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医疗保健领域中的人因工程学:那又怎样?谁在乎?对你有什么好处?

Human Factors Engineering in HI: So What? Who Cares? and What's in It for You?

作者信息

Elkin Peter L

机构信息

International Health Data Solutions, New York, NY, USA.

出版信息

Healthc Inform Res. 2012 Dec;18(4):237-41. doi: 10.4258/hir.2012.18.4.237. Epub 2012 Dec 31.

Abstract

OBJECTIVES

Human factors engineering is a discipline that deals with computer and human systems and processes and provides a methodology for designing and evaluating systems as they interact with human beings. This review article reviews important current and past efforts in human factors engineering in health informatics in the context of the current trends in health informatics.

METHODS

The methodology of human factors engineering and usability testing in particular were reviewed in this article.

RESULTS

This methodology arises from the field of human factors engineering, which uses principles from cognitive science and applies them to implementations such as a computer-human interface and user-centered design.

CONCLUSIONS

Patient safety and best practice of medicine requires a partnership between patients, clinicians and computer systems that serve to improve the quality and safety of patient care. People approach work and problems with their own knowledge base and set of past experiences and their ability to use systems properly and with low error rates are directly related to the usability as well as the utility of computer systems. Unusable systems have been responsible for medical error and patient harm and have even led to the death of patients and increased mortality rates. Electronic Health Record and Computerized Physician Order Entry systems like any medical device should come with a known safety profile that minimizes medical error and harm. This review article reviews important current and past efforts in human factors engineering in health informatics in the context of the current trends in health informatics.

摘要

目标

人因工程学是一门涉及计算机与人类系统及流程的学科,它为设计和评估与人类交互的系统提供了一种方法。本文在健康信息学当前趋势的背景下,回顾了健康信息学人因工程学领域当前及过去的重要工作。

方法

本文特别回顾了人因工程学方法以及可用性测试。

结果

这种方法源自人因工程学领域,该领域运用认知科学原理并将其应用于诸如计算机-人类界面和以用户为中心的设计等实践中。

结论

患者安全和最佳医疗实践需要患者、临床医生和计算机系统之间的合作,以提高患者护理的质量和安全性。人们凭借自己的知识库、过往经验来处理工作和问题,他们正确使用系统且错误率低的能力与计算机系统的可用性以及实用性直接相关。无法使用的系统已导致医疗差错和患者伤害,甚至造成患者死亡并提高了死亡率。电子健康记录和计算机化医嘱录入系统与任何医疗设备一样,都应具备已知的安全特性,以尽量减少医疗差错和伤害。本文在健康信息学当前趋势的背景下,回顾了健康信息学人因工程学领域当前及过去的重要工作。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7ed/3548152/4e1e4beee809/hir-18-237-g001.jpg

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