Modeling Patient-Centered Cognitive Work for High-Value Care Goals
| Autor: | David R. Kaufman, Stephanie K. Furniss, David W. Larson, Matthew M. Burton |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Value (ethics)
Knowledge management 020205 medical informatics Computer science business.industry 05 social sciences Ocean Engineering Cognition 02 engineering and technology Care Goals Patient safety Workflow Work (electrical) Cognitive resource theory 0502 economics and business 0202 electrical engineering electronic engineering information engineering Information flow (information theory) business 050203 business & management |
| Zdroj: | Proceedings of the International Symposium on Human Factors and Ergonomics in Health Care. 5:112-119 |
| ISSN: | 2327-8595 |
| DOI: | 10.1177/2327857916051027 |
| Popis: | Patient-centered cognitive support has been shown to be critically important to facilitate the effective use of health information technologies (HIT). There is a well-documented need to better understand HIT-mediated clinical workflow. Current technologies can burden clinicians’ cognitive resources, which is associated with patient safety risks and medical errors. We sought to employ a distributed cognition approach to examine how information flows across the activity system to support clinicians’ problem-solving. Specifically, we studied the propagation of representational states across media, conversations, actors and time in the coordination of patient-care processes. We examined multiple instances of work and information flow in a real-world setting, revealing problems in information flow: a) use of paper artifacts has limitations to facilitating coordination of care, b) clinicians challenged in developing shared awareness, c) responsibility of representing patient states is distributed across documents, d) clinical reasoning that informed care plans was absent from documents. Findings surface a challenge to automated monitoring of care goals; much of the information is present only in clinicians’ minds and in informal documents. |
| Databáze: | OpenAIRE |
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