Considerations for sociotechnical design: experiences with an electronic patient record in a clinical context
Considerations for sociotechnical design: experiences with an electronic patient record in a clinical context
复制标题
DOI：
10.1016/s1386-5056(98)00143-9
复制
发表时间：
1998-10-01
影响因子：
4.9
通讯作者：
Kwakkernaat, J
中科院分区：
文献类型：
--
作者：
Berg, M;Langenberg, C;Kwakkernaat, J
本文认为，我们应该理解的过程中，IT设计的社会技术配置的发展。根据我们在重症监护室（ICU）的电子病历（EPR）的经验，我们将医疗工作实践描述为自然系统。设计的几个考虑因素。第一，《延伸工作报告》的结构不应过分以理性主义和医疗工作的组织和内容为前提。实施结构是至关重要的，但是，这应该来自于对所涉及的实践的详细的经验知识。第二，必须确保系统的使用能为主要用户带来直接的好处：系统应支持工作，而不是产生工作;第三，信息技术的设计应包括意识到作为工作人员责任报告的看似“中立”的工具的社会政治性质。(C)1998爱思唯尔科学爱尔兰有限公司保留所有权利。
This paper argues that we should understand the process of IT design as the development of sociotechnical configurations. Drawing upon our experiences with an electronic patient record (EPR) on an Intensive Care Unit (ICU), we depict medical work practices as natural systems. Several considerations for design are developed. First, the EPR should not be overly structured with rationalistic and prefixed notions of the organization and content of medical work. Implementing structure is crucial, however, this should be derived from detailed, empirical knowledge of the practice involved. Second, it is crucial to ensure that the usage of the system will yield immediate benefits for primary users: the systems should support work, not generate it. Third, designing IT should include being aware of the socio-political nature of seemingly 'neutral' tools as EPRs. (C) 1998 Elsevier Science Ireland Ltd. All rights reserved.