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

这项工作的目的是获得一个经验性的理解，在病人提供者的合作行为，并探讨设计技术，支持和加强这些做法的机会。当工人交换任务所需的信息时，以及当操作的责任从一个人转移到另一个人时，就会发生交接。交接通常被认为是协作工作中最容易出错的活动，特别是对于连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。在医疗保健领域，该项目的研究领域，患者和他们的医疗服务提供者之间反复发生冲突，信息从患者或护理人员转移到医疗保健专业人员，反过来又从专业人员转移到患者。本研究采用民族志学方法，调查三种不同的病人护理环境（急诊室、住院病房和门诊）中的病人-提供者合作问题。它的目的是研究有关的活动，包括访视前，医疗访问，并由患者和临床医生进行访视后的信息工作的整个频谱。此外，通过人种学研究获得的经验性见解的基础上，信息媒体原型将被用来征求反馈意见和进一步的见解设计信息系统，调解患者-提供者的合作。该研究将提供经验和概念上的见解，以了解涉及消费者和专业人士的团队协作的机制，挑战和行为模式。研究结果将有利于设计和采用信息系统的卫生实践，并将减少信息和通信错误的交接过程中。从长远来看，这项研究还将通过广泛传播研究结果和改善未来患者-提供者合作的信息媒体设计，对更大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.