EHR and physician-patient communication

Research output: Chapter in Book/Report/Conference proceedingChapter

3 Scopus citations


Electronic health records (EHRs) have been used for the last three decades, but only recently have they migrated from the back office into the exam room. Human factors, an engineering approach that deals with optimizing the interface between humans and machines, is a useful framework for understanding the challenges of exam room computing. Two key concepts in human factors research are situational awareness and joint focus of attention. In complex interactional environments, such as a medical visit, using a computer creates multiple attention sites and potential challenges for the doctor-patient relationship. This chapter describes how human factors can be used to understand and improve patient-centered communication in the medical encounter.

Original languageEnglish (US)
Title of host publicationSafety of Health IT
Subtitle of host publicationClinical Case Studies
PublisherSpringer International Publishing
Number of pages13
ISBN (Electronic)9783319311234
ISBN (Print)9783319311210
StatePublished - Jan 1 2016


  • Electronic health record (EHR)
  • Exam room computing
  • Human factors
  • Interaction complexity
  • Joint focus of attention
  • Recipient design
  • Situation and self-awareness

ASJC Scopus subject areas

  • Medicine(all)

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