School of Information Technology and Electrical Engineering, The University of Queensland, Brisbane, Australia.
Schools of Information Technology and Electrical Engineering, of Psychology, and of Clinical Medicine, The University of Queensland, Brisbane, Australia.
Appl Ergon. 2018 Feb;67:50-60. doi: 10.1016/j.apergo.2017.08.014. Epub 2017 Sep 26.
Examinations of interruptions in healthcare often focus on a single clinical discipline, and solutions are targeted accordingly. This approach does not take into account the inter-disciplinary dependencies and other sociotechnical aspects that make up the healthcare work system, and suggested solutions may not meet the needs of all stakeholders. In this article a sociotechnical systems perspective is used to uncover the interdependencies between 16 unique work roles that result in interruptions in an intensive care unit (ICU). By applying social network analysis techniques to data collected using the Dual Perspectives Method, we identified targeted systems-based interventions that may reduce unnecessary interruptions while avoiding unintended consequences that impose additional burden on ICU staff. The rich insights gained into the interruptive communication patterns in the ICU work system stand in contrast to findings that would have otherwise been obtained by focusing only on a single clinical discipline or a single perspective.
医疗保健中断的检查通常集中在单一的临床学科上，相应地针对解决方案。这种方法没有考虑到构成医疗保健工作系统的跨学科依赖关系和其他社会技术方面，提出的解决方案可能无法满足所有利益相关者的需求。在本文中，使用社会技术系统视角揭示了导致重症监护病房（ICU）中断的 16 个独特工作角色之间的相互依存关系。通过将社会网络分析技术应用于使用双视角方法收集的数据，我们确定了有针对性的基于系统的干预措施，这些干预措施可以减少不必要的中断，同时避免给 ICU 工作人员带来额外负担的意外后果。在 ICU 工作系统中获得的关于中断性沟通模式的丰富见解与仅关注单一临床学科或单一视角所获得的发现形成鲜明对比。
