In the airline industry, both Boeing and Airbus have developed sophisticated automated technology systems for flight control. However, two different philosophies underly the technology built into today’s modern aircraft.

1. Boeing’s philosophy is pilot (human) centric – that means the pilot is in control of the automated systems.  The pilot tells the system what to do and how to do it. If an error or problem is detected with the pilot inputs, the system can make suggestions for the pilot to consider, but the system cannot override the pilot’s decisions.

2. Airbus allows automation to be in charge which helps to prevent human errors. The automated system can override the pilot’s decision automatically at any point, and the pilot can only respond to the automated system. This fly-by-wire system spontaneously solves and correct problems on its own.

For this discussion,

• • • Provide healthcare examples of:
      • Human centric HIT, and
      • Automation centric HIT.
    • Are those appropriate approaches to the practice environment or are there alternatives?
    • Which tactic would you prefer in your own practice?
      Are both methods needed in HIT, or should only one method be adopted?

Solution

Human vs Automation HIT

Human-centric and automation-centric health information technology (HIT) systems have significant roles in healthcare.

Human-Centric HIT:

For instance, electronic health records (EHR) systems call for doctors to enter data regardless of the patient’s records. Such systems enable clinicians to make vital choices given their skills while presenting recommendations that do not alter their selection (Carayon et al., 2022). For example, Clinical Decision Support Systems (CDSS) give notification and a suggestion, but the choice is finally in the hands of the clinician.  

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