{"id":"https://openalex.org/W2138536328","doi":"https://doi.org/10.1177/1460458213476968","title":"Sources of variation in primary care clinical workflow: Implications for the design of cognitive support","display_name":"Sources of variation in primary care clinical workflow: Implications for the design of cognitive support","publication_year":2013,"publication_date":"2013-10-08","ids":{"openalex":"https://openalex.org/W2138536328","doi":"https://doi.org/10.1177/1460458213476968","mag":"2138536328","pmid":"https://pubmed.ncbi.nlm.nih.gov/24105625"},"language":"en","primary_location":{"id":"doi:10.1177/1460458213476968","is_oa":true,"landing_page_url":"https://doi.org/10.1177/1460458213476968","pdf_url":"https://journals.sagepub.com/doi/pdf/10.1177/1460458213476968","source":{"id":"https://openalex.org/S201800618","display_name":"Health Informatics Journal","issn_l":"1460-4582","issn":["1460-4582","1741-2811"],"is_oa":false,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Informatics Journal","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"https://journals.sagepub.com/doi/pdf/10.1177/1460458213476968","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5075023374","display_name":"Laura G. Militello","orcid":"https://orcid.org/0000-0001-8445-5640"},"institutions":[{"id":"https://openalex.org/I4210128422","display_name":"Applied Decision Science (United States)","ror":"https://ror.org/03ftfv496","country_code":"US","type":"company","lineage":["https://openalex.org/I4210128422"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Laura G Militello","raw_affiliation_strings":["Applied Decision Science, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Applied Decision Science, USA","institution_ids":["https://openalex.org/I4210128422"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5081824825","display_name":"Nicole Arbuckle","orcid":null},"institutions":[{"id":"https://openalex.org/I127591826","display_name":"University of Dayton","ror":"https://ror.org/021v3qy27","country_code":"US","type":"education","lineage":["https://openalex.org/I127591826"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Nicole B Arbuckle","raw_affiliation_strings":["University of Dayton Research Institute, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Dayton Research Institute, USA","institution_ids":["https://openalex.org/I127591826"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5057915397","display_name":"Jason J. Saleem","orcid":"https://orcid.org/0000-0002-7397-5170"},"institutions":[{"id":"https://openalex.org/I4210110049","display_name":"Richard L. Roudebush VA Medical Center","ror":"https://ror.org/01zpmbk67","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210110049","https://openalex.org/I4210127612","https://openalex.org/I4388446366","https://openalex.org/I592451"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jason J Saleem","raw_affiliation_strings":["Roudebush VAMC, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Roudebush VAMC, USA","institution_ids":["https://openalex.org/I4210110049"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5075972955","display_name":"Emily S. Patterson","orcid":"https://orcid.org/0000-0002-4514-2075"},"institutions":[{"id":"https://openalex.org/I52357470","display_name":"The Ohio State University","ror":"https://ror.org/00rs6vg23","country_code":"US","type":"education","lineage":["https://openalex.org/I52357470"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Emily Patterson","raw_affiliation_strings":["The Ohio State University, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Ohio State University, USA","institution_ids":["https://openalex.org/I52357470"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5068824204","display_name":"Mindy Flanagan","orcid":"https://orcid.org/0000-0002-7146-5628"},"institutions":[{"id":"https://openalex.org/I1324682000","display_name":"Regenstrief Institute","ror":"https://ror.org/05f2ywb48","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I1324682000"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Mindy Flanagan","raw_affiliation_strings":["Regenstrief Institute, Inc., USA","Regenstrief Institute, Inc, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Regenstrief Institute, Inc., USA","institution_ids":["https://openalex.org/I1324682000"]},{"raw_affiliation_string":"Regenstrief Institute, Inc, USA","institution_ids":["https://openalex.org/I1324682000"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5033260004","display_name":"David A. Haggstrom","orcid":"https://orcid.org/0000-0003-3637-6950"},"institutions":[{"id":"https://openalex.org/I4210110049","display_name":"Richard L. Roudebush VA Medical Center","ror":"https://ror.org/01zpmbk67","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210110049","https://openalex.org/I4210127612","https://openalex.org/I4388446366","https://openalex.org/I592451"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"David Haggstrom","raw_affiliation_strings":["Roudebush VAMC, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Roudebush VAMC, USA","institution_ids":["https://openalex.org/I4210110049"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5051065895","display_name":"Bradley N. Doebbeling","orcid":"https://orcid.org/0000-0003-3504-3468"},"institutions":[{"id":"https://openalex.org/I4210110049","display_name":"Richard L. Roudebush VA Medical Center","ror":"https://ror.org/01zpmbk67","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210110049","https://openalex.org/I4210127612","https://openalex.org/I4388446366","https://openalex.org/I592451"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Bradley N Doebbeling","raw_affiliation_strings":["Roudebush VAMC, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Roudebush VAMC, USA","institution_ids":["https://openalex.org/I4210110049"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":7,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":1500,"currency":"USD","value_usd":1500},"apc_paid":null,"fwci":5.8574,"has_fulltext":false,"cited_by_count":42,"citation_normalized_percentile":{"value":0.95744134,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":90,"max":99},"biblio":{"volume":"20","issue":"1","first_page":"35","last_page":"49"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.9995999932289124,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.9995999932289124,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11710","display_name":"Biomedical Text Mining and Ontologies","score":0.9958999752998352,"subfield":{"id":"https://openalex.org/subfields/1312","display_name":"Molecular Biology"},"field":{"id":"https://openalex.org/fields/13","display_name":"Biochemistry, Genetics and Molecular Biology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T11719","display_name":"Data Quality and Management","score":0.9589999914169312,"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/workflow","display_name":"Workflow","score":0.9013214111328125},{"id":"https://openalex.org/keywords/sociotechnical-system","display_name":"Sociotechnical system","score":0.7738019824028015},{"id":"https://openalex.org/keywords/staffing","display_name":"Staffing","score":0.6534461975097656},{"id":"https://openalex.org/keywords/variation","display_name":"Variation (astronomy)","score":0.5934305191040039},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.5110529661178589},{"id":"https://openalex.org/keywords/health-information-technology","display_name":"Health information technology","score":0.5037364363670349},{"id":"https://openalex.org/keywords/knowledge-management","display_name":"Knowledge management","score":0.47485068440437317},{"id":"https://openalex.org/keywords/clinical-decision-support-system","display_name":"Clinical decision support system","score":0.4641726016998291},{"id":"https://openalex.org/keywords/pace","display_name":"Pace","score":0.45069462060928345},{"id":"https://openalex.org/keywords/data-science","display_name":"Data science","score":0.3935459554195404},{"id":"https://openalex.org/keywords/decision-support-system","display_name":"Decision support system","score":0.37765610218048096},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.37590354681015015},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.22098881006240845},{"id":"https://openalex.org/keywords/nursing","display_name":"Nursing","score":0.18546292185783386},{"id":"https://openalex.org/keywords/database","display_name":"Database","score":0.18525728583335876},{"id":"https://openalex.org/keywords/data-mining","display_name":"Data mining","score":0.10896965861320496}],"concepts":[{"id":"https://openalex.org/C177212765","wikidata":"https://www.wikidata.org/wiki/Q627335","display_name":"Workflow","level":2,"score":0.9013214111328125},{"id":"https://openalex.org/C127627568","wikidata":"https://www.wikidata.org/wiki/Q1639361","display_name":"Sociotechnical system","level":2,"score":0.7738019824028015},{"id":"https://openalex.org/C2777512617","wikidata":"https://www.wikidata.org/wiki/Q1783605","display_name":"Staffing","level":2,"score":0.6534461975097656},{"id":"https://openalex.org/C2778334786","wikidata":"https://www.wikidata.org/wiki/Q1586270","display_name":"Variation (astronomy)","level":2,"score":0.5934305191040039},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.5110529661178589},{"id":"https://openalex.org/C2776354556","wikidata":"https://www.wikidata.org/wiki/Q10910281","display_name":"Health information technology","level":3,"score":0.5037364363670349},{"id":"https://openalex.org/C56739046","wikidata":"https://www.wikidata.org/wiki/Q192060","display_name":"Knowledge management","level":1,"score":0.47485068440437317},{"id":"https://openalex.org/C63527458","wikidata":"https://www.wikidata.org/wiki/Q5133829","display_name":"Clinical decision support system","level":3,"score":0.4641726016998291},{"id":"https://openalex.org/C2777526511","wikidata":"https://www.wikidata.org/wiki/Q691543","display_name":"Pace","level":2,"score":0.45069462060928345},{"id":"https://openalex.org/C2522767166","wikidata":"https://www.wikidata.org/wiki/Q2374463","display_name":"Data science","level":1,"score":0.3935459554195404},{"id":"https://openalex.org/C107327155","wikidata":"https://www.wikidata.org/wiki/Q330268","display_name":"Decision support system","level":2,"score":0.37765610218048096},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.37590354681015015},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.22098881006240845},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.18546292185783386},{"id":"https://openalex.org/C77088390","wikidata":"https://www.wikidata.org/wiki/Q8513","display_name":"Database","level":1,"score":0.18525728583335876},{"id":"https://openalex.org/C124101348","wikidata":"https://www.wikidata.org/wiki/Q172491","display_name":"Data mining","level":1,"score":0.10896965861320496},{"id":"https://openalex.org/C13280743","wikidata":"https://www.wikidata.org/wiki/Q131089","display_name":"Geodesy","level":1,"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/C121332964","wikidata":"https://www.wikidata.org/wiki/Q413","display_name":"Physics","level":0,"score":0.0},{"id":"https://openalex.org/C44870925","wikidata":"https://www.wikidata.org/wiki/Q37547","display_name":"Astrophysics","level":1,"score":0.0},{"id":"https://openalex.org/C205649164","wikidata":"https://www.wikidata.org/wiki/Q1071","display_name":"Geography","level":0,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000554","descriptor_name":"Ambulatory Care Facilities","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D000554","descriptor_name":"Ambulatory Care Facilities","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D000554","descriptor_name":"Ambulatory Care Facilities","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D001291","descriptor_name":"Attitude of Health Personnel","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001291","descriptor_name":"Attitude of Health Personnel","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001291","descriptor_name":"Attitude of Health Personnel","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001292","descriptor_name":"Attitude to Computers","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001292","descriptor_name":"Attitude to Computers","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001292","descriptor_name":"Attitude to Computers","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":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007256","descriptor_name":"Information Systems","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D007256","descriptor_name":"Information Systems","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D007256","descriptor_name":"Information Systems","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D010561","descriptor_name":"Personnel Staffing and Scheduling","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D010561","descriptor_name":"Personnel Staffing and Scheduling","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D010561","descriptor_name":"Personnel Staffing and Scheduling","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D011320","descriptor_name":"Primary Health Care","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D011320","descriptor_name":"Primary Health Care","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D011320","descriptor_name":"Primary Health Care","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D013997","descriptor_name":"Time Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013997","descriptor_name":"Time Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013997","descriptor_name":"Time Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D020000","descriptor_name":"Decision Support Systems, Clinical","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D020000","descriptor_name":"Decision Support Systems, Clinical","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D020000","descriptor_name":"Decision Support Systems, Clinical","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":false},{"descriptor_ui":"D057188","descriptor_name":"Workflow","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D057188","descriptor_name":"Workflow","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D057188","descriptor_name":"Workflow","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1177/1460458213476968","is_oa":true,"landing_page_url":"https://doi.org/10.1177/1460458213476968","pdf_url":"https://journals.sagepub.com/doi/pdf/10.1177/1460458213476968","source":{"id":"https://openalex.org/S201800618","display_name":"Health Informatics Journal","issn_l":"1460-4582","issn":["1460-4582","1741-2811"],"is_oa":false,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Informatics Journal","raw_type":"journal-article"},{"id":"pmid:24105625","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/24105625","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":"Health informatics journal","raw_type":null}],"best_oa_location":{"id":"doi:10.1177/1460458213476968","is_oa":true,"landing_page_url":"https://doi.org/10.1177/1460458213476968","pdf_url":"https://journals.sagepub.com/doi/pdf/10.1177/1460458213476968","source":{"id":"https://openalex.org/S201800618","display_name":"Health Informatics Journal","issn_l":"1460-4582","issn":["1460-4582","1741-2811"],"is_oa":false,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Informatics Journal","raw_type":"journal-article"},"sustainable_development_goals":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":43,"referenced_works":["https://openalex.org/W109648756","https://openalex.org/W124587054","https://openalex.org/W186695475","https://openalex.org/W606130880","https://openalex.org/W609576215","https://openalex.org/W655875545","https://openalex.org/W1519726486","https://openalex.org/W1787211267","https://openalex.org/W1963918827","https://openalex.org/W1965739756","https://openalex.org/W1969461106","https://openalex.org/W1981248711","https://openalex.org/W1998742394","https://openalex.org/W2054187760","https://openalex.org/W2072918799","https://openalex.org/W2074633442","https://openalex.org/W2104026855","https://openalex.org/W2110147871","https://openalex.org/W2111175405","https://openalex.org/W2115441252","https://openalex.org/W2119748171","https://openalex.org/W2120304536","https://openalex.org/W2122311543","https://openalex.org/W2124621485","https://openalex.org/W2128124510","https://openalex.org/W2132384892","https://openalex.org/W2132447236","https://openalex.org/W2132517499","https://openalex.org/W2134355344","https://openalex.org/W2143757944","https://openalex.org/W2152683265","https://openalex.org/W2154524475","https://openalex.org/W2155143189","https://openalex.org/W2158100229","https://openalex.org/W2275910535","https://openalex.org/W2342091124","https://openalex.org/W2395698814","https://openalex.org/W2488696414","https://openalex.org/W2506528515","https://openalex.org/W2506723664","https://openalex.org/W2738143303","https://openalex.org/W3023580939","https://openalex.org/W4231416060"],"related_works":["https://openalex.org/W2046929026","https://openalex.org/W2779278343","https://openalex.org/W2533987749","https://openalex.org/W1996434451","https://openalex.org/W1569026615","https://openalex.org/W2791725133","https://openalex.org/W2112831187","https://openalex.org/W2122149485","https://openalex.org/W4232131108","https://openalex.org/W2128124510"],"abstract_inverted_index":{"This":[0],"article":[1],"identifies":[2],"sources":[3,143],"of":[4,16,22,39,69,93,112,125,142,144,148,157,188,199],"variation":[5,23,94,113,145],"in":[6,24,43,57,83,155,207],"clinical":[7,18,61,160],"workflow":[8,25,178,208,216],"and":[9,14,34,49,59,74,77,95,98,120,129,138,153,179,197,214,225],"implications":[10,192],"for":[11,67,193,223],"the":[12,45,72,78,84,149,194],"design":[13,196],"implementation":[15,198],"electronic":[17],"decision":[19,62],"support.":[20,63],"Sources":[21,111],"were":[26,65,114],"identified":[27,91,190],"via":[28],"rapid":[29],"ethnographic":[30],"observation,":[31],"focus":[32],"groups,":[33],"interviews":[35],"across":[36],"a":[37],"total":[38],"eight":[40],"medical":[41,51],"centers":[42,52],"both":[44],"Veterans":[46],"Health":[47],"Administration":[48],"academic":[50],"nationally":[53],"regarded":[54],"as":[55,81,116,173],"leaders":[56],"developing":[58],"using":[60],"Data":[64],"reviewed":[66],"types":[68],"variability":[70,189,206],"within":[71,146],"social":[73,123],"technical":[75,135],"subsystems":[76],"external":[79],"environment":[80],"described":[82,152],"sociotechnical":[85],"systems":[86],"theory.":[87],"Two":[88],"researchers":[89],"independently":[90],"examples":[92],"their":[96],"sources,":[97],"then":[99],"met":[100],"with":[101,132],"each":[102,147],"other":[103],"to":[104,167,176,182,211],"discuss":[105],"them":[106],"until":[107],"consensus":[108],"was":[109],"reached.":[110],"categorized":[115],"environmental":[117],"(clinic":[118],"staffing":[119],"clinic":[121],"pace),":[122],"(perception":[124],"health":[126,201],"information":[127,139,202],"technology":[128],"real-time":[130],"use":[131,168],"patients),":[133],"or":[134],"(computer":[136],"access":[137],"access).":[140],"Examples":[141],"categories":[150],"are":[151,164],"discussed":[154],"terms":[156],"impact":[158],"on":[159],"workflow.":[161],"As":[162],"technologies":[163],"implemented,":[165],"barriers":[166],"become":[169],"visible":[170],"over":[171],"time":[172],"users":[174],"struggle":[175],"adapt":[177],"work":[180],"practices":[181],"accommodate":[183],"new":[184],"technologies.":[185],"Each":[186],"source":[187],"has":[191],"effective":[195],"useful":[200],"technology.":[203],"Accommodating":[204],"moderate":[205],"is":[209],"anticipated":[210],"avoid":[212],"brittle":[213],"inflexible":[215],"designs,":[217],"while":[218],"also":[219],"avoiding":[220],"unnecessary":[221],"complexity":[222],"implementers":[224],"users.":[226]},"counts_by_year":[{"year":2025,"cited_by_count":6},{"year":2024,"cited_by_count":6},{"year":2023,"cited_by_count":1},{"year":2022,"cited_by_count":1},{"year":2021,"cited_by_count":7},{"year":2020,"cited_by_count":2},{"year":2019,"cited_by_count":4},{"year":2018,"cited_by_count":4},{"year":2017,"cited_by_count":2},{"year":2016,"cited_by_count":3},{"year":2015,"cited_by_count":5},{"year":2014,"cited_by_count":1}],"updated_date":"2026-06-11T09:08:48.828518","created_date":"2025-10-10T00:00:00"}
