Improving work coordination through context

2016年冬季在药店和医疗诊所进行的一项实地研究显示，药剂师和医生既需要广泛的健康相关信息，通常在区域电子健康记录(EHR)中找到，也需要上下文信息来帮助决策。通过上下文信息，我们指的是关于工作实践或环境的非医疗信息，然而，这些信息可能在决策、工作流程和工作管理行动中发挥重要作用。我们确定的不容易通过电子病历获得的背景信息是关于患者的行动(订购、挑选处方)的信息，以及他们同事的工作量和环境背景的信息。此外，我们对患者进行的观察还表明，他们会创建自己的访问和行动的“影子记录”，也会收集和记录相关信息。这项建议的目的是更深入地探索背景信息在决策制定中的作用，利用消费者界面上现有的医疗订购和分销领域。虽然我们进行的研究为药店和诊所的背景信息提供了一些早期指标，但更深入的研究，结合对这些信息系统中已有数据的理解，可能会揭示可能有用的新的和新的背景指标。假设某些类型的背景信息会对决策和工作流程的效率产生不同的好处。

A field study conducted in Winter 2016 in pharmacies and medical clinics revealed that pharmacists andphysicians need both a wide array of health-related information typically found in regional electronic healthrecords (EHRs), as well as contextual information in order to aid decision making. By contextual information,we are referring to non-medical information on work practice or environment that, nevertheless, may play animportant role in decision making, work flow and work management actions. The contextual information thatwe identified that is not easily available through EHRs was information on patient actions (ordering, picking upprescriptions) but also on the workload and environmental context of their colleagues. Further, observationswe made with patients also showed that they created their own "shadow records" of their visits and actions,also collecting and recording contextual information. The intention of this proposal is to explore more deeplythe role of contextual information in decision making, using the existing domain of medical ordering anddistribution at the consumer interface. While the study we conducted provided some early indicators ofcontextual information in pharmacies and clinics, a deeper study, combined with an understanding of the dataalready available in information systems like these, may reveal new and novel contextual metrics that may beuseful. The hypothesis is that certain kinds of contextual information will have differential benefits on decisionmaking and the efficiency of work processes.