Glasspool D W, Oettinger A, Smith-Spark J H, Castillo F D, Monaghan V E L, Fox J
Advanced Computation Laboratory, Cancer Research UK, PO Box 123, London WC2A 3PX, United Kingdom.
Methods Inf Med. 2007;46(6):636-40. doi: 10.3414/me0441.
Developing a care plan for a patient is a complex task, requiring an understanding of interactions and dependencies between procedures and of their possible outcomes for an individual patient. Decision support for planning has broader requirements than are typically considered in medical informatics applications. We consider the appropriate design of software to assist medical planning.
The likely cognitive loads imposed by planning tasks were assessed with a view to directly supporting these via software.
Five types of cognitive load are likely to be important. A planning support system, REACT, was designed to ameliorate these cognitive loads by providing targeted dynamic feedback during planning. An initial evaluation study in genetic counselling indicates that the approach is successful in that role.
The approach provides the basis of a general aid for visualizing, customizing and evaluating care plans.
为患者制定护理计划是一项复杂的任务,需要了解各项程序之间的相互作用和依存关系以及它们对个体患者可能产生的结果。规划决策支持的要求比医学信息学应用中通常考虑的要求更为广泛。我们考虑软件的适当设计以辅助医疗规划。
评估规划任务可能带来的认知负荷,以便通过软件直接提供支持。
五种认知负荷可能很重要。设计了一个规划支持系统REACT,通过在规划过程中提供有针对性的动态反馈来减轻这些认知负荷。基因咨询方面的初步评估研究表明,该方法在这方面是成功的。
该方法为可视化、定制和评估护理计划提供了一种通用辅助工具的基础。