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失败会孕育成功吗:关于计算机化医嘱录入故事的叙事分析

Does failure breed success: narrative analysis of stories about computerized provider order entry.

作者信息

Stavri P Zoë, Ash Joan S

机构信息

Department of Medical Informatics and Clinical Epidemiology, School of Medicine, Oregon Health and Science University, 3181 S.W. Sam Jackson Park Rd., Portland, OR 97239-3098, USA.

出版信息

Int J Med Inform. 2003 Dec;72(1-3):9-15. doi: 10.1016/j.ijmedinf.2003.08.001.

Abstract

OBJECTIVE

To assess the definitions of success and failure as defined by the participants of the Menucha Consensus Conference on Computerized Provider Order Entry (CPOE).

DESIGN

Thirteen experts from various fields participated in Menucha Consensus Conference. Though they belonged to different fields, all of them had some kind of experience in CPOE implementation.

MEASUREMENTS

The stories of these experts were analyzed using a constant comparison method and partially ordered display.

RESULTS

Each participant told a success and a failure story. Definitions of success and failure, as well as variables contributing to the success and failure of CPOE implementations, were extracted from the transcripts.

CONCLUSION

Analysis reveals that what is considered a failure is context dependent and that it often is an antecedent to success.

摘要

目的

评估计算机化医嘱录入(CPOE)梅努查共识会议参与者所定义的成功与失败。

设计

来自不同领域的13位专家参加了梅努查共识会议。尽管他们来自不同领域,但都在CPOE实施方面有一定经验。

测量

使用持续比较法和部分有序展示对这些专家的故事进行分析。

结果

每位参与者都讲述了一个成功故事和一个失败故事。从文字记录中提取了成功与失败的定义以及促成CPOE实施成功与失败的变量。

结论

分析表明,被视为失败的情况取决于具体情境,而且它往往是成功的前奏。

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