路径的一致性和日常动态中的中断
Inkyu Kim1, Brian T Pentland2, Kenneth A Frank2
1California State University, East Bay, 25800 Carlos Bee Blvd, Hayward, CA 94542.
概括
路径连贯性,局势属性的连续性,预测了临床文档例程的变化. 一致的路径更有可能持续或形成,影响组织动态.
科学领域:
- 组织行为 组织行为
- 信息系统信息系统信息系统
- 社会学 社会学 社会学
背景情况:
- 临床文档程序对于医疗保健业务至关重要.
- 技术中断,如电子健康记录 (EHR) 系统升级,可以显著改变这些例程.
- 了解日常变化的动态对于组织的适应和效率至关重要.
研究的目的:
- 提出和验证一种新的机制,路径连贯性,用于预测例行动态.
- 调查路径连贯性如何影响临床文档程序的持久性和形成.
- 探索路径连贯性对组织路径依赖性,弹性和惯性的理论影响.
主要方法:
- 利用了来自五个门诊诊所中临床文档程序中断的证据.
- 采用潜伏因子网络模型来分析EHR系统升级前后的例行动态.
- 基于情境属性的连续性 (谁,什么,什么时候,在哪里,为什么) 在连续事件中定义和测量路径连贯性.
主要成果:
- 连贯的路径比不连贯的路径持久的可能性高出14倍.
- 与不太连贯的路径相比,连贯的路径形成的可能性高达40倍.
- 路径一致性成为例行持续和形成的重要预测因素.
结论:
- 路径连贯性为理解组织中的例行动态提供了一种新的预测机制.
- 这些发现表明,路径连贯性在组织路径依赖性中发挥着关键作用,影响了弹性和惯性.
- 这项研究为分析日常生活如何在应对变化的过程中演变提供了一个新的理论镜头.
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