团队健康信息技术的工作系统障碍和促进因素。
Work system barriers and facilitators of a team health information technology.
机构信息
Department of Anesthesiology and Critical Care at the Perelman School of Medicine, University of Pennsylvania, USA.
Department of Industrial and Systems Engineering, University of Wisconsin-Madison, USA; Wisconsin Institute for Health Systems Engineering, University of Wisconsin-Madison, USA.
出版信息
Appl Ergon. 2023 Nov;113:104105. doi: 10.1016/j.apergo.2023.104105. Epub 2023 Aug 2.
Designing health IT aimed at supporting team-based care and improving patient safety is difficult. This requires a work system (i.e., SEIPS) evaluation of the technology by care team members. This study aimed to identify work system barriers and facilitators to the use of a team health IT that supports care transitions for pediatric trauma patients. We conducted an analysis on 36 interviews - representing 12 roles - collected from a scenario-based evaluation of T. We identified eight dimensions with both barriers and facilitators in all five work system elements: person (experience), task (task performance, workload/efficiency), technology (usability, specific features of T), environment (space, location), and organization (communication/coordination). Designing technology that meets every role's needs is challenging; in particular, when trade-offs need to be managed, e.g., additional workload for one role or divergent perspectives regarding specific features. Our results confirm the usefulness of a continuous work system approach to technology design and implementation.
设计旨在支持团队护理和提高患者安全性的医疗信息技术是困难的。这需要护理团队成员对技术进行工作系统（即 SEIPS）评估。本研究旨在确定使用团队健康信息技术支持儿科创伤患者护理转介的工作系统障碍和促进因素。我们对 T 的基于场景的评估中收集的 36 次访谈（代表 12 个角色）进行了分析。我们在所有五个工作系统要素中确定了八个既有障碍又有促进因素的维度：人（经验）、任务（任务绩效、工作量/效率）、技术（可用性、T 的特定功能）、环境（空间、位置）和组织（沟通/协调）。设计满足每个角色需求的技术具有挑战性；特别是当需要进行权衡时，例如，一个角色的额外工作量或对特定功能的不同看法。我们的研究结果证实了持续的工作系统方法在技术设计和实施方面的有效性。
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