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了解护士和医生的围绕工作行为与医院信息系统相关的先例:定性采访研究
Eileen Doctor1, Jasmin Hennrich1, Torsten Eymann2
1Branch Business and Information Systems Engineering of the Fraunhofer FIT, Wittelsbacherring 10, Bayreuth, 95444, Germany.
Journal of medical Internet research
|July 15, 2025
概括
医院信息系统 (HIS) 可能会导致护士和医生做出规避措施. 了解这些解决方案的原因是改善患者安全和医疗保健中的数字支持的关键.
科学领域:
- 医疗信息学 医疗信息学
- 人与计算机的交互
- 医疗保健管理的管理
背景情况:
- 医院信息系统 (HIS) 旨在提供及时的信息,但可能会阻碍工作流程.
- 医疗保健专业人员的解决方案是对与HIS相关的工作流堵塞的常见反应.
- 了解解决方案的先例对于提高患者安全和系统设计至关重要.
研究的目的:
- 探索护士和医生关于HIS的绕道行为的先例.
- 分析这些先例如何影响行为,相互关联,以及解决方案背后的意图.
- 识别导致偏离临床环境中HIS预期使用的因素.
主要方法:
- 德国和美国的26名护士,医生和健康信息技术人员进行了定性采访.
- 实证理论分析技术应用于采访成绩单.
- 识别和分类与HIS相关的解决方法先例.
主要成果:
- 506个开放代码衍生,分为3个直接原因:组织先决条件,人力因素和系统.
- 确定了4个影响因素:法规,部门资金,软件提供商,所有权/管理.
- 影响因素为直接原因塑造条件,间接影响用户行为.
结论:
- 提供了对与HIS相关的解决方法前例和用户行为的结构化理解.
- 建立因果关系,以告知预防解决方案的策略.
- 解决确定的原因可以通过数字支持改善工作条件,患者安全和医疗保健质量.
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