Sittig D F
Department of Biomedical Engineering, Vanderbilt University, Nashville, TN 37232-8143.
Proc Annu Symp Comput Appl Med Care. 1992:537-41.
An increasing number of healthcare institutions are in the process of implementing clinical computing systems. The need for an accurate assessment of the clinical, administrative, social, and financial effects of such systems has been recognized. Techniques have been developed to evaluate these effects on the work patterns of healthcare workers including: 1) time-motion analysis, 2) subjective evaluations, 3) review of departmental statistics, 4) personal activity records, and 5) work-sampling. This manuscript reviews these techniques, discusses both positive and negative aspects, and presents a step-by-step description of work-sampling.
越来越多的医疗机构正在实施临床计算系统。人们已经认识到准确评估此类系统的临床、管理、社会和财务影响的必要性。已经开发出各种技术来评估这些系统对医护人员工作模式的影响，包括：1）时间动作分析；2）主观评估；3）部门统计数据审查；4）个人活动记录；5）工作抽样。本文回顾了这些技术，讨论了其积极和消极方面，并逐步介绍了工作抽样。
