How physicians 'achieve overview': a case-based study in a hospital ward
How physicians 'achieve overview': a case-based study in a hospital ward
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医生如何“实现概览”：医院病房的案例研究
DOI：
10.1145/2531602.2531620
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发表时间：
2014
期刊：
影响因子：
--
通讯作者：
L. Jensen
中科院分区：
文献类型：
--
作者：
Claus Bossen;L. Jensen
临床医生在医院的工作是安全和时间至关重要的，而且由于他们必须照顾的病例数量和复杂性，往往压力很大。因此，临床医生如何收集信息、识别问题并做出与患者有关的决定是一个至关重要的问题，这个过程可以被标记为“实现概述”。在这个过程中，临床医生使用各种人工制品，其中医疗记录是中心。数十年的经验体现在纸质记录的结构和使用中。然而，电子病历（EPR）的发展将改变病历的结构和使用，包括“实现概述”。我们在医院病房进行了一项民族志研究，使用纸质医疗记录，以了解临床医生如何实现概述。受创新方法的启发，我们引出了纸质记录的使用，以便为epr的设计提供信息。我们提出了五个轴，它们跨越了实现概述的过程，并描述了epr设计的含义。
Clinicians' work in hospitals is safety- and time-critical, and often stressful due to the number and complexity of patient cases they must attend to. Therefore, how clinicians gather information, identify problems and make decisions concerning patients is a crucial concern, a process that can be labelled 'achieving overview'. In the process, clinicians use various artefacts amongst which medical records are central. Decades of experience is embedded in the structure and use of paper-based records. However, the development of electronic patient records (EPR) will change both structure and use of medical records, including 'achieving overview'. We conducted an ethnographic study in a hospital ward using paper-based medical records in order to understand how clinicians achieve overview. Inspired by the approach of exnovation, we elicit the use of paper-based records in order to inform the design of EPRs. We propose five axes which span out the process of achieving overview and describe implications for design of EPRs.
跨越鸿沟：信息技术到生物医学信息学。
DOI：
10.2310/jim.0b013e31821452bf
发表时间：
2011
期刊：
Journal of investigative medicine : the official publication of the American Federation for Clinical Research
影响因子：
--
作者：
Fahy,BrendaG;Balke,CWilliam;Umberger,GloriaH;Talbert,Jeffery;Canales,DeniseNiles;Steltenkamp,CarolL;Conigliaro,Joseph
通讯作者：
Conigliaro,Joseph