Some unintended consequences of information technology in health care: The nature of patient care information system-related errors
Some unintended consequences of information technology in health care: The nature of patient care information system-related errors
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DOI：
10.1197/jamia.m1471
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发表时间：
2004-03-01
影响因子：
6.4
通讯作者：
Coiera, E
中科院分区：
文献类型：
--
作者：
Ash, JS;Berg, M;Coiera, E
减少医疗差错是一个国际问题，实施病人护理信息系统(PCIS)作为实现这一目标的潜在手段也是如此。随着研究人员在美国、荷兰和澳大利亚分别进行研究，使用类似的定性方法来调查PCIS的实施情况，作者遇到了许多PCIS应用程序似乎助长错误而不是降低错误可能性的例子。作者描述了他们目睹的沉默错误的种类，并从他们不同的社会科学角度(信息科学、社会学和认知科学)解释了这些错误的性质。这些错误主要分为两类：一类是输入和检索信息过程中的错误，另一类是PCIS应支持的沟通和协调过程中的错误。作者认为，随着对这些问题认识的提高，信息学家可以教育、设计系统、实施和进行研究，从而能够避免这些微妙的沉默错误带来的意想不到的后果。
Medical error reduction is an international issue, as is the implementation of patient care information systems (PCISs) as a potential means to achieving it. As researchers conducting separate studies in the United States, The Netherlands, and Australia, using similar qualitative methods to investigate implementing PCISs, the authors have encountered many instances in which PCIS applications seem to foster errors rather than reduce their likelihood. The authors describe the kinds of silent errors they have witnessed and, from their different social science perspectives (information science, sociology, and cognitive science), they interpret the nature of these errors. The errors fall into two main categories: those in the process of entering and retrieving information, and those in the communication and coordination process that the PCIS is supposed to support. The authors believe that with a heightened awareness of these issues, informaticians can educate, design systems, implement, and conduct research in such a way that they might be able to avoid the unintended consequences of these subtle silent errors.