Ammenwerth E, Buchauer A, Bludau B, Haux R
Department of Medical Informatics, Institute for Medical Biometry and Informatics, University of Heidelberg, Germany.
Int J Med Inform. 2000 Jan;57(1):21-40. doi: 10.1016/s1386-5056(99)00056-8.
Mobile information and communication systems in clinical routine have the potential to greatly improve communication, facilitate information access, eliminate double documentation, and increase quality of patient care in the long run. Projects to date have focused, for the most part, on highly specialized applications of the mobile computer. In our research project, 'Cooperative Problem Solving in Health Care', we have, among other things, designed a multifunctional mobile information and communication assistant. A prototype version of this system was implemented. This article outlines the close-to-reality evaluation of our prototype in a 1-week simulation study in a Heidelberg University hospital. We describe methods, aims, design and results of the simulation study, as well as discuss our methodology and the results we have obtained. We argue that the diverse requirements of different professional groups cannot be fulfilled by a single multifunctional device and propose, therefore, a 'multi-device mobile computer architecture'. Finally, we present consequences for the future computing infrastructure.
临床日常工作中的移动信息与通信系统有潜力极大地改善沟通、便利信息获取、消除重复记录,并从长远来看提高患者护理质量。迄今为止的项目大多聚焦于移动计算机的高度专业化应用。在我们的研究项目“医疗保健中的协作问题解决”中,我们除其他方面外还设计了一款多功能移动信息与通信助手。该系统的一个原型版本已实现。本文概述了在海德堡大学医院进行的为期1周的模拟研究中对我们原型的贴近实际情况的评估。我们描述了模拟研究的方法、目的、设计和结果,并讨论了我们的方法以及所取得的结果。我们认为单一的多功能设备无法满足不同专业群体的多样需求,因此提出一种“多设备移动计算机架构”。最后,我们阐述了对未来计算基础设施的影响。