Choi Jeeyae, Kim Hyeoneui
Professional Development, Spaulding Rehabilitation Hospital, Boston, MA, USA.
Comput Inform Nurs. 2012 Aug;30(8):409-14; quiz 415-6. doi: 10.1097/NXN.0b013e3182512ffd.
Health information systems are often designed and developed without integrating users' specific needs and preferences. This decreases the users' productivity, satisfaction, and acceptance of the system and increases the necessity for a local adaptation process to reduce the unwanted outcomes after implementation. A workflow-oriented framework developed in a previous study indicates that users' needs and preferences could be incorporated into the system when implementation follows the steps of the framework, eventually increasing satisfaction with and usefulness of the system. The overall goal of this study was to demonstrate application of the workflow-oriented framework to the implementation of a nursing documentation system at Spaulding Rehabilitation Hospital. In this case study, we present specific steps of implementing and adapting a health information system at a local site and raise critical questions that need to be answered in each step based on the workflow-oriented framework.
健康信息系统的设计和开发往往没有整合用户的特定需求和偏好。这降低了用户的工作效率、满意度以及对系统的接受度，并增加了进行本地化调整过程的必要性，以减少实施后出现的不良结果。先前一项研究中开发的面向工作流的框架表明，当按照该框架的步骤进行实施时，用户的需求和偏好可以纳入系统，最终提高对系统的满意度和实用性。本研究的总体目标是展示面向工作流的框架在斯波尔丁康复医院护理文档系统实施中的应用。在本案例研究中，我们介绍了在本地站点实施和调整健康信息系统的具体步骤，并提出了基于面向工作流的框架在每个步骤中需要回答的关键问题。
