McCurdie Tara, Sanderson Penelope, Aitken Leanne M, Liu David
School of Information Technology and Electrical Engineering, The University of Queensland, Brisbane, 4072, Australia.
School of Information Technology and Electrical Engineering, The University of Queensland, Brisbane, 4072, Australia; School of Psychology, The University of Queensland, Brisbane, Australia; School of Medicine, The University of Queensland, Brisbane, Australia.
Appl Ergon. 2017 Jan;58:102-109. doi: 10.1016/j.apergo.2016.05.012. Epub 2016 Jun 15.
Interruptions are widely considered a problem in healthcare. Results from observation and experimental studies have guided extensive mitigation efforts, but the effectiveness of interventions remains mixed. We have built on current theories and methods for studying interruptions to develop a novel observational approach - the Dual Perspectives Method - for examining interruptions from the perspectives of the different work functions in an Intensive Care Unit (ICU). We detail the method and provide representative examples of the insights it offers, such as why interruptions happen, the role they play, and the consequences of preserving them or eliminating them. We anticipate that the Dual Perspectives Method will help us to arrive at a better basis on which to draw conclusions about interruptions, and will lead to the development of appropriate and sustainable interventions to ensure the effective and safe functioning of the work system under examination.
在医疗保健领域，中断普遍被视为一个问题。观察和实验研究的结果推动了广泛的缓解措施，但干预措施的效果仍然参差不齐。我们基于当前研究中断的理论和方法，开发了一种新颖的观察方法——双视角方法——用于从重症监护病房（ICU）不同工作职能的角度审视中断情况。我们详细介绍了该方法，并提供了它所提供的见解的代表性示例，例如中断为何发生、它们所起的作用以及保留或消除中断的后果。我们预计，双视角方法将帮助我们更好地得出关于中断的结论，并将导致开发适当且可持续的干预措施，以确保所研究的工作系统有效且安全地运行。
