Guterman J J, Mankovich N J, Weinstein S, Picken B
Department of Medicine, Olive View-UCLA Medical Center, UCLA School of Medicine, USA.
Proc Annu Symp Comput Appl Med Care. 1995:733-6.
The optimal operational integrity of a health care facility depends upon the correct interpretation of an adherence to well designed and written policies. Memos describing policy and procedures can be ambiguous, hindering their comprehension rather than helping it. Two alternative methods have been developed for communicating policy: the algorithmic flow chart and a computer decision support program. To determine the best means of communicating policy, the written memo, flow chart, and computer program were compared in scenario presentation interviews. The average time required to complete the test scenarios was five minutes for the traditional memo, two minutes for the algorithm, and two minutes for the computer program. Accuracy improves markedly from the traditional memo to the computer program. ANOVA reveals that the flow chart and computer program are significantly superior to memos as methods for communicating hospital policy.
医疗保健机构的最佳运营完整性取决于对精心设计和编写的政策的正确理解与遵守。描述政策和程序的备忘录可能含糊不清，不利于理解，反而会造成阻碍。现已开发出两种传达政策的替代方法：算法流程图和计算机决策支持程序。为了确定传达政策的最佳方式，在情景展示访谈中对书面备忘录、流程图和计算机程序进行了比较。完成测试情景所需的平均时间，传统备忘录为五分钟，算法为两分钟，计算机程序为两分钟。从传统备忘录到计算机程序，准确性有显著提高。方差分析表明，作为传达医院政策的方法，流程图和计算机程序明显优于备忘录。
