Information and Cognitive Systems Engineering Research Laboratory, Department of Industrial and Systems Engineering, University of Iowa, Iowa City, IA, 52242, USA.
Appl Ergon. 2020 Apr;84:103034. doi: 10.1016/j.apergo.2019.103034. Epub 2020 Jan 10.
The advent of electronic documentation systems has made it easy to generate and store vast amounts of information, and has enabled easy access to patient care information, so much so that they are now considered a critical infrastructure for supporting the cognitive tasks in healthcare work. But, electronic documentation systems are not without their share of problems. Accountability and liability requirements have made electronic information creation and documentation particularly challenging. Mandatory documentation requirements and templated electronic formats have increased the amount of information, but have not always resulted in reliable, useful, or meaningful information. Documentation systems have become rigid, offering little opportunity for healthcare providers to engage in meaningful conversations about the information, and to sense problem status without additional coordination. A particularly significant information interaction problem that we have identified from our field work in healthcare information modeling, which this paper focuses on, deals with what we term creator-consumer interaction behaviors. The purpose of this paper is to examine in-depth the problem of creator-consumer information interaction behaviors in electronic healthcare documentation systems. A creator-consumer interaction behavioral framework highlights satisficing behavior during creation and consumption of medical documentation, and the characteristics of the work system that may lead to satisficing on documentation tasks.
电子文档系统的出现使得生成和存储大量信息变得容易，并且能够轻松访问患者护理信息，以至于现在它们被认为是支持医疗保健工作中认知任务的关键基础设施。但是，电子文档系统并非没有问题。问责制和赔偿责任要求使得电子信息的创建和文档编制特别具有挑战性。强制性的文档要求和模板化的电子格式增加了信息量，但并不总是导致可靠、有用或有意义的信息。文档系统变得僵化，几乎没有为医疗保健提供者提供机会就信息进行有意义的对话，并在没有额外协调的情况下感知问题状态。我们在医疗保健信息建模领域的工作中已经确定了一个特别重要的信息交互问题，本文重点关注的就是这个问题，即我们所谓的创建者-使用者交互行为。本文的目的是深入研究电子医疗文档系统中创建者-使用者信息交互行为的问题。创建者-使用者交互行为框架突出了在创建和使用医疗文档时的满足行为，以及可能导致在文档任务上满足的工作系统的特征。
