Griffith University, Gold Coast, Australia.
J Health Organ Manag. 2010;24(3):306-18. doi: 10.1108/14777261011054635.
This paper aims to show that identification of expectations and software functional requirements via consultation with potential users is an integral component of the development of an emergency department patient admissions prediction tool.
DESIGN/METHODOLOGY/APPROACH: Thematic analysis of semi-structured interviews with 14 key health staff delivered rich data regarding existing practice and future needs. Participants included emergency department staff, bed managers, nurse unit managers, directors of nursing, and personnel from health administration.
Participants contributed contextual insights on the current system of admissions, revealing a culture of crisis, imbued with misplayed communication. Their expectations and requirements of a potential predictive tool provided strategic data that moderated the development of the Emergency Department Patient Admissions Prediction Tool, based on their insistence that it feature availability, reliability and relevance. In order to deliver these stipulations, participants stressed that it should be incorporated, validated, defined and timely.
RESEARCH LIMITATIONS/IMPLICATIONS: Participants were envisaging a concept and use of a tool that was somewhat hypothetical. However, further research will evaluate the tool in practice.
Participants' unsolicited recommendations regarding implementation will not only inform a subsequent phase of the tool evaluation, but are eminently applicable to any process of implementation in a healthcare setting.
ORIGINALITY/VALUE: The consultative process engaged clinicians and the paper delivers an insider view of an overburdened system, rather than an outsider's observations.
本文旨在展示通过与潜在用户进行咨询来识别期望和软件功能需求，是开发急诊患者入院预测工具的一个组成部分。
设计/方法/途径：对 14 名关键卫生人员进行半结构化访谈的主题分析提供了有关现有实践和未来需求的丰富数据。参与者包括急诊部工作人员、床位管理人员、护士单元经理、护理主任以及卫生行政人员。
参与者对入院目前的系统提供了有关背景的见解，揭示了一种充斥着沟通失误的危机文化。他们对潜在预测工具的期望和要求提供了战略数据，这些数据调节了急诊患者入院预测工具的开发，基于他们坚持该工具应具有可用性、可靠性和相关性。为了满足这些规定，参与者强调该工具应具有可集成性、验证性、可定义性和及时性。
研究局限性/影响：参与者设想的是一个概念和工具的使用，具有一定的假设性。然而，进一步的研究将评估该工具在实践中的应用。
参与者对实施的非请求建议不仅将为工具评估的下一阶段提供信息，而且对任何医疗保健环境中的实施过程都具有重要意义。
原创性/价值：咨询过程使临床医生参与其中，本文提供了一个系统负担过重的内部视角，而不是外部观察。
