NEC Australia, Mulgrave, VIC, Australia.
J Med Syst. 2012 Dec;36(6):3933-43. doi: 10.1007/s10916-012-9865-8. Epub 2012 Jul 4.
Most hospital-based staff can be considered to be mobile but many hospital information systems (HIS) are based on fixed desk top computers. Wireless networks allow HIS to be brought to the point of care using mobile devices such as laptops on trolleys thus providing data which can aid in clinical decision-making. The research objective of this project focusses on the collaborative design of a laptop solution for providing data at the point of care. The research approach was based on a combination of action research and design science. Action research techniques including participant observation and informal one-to-one discussions were used to obtain information that was used to evolve the trolley design as a design artefact while addressing usability limitations. This paper presents three versions of the trolley design and how they evolved based on the feedback provided to the researchers from clinical use. Also these results show that using iterative action research techniques (planning, action, evaluation and reflection) in collaborative research can provide productive outcomes addressing a specific design objective within an acute care setting.
大多数基于医院的员工都可以被视为移动的，但许多医院信息系统 (HIS) 都是基于固定的台式计算机。无线网络允许使用移动设备（如推车上的笔记本电脑）将 HIS 带到护理点，从而提供有助于临床决策的数据。该项目的研究目标侧重于为护理点提供数据的笔记本解决方案的协作设计。研究方法基于行动研究和设计科学的结合。行动研究技术，包括参与观察和非正式的一对一讨论，用于获取信息，这些信息被用来发展手推车设计作为一个设计人工制品，同时解决可用性限制。本文介绍了三种手推车设计版本，以及它们如何根据临床使用向研究人员提供的反馈进行演变。这些结果还表明，在协作研究中使用迭代行动研究技术（规划、行动、评估和反思）可以提供有成效的结果，解决急性护理环境中的特定设计目标。
