作者: Robert L. Wears , Emilie M. Roth , Richard I. Cook , D. Woods , Emily S. Patterson
DOI:
关键词: Software requirements 、 Health informatics 、 Teamwork 、 Health care 、 Information technology 、 Knowledge management 、 Sociotechnical system 、 Documentation 、 Workload 、 Engineering
摘要: Abstract: Over the past several years, there has been an increasein interest in translating human factors knowledge and methods,primarily used complex, event-driven, sociotechnical settingssuch as aviation, to health care. In this article, we overview theprimary concepts cognitive systems engineering that may aid informulating interventions a variety of diverse medical settingsto reduce likelihood patient harm. To improve resilience inmedication delivery, propose immediately incorporating 3 keylevers: (1) scenario-based design evaluation interventions,(2) advanced information visualization techniques dataoverload electronic record, (3) explicitconsideration documentation asynchronous, interdisciplin-ary teamwork support during software requirements analysis,including workload shifting analysis. For long-term progress, werecommend investing research better understand technicalwork care, specifically task workdomains trade-offs strategies workers use meetthese demands.Key Words: factor, medication error, CPOE, bar coding,medical informatics(J Patient Saf 2006;2:33Y38)