Table 2.

Considerations in implementing a health information technology-supported feedback system across eight sociotechnical dimensions

Sittig and Singh’s sociotechnical model dimensions25	Potential considerations
Hardware and software	What computing infrastructure is needed to run applications to implement the feedback system?
Clinical content	Who will determine the relevant clinical data to be included in feedback?
	What are the sources of clinical information to be delivered for feedback?
	How will the sources of clinical information be integrated seamlessly and meaningfully?
Human–computer interface	What are the aspects of the feedback system that the clinician-users can interact with?
	What factors need to be considered in designing the interface for clinicians generating feedback and clinicians receiving feedback?
People	Who are the personnel needed to generate and receive feedback?
	Who are the personnel needed to maintain and troubleshoot problems with the computing infrastructure for the feedback system?
Workflow and communication	What are the tasks to be accomplished to generate feedback?
	How can the feedback system be integrated in clinicians' and other stakeholders' respective workflow?
Internal organisational features	What aspects of the physical environment (eg, availability and placement of workstations) may affect delivery and receipt of feedback?
	What institutional policies may affect development and implementation of the feedback process?
External rules, regulations and pressures	What state and federal regulations may affect development and implementation of the feedback process?
System measurement and monitoring	How can effects of the feedback process be measured?
	How can problems with the feedback system be communicated to the necessary personnel?