314866065979},{"id":"https://openalex.org/C112930515","wikidata":"https://www.wikidata.org/wiki/Q4389547","display_name":"Risk analysis (engineering)","level":1,"score":0.41335850954055786},{"id":"https://openalex.org/C56739046","wikidata":"https://www.wikidata.org/wiki/Q192060","display_name":"Knowledge management","level":1,"score":0.37422215938568115},{"id":"https://openalex.org/C115903868","wikidata":"https://www.wikidata.org/wiki/Q80993","display_name":"Software engineering","level":1,"score":0.19589796662330627},{"id":"https://openalex.org/C154945302","wikidata":"https://www.wikidata.org/wiki/Q11660","display_name":"Artificial intelligence","level":1,"score":0.15231865644454956},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.12698304653167725},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.11385232210159302},{"id":"https://openalex.org/C119599485","wikidata":"https://www.wikidata.org/wiki/Q43035","display_name":"Electrical engineering","level":1,"score":0.0},{"id":"https://openalex.org/C78519656","wikidata":"https://www.wikidata.org/wiki/Q101333","display_name":"Mechanical engineering","level":1,"score":0.0},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C111472728","wikidata":"https://www.wikidata.org/wiki/Q9471","display_name":"Epistemology","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D006439","descriptor_name":"Hemodynamics","qualifier_ui":"Q000502","qualifier_name":"physiology","is_major_topic":false},{"descriptor_ui":"D006439","descriptor_name":"Hemodynamics","qualifier_ui":"Q000502","qualifier_name":"physiology","is_major_topic":false},{"descriptor_ui":"D006439","descriptor_name":"Hemodynamics","qualifier_ui":"Q000502","qualifier_name":"physiology","is_major_topic":false},{"descriptor_ui":"D006751","descriptor_name":"Hospital Information Systems","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D006751","descriptor_name":"Hospital Information Systems","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D006751","descriptor_name":"Hospital Information Systems","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007362","descriptor_name":"Intensive Care Units","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007362","descriptor_name":"Intensive Care Units","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007362","descriptor_name":"Intensive Care Units","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008991","descriptor_name":"Monitoring, Physiologic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008991","descriptor_name":"Monitoring, Physiologic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008991","descriptor_name":"Monitoring, Physiologic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013597","descriptor_name":"Systems Analysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013597","descriptor_name":"Systems Analysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013597","descriptor_name":"Systems Analysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014584","descriptor_name":"User-Computer Interface","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014584","descriptor_name":"User-Computer Interface","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014584","descriptor_name":"User-Computer Interface","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1016/s1386-5056(02)00003-5","is_oa":false,"landing_page_url":"https://doi.org/10.1016/s1386-5056(02)00003-5","pdf_url":null,"source":{"id":"https://openalex.org/S53142634","display_name":"International Journal of Medical Informatics","issn_l":"1386-5056","issn":["1386-5056","1872-8243"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Medical Informatics","raw_type":"journal-article"},{"id":"pmid:11904249","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/11904249","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International journal of medical informatics","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/9","display_name":"Industry, innovation and infrastructure","score":0.5600000023841858}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":72,"referenced_works":["https://openalex.org/W38043491","https://openalex.org/W63452608","https://openalex.org/W216499477","https://openalex.org/W227466798","https://openalex.org/W614245584","https://openalex.org/W762438087","https://openalex.org/W856303207","https://openalex.org/W1140387335","https://openalex.org/W1492856410","https://openalex.org/W1512324647","https://openalex.org/W1544204756","https://openalex.org/W1550840327","https://openalex.org/W1586829993","https://openalex.org/W1608007598","https://openalex.org/W1781458262","https://openalex.org/W1902292770","https://openalex.org/W1924725251","https://openalex.org/W1970282908","https://openalex.org/W1990896308","https://openalex.org/W1992101737","https://openalex.org/W1998515403","https://openalex.org/W2000149314","https://openalex.org/W2000642873","https://openalex.org/W2001475124","https://openalex.org/W2003724425","https://openalex.org/W2020598864","https://openalex.org/W2026645894","https://openalex.org/W2032466449","https://openalex.org/W2040208190","https://openalex.org/W2047400487","https://openalex.org/W2047906811","https://openalex.org/W2052909258","https://openalex.org/W2056836078","https://openalex.org/W2071497152","https://openalex.org/W2071517223","https://openalex.org/W2085778933","https://openalex.org/W2091373513","https://openalex.org/W2092351205","https://openalex.org/W2092919341","https://openalex.org/W2095307789","https://openalex.org/W2105496730","https://openalex.org/W2113089263","https://openalex.org/W2113371605","https://openalex.org/W2118190094","https://openalex.org/W2127142437","https://openalex.org/W2134114270","https://openalex.org/W2142270225","https://openalex.org/W2147164934","https://openalex.org/W2147400666","https://openalex.org/W2152004045","https://openalex.org/W2153033399","https://openalex.org/W2153294923","https://openalex.org/W2163322071","https://openalex.org/W2332861816","https://openalex.org/W2335663066","https://openalex.org/W2404951839","https://openalex.org/W2410043529","https://openalex.org/W2500056419","https://openalex.org/W2568476927","https://openalex.org/W2611751422","https://openalex.org/W2798590689","https://openalex.org/W2974702374","https://openalex.org/W3127649443","https://openalex.org/W4205188686","https://openalex.org/W4285719527","https://openalex.org/W6602566610","https://openalex.org/W6622339229","https://openalex.org/W6623559176","https://openalex.org/W6627193810","https://openalex.org/W6675538382","https://openalex.org/W6838692454","https://openalex.org/W6858427451"],"related_works":["https://openalex.org/W2150344954","https://openalex.org/W2595892528","https://openalex.org/W4361215794","https://openalex.org/W2745238137","https://openalex.org/W1730929884","https://openalex.org/W2046160638","https://openalex.org/W2037978866","https://openalex.org/W1572784396","https://openalex.org/W2043770753","https://openalex.org/W2395213443"],"abstract_inverted_index":null,"counts_by_year":[{"year":2025,"cited_by_count":4},{"year":2024,"cited_by_count":4},{"year":2023,"cited_by_count":3},{"year":2022,"cited_by_count":3},{"year":2021,"cited_by_count":3},{"year":2020,"cited_by_count":4},{"year":2019,"cited_by_count":1},{"year":2018,"cited_by_count":4},{"year":2017,"cited_by_count":3},{"year":2016,"cited_by_count":5},{"year":2015,"cited_by_count":3},{"year":2014,"cited_by_count":3},{"year":2013,"cited_by_count":6},{"year":2012,"cited_by_count":3}],"updated_date":"2026-04-04T16:13:02.066488","created_date":"2025-10-10T00:00:00"}