Barach P, Johnson J K
Department of Anesthesia, University of Miami, Miami, FL 33136, USA.
Qual Saf Health Care. 2006 Dec;15 Suppl 1(Suppl 1):i10-6. doi: 10.1136/qshc.2005.015859.
The microsystem is an organizing design construct in which social systems cut across traditional discipline boundaries. Because of its interdisciplinary focus, the clinical microsystem provides a conceptual and practical framework for simplifying complex organizations that deliver care. It also provides an important opportunity for organizational learning. Process mapping and microworld simulation may be especially useful for redesigning care around the microsystem concept. Process mapping, in which the core processes of the microsystem are delineated and assessed from the perspective of how the individual interacts with the system, is an important element of the continuous learning cycle of the microsystem and the healthcare organization. Microworld simulations are interactive computer based models that can be used as an experimental platform to test basic questions about decision making misperceptions, cause-effect inferences, and learning within the clinical microsystem. Together these tools offer the user and organization the ability to understand the complexity of healthcare systems and to facilitate the redesign of optimal outcomes.
微观系统是一种组织设计架构，在其中社会系统跨越了传统学科界限。由于其跨学科的重点，临床微观系统为简化提供护理的复杂组织提供了一个概念性和实用性的框架。它还为组织学习提供了一个重要机会。流程映射和微观世界模拟对于围绕微观系统概念重新设计护理可能特别有用。流程映射是从个体与系统如何相互作用的角度描绘和评估微观系统的核心流程，它是微观系统和医疗保健组织持续学习周期的一个重要元素。微观世界模拟是基于计算机的交互式模型，可作为一个实验平台来测试关于决策误解、因果推断以及临床微观系统内学习的基本问题。这些工具共同为用户和组织提供了理解医疗保健系统复杂性并促进重新设计以实现最佳结果的能力。
