Eason Ken, Waterson Patrick
The Bayswater Institute, UK
Loughborough University, UK.
Health Informatics J. 2014 Sep;20(3):189-98. doi: 10.1177/1460458213501096. Epub 2013 Nov 26.
Electronic patient record systems serve many purposes for many different kinds of users. Four case studies are reported of the use made by health-care staff of electronic patient record systems that supported health-care pathways. The results demonstrate that the systems fit the purposes of strategic and managerial users of the record, but they are problematic as tools for use by the frontline staff delivering care. As a result, these staff frequently resort to workarounds to accomplish their work goals. An analysis of the design processes that created these systems shows that the specification of the systems was based on strategic and managerial requirements and there was no formal assessment of the needs of frontline users. Efforts to address the needs of frontline staff in the provisions of electronic systems were most often made after the main system was implemented.
电子病历系统为许多不同类型的用户服务于多种目的。报告了四个关于医护人员使用支持医疗保健路径的电子病历系统的案例研究。结果表明，这些系统符合病历战略和管理用户的目的，但作为一线护理人员使用的工具存在问题。因此，这些工作人员经常采取变通方法来实现他们的工作目标。对创建这些系统的设计过程的分析表明，系统的规范基于战略和管理要求，并且没有对一线用户的需求进行正式评估。在主要系统实施之后，才最常做出努力来满足一线工作人员在电子系统方面的需求。
