Lack of user input into design has been shown to be the biggest factor leading to failed information systems.

• A. False
• B. Not enough evidence
• C. Depends on context
• D. True

Answer: (D)

In information system design, involving end users is essential because systems succeed only when they fit real workflows, tasks, and decision points that clinicians actually perform. When users participate in requirements gathering, prototyping, usability testing, and iterative feedback, the design reflects how care is delivered, not just how it’s supposed to be documented on paper. This alignment reduces mismatches between the system and daily practice, minimizes disruptive workarounds, and fosters trust and adoption among staff. The result tends to be safer, more efficient care and fewer costly revisions after go-live.

Because adoption and proper use hinge on usability and workflow fit, lacking user input is often the strongest predictor of a failed implementation. While other factors—cost, technical complexity, or organizational change—also matter, they amplify problems when the system was not designed with users at the center. Thus, the statement is true.