1. Donaldson M, Yordy K, Lohr K. Primary Care America’s Health in a New Era. Washington, D.C.: National Academy Press; 1996.
2. Starfield B. Primary Care. J Ambulatory Care Manage. 1993;16(4):27–37. [PubMed]
3. Elder NC, Graham D, Brandt E, et al. The Testing Process in Family Medicine: Problems, Solutions and Barriers as Seen by Physicians and Their Staff: A Study of the American Academy of Family Physicians’ Research Network. Journal of Patient Safety. 2006;2(1):25–32.
4. Kuzel AJ, Woolf SH, Gilchrist VJ, et al. Patient reports of preventable problems and harms in primary health care. Ann Fam Med. 2004 Jul-Aug;2(4):333–340. [PubMed]
5. Phillips RL, Dovey SM, Graham D, Elder NC, Hickner J. Learning From Different Lenses: Reports of Medical Errors in Primary Care by Clinicians, Staff, and Patients: A Project of the American Academy of Family Physicians National Research Network. Journal of Patient Safety. 2006;2(1):140–146.
6. Kuo GM, Phillips RL, Graham D, Hickner JM. Medication errors reported by US family physicians and their office staff. Qual Saf Health Care. 2008 Aug;17(4):286–290. [PubMed] 7. Makeham MA, Stromer S, Bridges-Webb C, et al. Patient safety events reported in general practice: a taxonomy. Qual Saf Health Care. 2008 Feb;17(1):53–57. [PubMed] 8. Dovey SM, Meyers DS, Phillips RL, et al. A preliminary taxonomy of medical errors in family practice. Qual Saf Health Care. 2002;11(3):233–238. [PMC free article] [PubMed] 9. Nutting PA, Miller WL, Crabtree BF, Jaen CR, Stewart EE, Stange KC. Initial lessons from the first national demonstration project on practice transformation to a patient-centered medical home. Ann Fam Med. 2009;7(3):254–260. [PubMed] 10. Fernandopulle R, Patel N. How the electronic health record did not measure up to the demands of our medical home practice. Health Aff (Millwood) 2010 Apr;29(4):622–628. [PubMed] 11. Karsh BT, Weinger MB, Abbott PA, Wears RL. Health information technology: fallacies and sober realities. J Am Med Inform Assoc. 2010;17(6):617–623. [PMC free article] [PubMed]
12. US. 42 CFR Parts 412, 413, 422 Services DoHaH. Vol. 75. Federal Register; 2010. Medicare and Medicaid Programs; Electronic Health Record Incentive Program; Final Rule; pp. 44314–44518.
13. Schiff GD, Bates DW. Can electronic clinical documentation help prevent diagnostic errors? N Engl J Med. 2010;362(12):1066–1069. [PubMed] 14. Beasley JW, Hankey TH, Erickson R, et al. How many problems do family physicians manage at each encounter? a WReN study. Ann Fam Med. 2004;2:405–410. [PubMed] 15. Abbo ED, Zhang Q, Zelder M, Huang ES. The Increasing Number of Clinical Items Addressed During the Time of Adult Primary Care Visits. J Gen Intern Med. 2008;23(12):1058–1065. [PMC free article] [PubMed] 16. Bodenheimer T. Coordinating Care -- A Perilous Journey through the Health Care System. N Engl J Med. 2008;358(10):1064–1071. [PubMed] 17. Pham HH, O’Malley AS, Bach PB, Saiontz-Martinez C, Schrag D. Primary care physicians’ links to other physicians through Medicare patients: the scope of care coordination. Ann Intern Med. 2009 Feb 17;150(4):236–242. [PubMed] 18. Smith PC, Rodrig AG, Bublitz C, et al. Missing clinical information during primary care visits. JAMA. 2005;293:565–571. [PubMed]
19. Institute of Medicine. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington DC: National Academy Press; 2001.
20. Thielke S, Hammond K, Helbig S. Copying and pasting of examinations within the electronic health record. Int J Med Informatics. 2007;76S:S122–128. [PubMed]
21. Beasley JW, Hamilton-Escoto K, Karsh B. Human Factors in Primary Care. In: Carayon P, editor. Handbook of Human Factors and Ergonomics in Patient Safety. Mahwah, NJ: Lawrence Erlbaum Associates; 2006. pp. 921–936.
22. Salvendy G, editor. Handbook of Human Factors and Ergonomics. 2. John Wiley and Sons; 1997.
23. Sanders MS, McCormick EJ. Human Factors in Engineering and Design. 7. New York: McGraw-Hill Science; 1993.
24. Wickens CD, Lee JD, Liu Y, Gordon-Becker S. An Introduction to Human Factors Engineering. 2. Upper Saddle River, NJ: Pearson Education; 2004.
25. Endsley MR. Towards a theory of situation awareness in dynamic systems. Human Factors. 1995;37:32–64.
26. Hazlehurst B, McMullen CK, Gorman PN. Distributed cognition in the heart room: How situation awareness arises from coordinated communications during cardiac surgery. Journal of Biomedical Informatics. 2007 Oct;40(5):539–551. [PubMed] 27. Hogan MP, Pace DE, Hapgood J, Boone DC. Use of human patient simulation and the Situation Awareness Global Assessment Technique in practical trauma skills assessment. Journal of Trauma-Injury Infection and Critical Care. 2006 Nov;61(5):1047–1052. [PubMed] 28. Salmon PM, Stanton NA, Walker GH, Jenkins D, Baber C, McMaster R. Representing situation awareness in collaborative systems: A case study in the energy distribution domain. Ergonomics. 2008;51(3):367–384. [PubMed]
29. Smith K, Hancock PA. Situation Awareness Is Adaptive, Externally Directed Consciousness. Human Factors. 1995;37(1):137–148.
30. Stanton NA, Stewart R, Harris D, et al. Distributed situation awareness in dynamic systems: theoretical development and application of an ergonomics methodology. Ergonomics. 2006 Oct;49(12-13):1288–1311. [PubMed]
31. Hancock PA, Hoffman JE. National Research Council. Tactical display for soldiers: human factors considerations. Washington DC: National Academy Press; 1997. Stress and cognitive workload; pp. 129–162.
32. Hancock PA, Szalma JL. Operator stress & display design. Ergonomics in Design. 2003;11(2):13–18.
33. Hancock PA, Warm JS. A Dynamic-Model of Stress and Sustained Attention. Human Factors. 1989 Oct;31(5):519–537. [PubMed]
34. Endsley MR, Garland DJ, editors. Situation Awareness Analysis and Measurement. Lawrence Erlbaum Associates; 2000.
35. Stanton NA, Chambers PRG, Piggott J. Situational awareness and safety. Safety Science. 2001;39(3):189–204.
36. Hancock PA, Desmond PA, editors. Stress, Workload and Fatigue. CRC Press; 2000.
37. Endsley MR, Jones DG. Disruptons, Interuruptions and Information Attack: Impact on Situation Awareness and Decision Making. Paper presented at: Human Factors and Ergonomics Society Annual Meeting Proceedings; 2001.
38. Kahneman D, Tversky A, Slovic P. Judgement under Uncertainty: Heuristics & Biases. Cambridge, UK: Cambridge University Press; 1982.
39. Temte J, Grasmick M, O’Halloran P, et al. Mental workload in primary care. Paper presented at: AAFP National Research Network 8th Annual Convocation of Practices and Networks; March 7-9, 2008; Colorado Springs, CO. 2008.
40. Brixey JJ, Robinson DJ, Johnson CW, Johnson TR, Turley JP, Zhang J. A concept analysis of the phenomenon interruption. ANS Adv Nurs Sci. 2007;30(1):E26–42. [PubMed] 41. Chisholm CD, Dornfeld AM, Nelson DR, Cordell WH. Work interrupted: a comparison of workplace interruptions in emergency departments and primary care offices. Ann Emerg Med. 2001;38(2):146–151. [PubMed] 42. Paxton F, Heaney D, Howie J, Porter BA. A study of interruption rates for practice nurses and GPs. Nurs Stand. 1996 Jul;10(43):33–36. [PubMed] 43. Potter P, Wolf L, Boxerman S, et al. Understanding the cognitive work of nursing in the acute care environment. J Nurs Adm. 2005;35(7-8):327–335. [PubMed]
44. Altmann EM, Trafton JG. Task Interruption: Resumption Lag and the Role of Cues. Proceedings of the 26th annual conference of the Cognitive Science Society. 2004:42–47.
45. Zheng K, Haftel HM, Hirschl RB, O’Reilly M, Hanauer DA. Quantifying the impact of health IT implementations on clinical workflow: a new methodological perspective. J Am Med Inform Assoc. 2010 Jul-Aug;17(4):454–461. [PMC free article] [PubMed]
46. Hancock PA, Weaver JL. On time distortion under stress. Theoretical Issues in Ergonomic Science. 2006;6(2):193–211.
47. Bodenheimer T, Laing BY. The teamlet model of primary care. Ann Fam Med. 2007;5(5):457–461. [PubMed] 48. Stewart EE, Johnson BC. Huddles: improve your office efficiency in mere minutes. Fam Pract Manag. 2007:27–29. [PubMed] 49. Sinsky CA. Improving office practice: working smarter, not harder. Fam Pract Manag. 2006 Nov-Dec;13(10):28–34. [PubMed]