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临床系统的社会技术需求分析

Sociotechnical requirements analysis for clinical systems.

作者信息

Reddy M, Pratt W, Dourish P, Shabot M M

机构信息

School of Management und Information Systems, Fulton Hall 106D, University of Missouri - Rolla Rolla, MO 65409-0320, USA.

出版信息

Methods Inf Med. 2003;42(4):437-44.

PMID:14534647
Abstract

OBJECTIVE

We explore sociotechnical requirements by examining the use of a computerized patient record system in an intensive care unit of a U.S. hospital and present two sociotechnical requirements, awareness and coordination, embedded in the users' work.

METHOD

The study is based on observation during seven months of the use of a computerized patient record system in a surgical intensive care unit. During that period semi-formal interviews, informal interviews were held.

RESULTS AND CONCLUSIONS

A key step in the design of clinical systems is the development and analysis of requirements. However, traditional requirements analysis is based on a set of assumptions that break down in the highly collaborative, exception-filled clinical domain. Sociotechnical requirement analysis enabled the designers to gather a much richer description of the environment surrounding the computer system, highlighting awareness and coordination, embedded in the users' work.

摘要

目的

我们通过考察美国一家医院重症监护病房中计算机化患者记录系统的使用情况来探究社会技术需求,并提出两项蕴含于用户工作中的社会技术需求,即认知和协调。

方法

本研究基于对一个外科重症监护病房使用计算机化患者记录系统七个月期间的观察。在此期间进行了半正式访谈和非正式访谈。

结果与结论

临床系统设计中的关键一步是需求的开发与分析。然而,传统的需求分析基于一系列假设,而这些假设在高度协作、充满例外情况的临床领域中会失效。社会技术需求分析使设计者能够更全面地描述计算机系统所处的环境,突出了蕴含于用户工作中的认知和协调需求。

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1
Sociotechnical requirements analysis for clinical systems.临床系统的社会技术需求分析
Methods Inf Med. 2003;42(4):437-44.
2
[Diagnostic imaging and patient database managing systems: The integration of digital information in the experience of an intensive care center].[诊断成像与患者数据库管理系统:重症监护中心体验中的数字信息整合]
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3
[Experiences in introducing and using a patient data management system (PDMS). in anesthesiology at the Clinic of Anesthesiology and Intensive Care Medicine of the University of Leipzig].[在莱比锡大学麻醉与重症医学诊所麻醉学领域引入和使用患者数据管理系统(PDMS)的经验]
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Two patient care information systems in the same hospital: beyond technical aspects.
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Design principles of a clinical information system for intensive care units (ICUData).重症监护病房临床信息系统(ICUData)的设计原则
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Computerized physician order entry from a chief information officer perspective.从首席信息官视角看计算机化医师医嘱录入
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Experiences with an electronic patient record in a clinical context: considerations for design.临床环境中电子病历的使用经验:设计考量
Stud Health Technol Inform. 1997;43 Pt B:811-5.

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