Increasingly, health technology projects use senior managers, who are often unfamiliar with the care setting, to advise on and set up processes. By failing to focus on supporting frontline practitioners in delivering care, they repeatedly fail to enable ordinary day-to-day care. The Technology Drill Down project of the American Academy of Nursing’s Workforce Commission
showed the need to use technology to support practice; frontline nurses and other multidisciplinary team members stressed the importance of involving those giving direct care in the design, selection and testing of technology, steps that are often overlooked when new systems or devices are acquired (Box 1).