Borycki Elizabeth M, Kushniruk Andre W
School of Health Information Science, University of Victoria, Victoria, British Columbia, Canada.
Stud Health Technol Inform. 2015;215:129-41.
In this book chapter the authors review several Techno-Anthropologic approaches that can be used to improve the quality and safety of health information technology (HIT) by eliminating or reducing the incidence and occurrence of technology-induced errors. Technology-induced errors arise from interactions between health professionals, patients and/or HIT (i.e., software and hardware) and lead to a medical error. Techno-Anthropologic methods can be used to address these types of medical errors before they occur. In this book chapter they are discussed in the context of: (a) how they can be applied to identifying technology-induced errors and (b) how this information can be used to design and implement safer HIT. Important in this chapter is a review of several methods: traditional ethnography, rapid assessment of clinical information systems, video ethnography and photovoice as they are applied to the discovery of potential (i.e., near misses) and actual (i.e., mistakes) technology-induced errors.
在本章中,作者回顾了几种技术人类学方法,这些方法可用于通过消除或减少技术引发的错误的发生率和出现情况,来提高健康信息技术(HIT)的质量和安全性。技术引发的错误源于医疗专业人员、患者和/或HIT(即软件和硬件)之间的交互,并导致医疗差错。技术人类学方法可用于在这些类型的医疗差错发生之前加以解决。在本章中,将在以下背景下讨论这些方法:(a)它们如何应用于识别技术引发的错误,以及(b)如何利用这些信息来设计和实施更安全的HIT。本章重要的内容是对几种方法的回顾:传统人种志、临床信息系统快速评估、视频人种志和照片语音法,因为它们被应用于发现潜在的(即未遂失误)和实际的(即失误)技术引发的错误。