Carayon Pascale, Alyousef Bashar, Hoonakker Peter, Hundt Ann Schoofs, Cartmill Randi, Tomcavage Janet, Hassol Andrea, Chaundy Kimberly, Larson Sharon, Younkin Jim, Walker James
Center for Quality and Productivity Improvement, University of Wisconsin-Madison, 1550 Engineering Drive, Madison, WI 53706, USA.
Work. 2012;41 Suppl 1:4468-73. doi: 10.3233/WOR-2012-0746-4468.
Coordinating care for hospitalized patients requires the use of multiple sources of information. Using a macroergonomic framework (i.e. the work system model), we conducted interviews and observations of care managers involved in care coordination across transitions of care. When information is distributed across multiple health IT applications, care managers experience a range of challenges, including organizational barriers, technology design problems, skills and knowledge issues, and task performance demands (i.e. issues related to individual information processing and management and sharing of information). These challenges can be used as a checklist to evaluate the proposed IT infrastructure that will allow the integration of multiple health IT applications and, therefore, support coordination across transitions of care.
协调住院患者的护理需要使用多种信息来源。我们采用宏观工效学框架（即工作系统模型），对参与护理协调的护理经理进行了访谈和观察，这些护理协调涉及护理转接过程。当信息分散在多个健康信息技术应用程序中时，护理经理会遇到一系列挑战，包括组织障碍、技术设计问题、技能和知识问题以及任务执行要求（即与个人信息处理、管理和信息共享相关的问题）。这些挑战可作为一份清单，用于评估拟议的信息技术基础设施，该基础设施将允许整合多个健康信息技术应用程序，从而支持护理转接过程中的协调工作。
