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**医生既需要广泛的与健康相关的信息，通常可以在地区电子健康**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行动(订购、领取**处方)的信息，也包括他们同事的工作量和环境背景的信息。此外，我们对患者的观察**也表明，他们创建了自己的就诊和行动的“影子记录”，**还收集和记录背景信息。这项建议的目的是更深入地**探索背景信息在决策中的作用，利用现有的医疗订购和**消费者界面上的分销领域。虽然我们进行的研究提供了药房和诊所中**背景信息的一些早期指标，但更深入的研究，结合对这些信息系统中已有的数据**的理解，可能会揭示可能**有用的新的、新的背景指标。这个假设是，某些类型的上下文信息将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 and**physicians need both a wide array of health-related information typically found in regional electronic health**records (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 an**important role in decision making, work flow and work management actions. The contextual information that**we identified that is not easily available through EHRs was information on patient actions (ordering, picking up**prescriptions) but also on the workload and environmental context of their colleagues. Further, observations**we 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 deeply**the role of contextual information in decision making, using the existing domain of medical ordering and**distribution at the consumer interface. While the study we conducted provided some early indicators of**contextual information in pharmacies and clinics, a deeper study, combined with an understanding of the data**already available in information systems like these, may reveal new and novel contextual metrics that may be**useful. The hypothesis is that certain kinds of contextual information will have differential benefits on decision**making and the efficiency of work processes.