Health information technology:Fallacies and Sober realities – Redux A homage to Bentzi Karsh and Robert Wears

Patricia A. Abbott, Matthew B. Weinger

Research output: Contribution to journalArticle


Since the publication of “Health Information Technology: Fallacies and Sober Realities” in 2010, health information technology (HIT) has become nearly ubiquitous in US healthcare facilities. Yet, HIT has yet to achieve its putative benefits of higher quality, safer, and lower cost care. There has been variable but largely marginal progress at addressing the 12 HIT fallacies delineated in the original paper. Here, we revisit several of the original fallacies and add five new ones. These fallacies must be understood and addressed by all stakeholders for HIT to be a positive force in achieving the high value healthcare system the nation deserves. Foundational cognitive and human factors engineering research and development continue to be essential to HIT development, deployment, and use.

Original languageEnglish (US)
Article number102973
JournalApplied Ergonomics
StatePublished - Jan 2020



  • Clinical informatics
  • Decision support
  • Fallacies
  • HIT
  • Human factors engineering
  • Patient safety
  • Sober realities
  • Systems engineering
  • User-centered design

ASJC Scopus subject areas

  • Human Factors and Ergonomics
  • Physical Therapy, Sports Therapy and Rehabilitation
  • Safety, Risk, Reliability and Quality
  • Engineering (miscellaneous)

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