Claflin N
Education Department, Carl T. Hayden Veterans Affairs Medical Center, Phoenix.
J Healthc Qual. 2000 Mar-Apr;22(2):25-33. doi: 10.1111/j.1945-1474.2000.tb00112.x.
Systems and technology that support the collection and dissemination of healthcare information improve service levels, enhance quality, and improve continuity of care. The delivery of patient care is changing rapidly because sophisticated clinical information systems are providing fast, organized access to large amounts of patient information (Ornstein et al., 1997). The Carl T. Hayden Veterans Affairs Medical Center in Phoenix developed and implemented a computerized process for interdisciplinary assessment and treatment of patients. This was accomplished within the framework of a recent reorganization into service lines and the initiation of a computerized medical record system. Traditional frameworks for change management often include a methodical picture of the required steps or phases of the change process. The rapid rate of change, both technologically and in the healthcare system, however, defies the application of some aspects of traditional change theory. A model for change that considers realistic change strategies, including good planning and identification of barriers, was used to facilitate the move to computerized interdisciplinary assessment (Daly, Button, Prophet, Clarke, & Androwich, 1997).
支持医疗保健信息收集与传播的系统和技术可提高服务水平、提升质量并改善护理的连续性。由于先进的临床信息系统能够快速、有条理地提供大量患者信息，患者护理的提供方式正在迅速改变（奥恩斯坦等人，1997年）。位于凤凰城的卡尔·T·海登退伍军人事务医疗中心开发并实施了一个用于患者跨学科评估和治疗的计算机化流程。这是在最近重组为服务线以及启动计算机化病历系统的框架内完成的。传统的变革管理框架通常包括变革过程所需步骤或阶段的系统描述。然而，技术和医疗保健系统方面的快速变革速度使得传统变革理论的某些方面难以适用。一种考虑现实变革策略（包括良好规划和障碍识别）的变革模型被用于推动向计算机化跨学科评估的转变（戴利、巴顿、普罗菲特、克拉克和安德鲁维奇，1997年）。
