Understanding better how clinicians work.
Understanding better how clinicians work.
复制标题
更好地了解临床医生的工作方式。
DOI：
10.1016/j.annemergmed.2011.04.008
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发表时间：
2011
影响因子：
6.2
通讯作者：
Bisantz,AnnM
中科院分区：
文献类型：
--
作者：
Fairbanks,RollinJ;Bisantz,AnnM
The paper by Chisholm et al1 in this edition of Annals is a positive departure from typical medical research because it studies emergency physicians and their work as it is happening. Understanding work as performed, rather than as imagined by others, allows designers to develop systems that support the performance of that work, reduce error-producing conditions, and increase efficiency and job satisfaction; this approach is critical as we attempt to develop safer, more efficient and resilient systems. However, healthcare systems are often designed without this understanding. Thus, medical IT systems and devices,(eg electronic health records, computerized physician ordering systems, drug infusion pumps), are likely to be designed using inadequate or misleading information about how clinical work actually gets done. A classic example is barcode medication administration systems. Although barcode systems have the potential to dramatically reduce the occurrence of medication misadministration, there have been ineffective implementations because they were not designed to fit or support the actual work practices of the intended users. In one observational study of nurses, human factors researchers found that the increased time on task caused by the barcoding system collided with regulatory, workload, and staffing constraints such that nurses found it impossible to administer medications within the mandated timeframe, and consequently were forced to develop workarounds which put patients at risk. 2, 3While an important first step forward, the Chisholm et al. study only represents the tip of the iceberg in terms of ergonomic approaches to health care research. The purpose of this commentary is to introduce a broader set methods and approaches that could be brought to bear when studying clinical work in collaboration with human factors and ergonomics engineers.
