Cork University Maternity Hospital, Ireland; University College Cork, Ireland.
Cork University Business School, Ireland.
Health Informatics J. 2020 Dec;26(4):2407-2421. doi: 10.1177/1460458220906067. Epub 2020 Feb 25.
The primary aim around developing and optimizing an electronic health record is to improve patient care and population health. The objective of this study is to design and evaluate an action research approach for the optimization of the design of a summary page artefact within an electronic health record for newborn healthcare. An action research approach was chosen for its participatory democratic process for developing practical knowledge and solutions. Collaborative workshops lead by an independent graphic facilitator with a 'bottom up' approach, involving self-selected motivated members from multidisciplinary healthcare teams, were designed and conducted. To evaluate this approach, insights were drawn from behavioural and design science paradigms to demonstrate that knowledge and understanding of the design problem and its solution were acquired in building the optimized summary page artefact. Information system development for healthcare requires consideration not just of what we do but how and why we do things. Our analysis demonstrates that action design research represents an agile and lean approach for successful optimization and implementation of information system development in healthcare.
开发和优化电子健康记录的主要目的是改善患者护理和人口健康。本研究的目的是设计和评估一种行动研究方法，以优化电子健康记录中新生儿保健总结页面构件的设计。之所以选择行动研究方法，是因为它具有参与式民主过程，可以开发实用知识和解决方案。我们设计并开展了由独立图形协调员领导的协作研讨会，采用自下而上的方法，涉及来自多学科医疗团队的自我选择的有动力的成员。为了评估这种方法，我们从行为和设计科学范式中汲取了见解，以证明在构建优化的摘要页面构件的过程中获得了对设计问题及其解决方案的了解和理解。医疗保健信息系统的开发不仅需要考虑我们做什么，还需要考虑我们如何以及为什么做事。我们的分析表明，行动设计研究代表了一种敏捷而精简的方法，可成功优化和实施医疗保健中的信息系统开发。
