HCC: Small: Patient-Provider Handoff: Collaboration Challenges and Technology Design

这项工作的目的是获得在病人-提供者的交接合作行为的经验理解，并探索设计技术的机会，支持和加强这些做法。交接，也称为交接，发生在工作人员交换任务所需的信息，以及一项操作的责任从一个人转移到另一个人时。交接通常被认为是协作工作中最容易出错的活动，特别是对于持续操作下的时间关键型任务，例如软件设计、24/7服务领域和医疗保健实践。在本项目研究的医疗保健领域，患者和他们的医疗服务提供者之间会发生反复的交接，信息从患者或护理人员传递给医疗保健专业人员，反过来从专业人员传递给患者。患者-提供者合作所涉及的挑战使其成为一个独特的研究领域。本研究使用人种学方法调查三种不同患者护理环境中的患者-提供者交接：急诊科、住院病房和门诊诊所。它旨在研究与交接有关的所有活动，包括患者和临床医生进行的访前、医疗访问和访后信息工作。此外，基于通过人种学研究获得的经验见解，将使用信息媒体原型来征求反馈并进一步了解设计信息系统以调解患者-提供者协作。该研究将为理解涉及消费者和专业人员的团队协作的机制、挑战和行为模式提供实证和概念上的见解。研究结果将有利于卫生实践信息系统的设计和采用，并将减少交接过程中的信息和沟通错误。从长远来看，这项研究还将通过广泛传播研究结果，并通过改进未来信息媒体的设计，为患者-提供者的交接，对更多的患者群体产生积极影响。

This work aims to obtain an empirical understanding of the collaborative behaviors in patient-provider handoffs and to explore opportunities for designing technologies that support and enhance these practices. Handoffs, also called handovers, occur when workers exchange information necessary for their tasks, and when responsibility for an operation shifts from one person to another. Handoffs are often considered as the most error-prone activities in collaborative work, especially for time-critical tasks under continuous operation, such as in software design, 24/7 services areas, and healthcare practices. In healthcare, this project's area of study, repeated handoffs occur between patients and their health providers, with information being transferred from patients or caregivers to healthcare professionals, and conversely from professionals back to patients. The challenges involved in patient-provider collaboration make it a uniquely situated area to study.This research uses ethnographic methods to investigate patient-provider handoffs in three different patient care settings: an emergency department, an inpatient ward, and an outpatient clinic. It aims to study the entire spectrum of activities related to handoffs, including pre-visit, medical visit, and post-visit information work performed by patients and clinicians. In addition, based on the empirical insights obtained through the ethnographic study, an information media prototype will be used to solicit feedback and further insights on designing information systems to mediate patient-provider collaboration. The research will provide both empirical and conceptual insights into understanding the mechanisms, challenges and behavioral patterns of team collaboration involving consumers and professionals. The findings will benefit the design and the adoption of information systems for health practices, and will reduce information and communication errors in the handoff process. In the long run, this study will also positively impact larger populations of patients through the wide dissemination of the findings and through improving the design of the future information media for patient-provider handoffs.