IT support for clinical pathways-Lessons learned

被引：45

作者：

Lenz, R. ^{[1
]}

Blaser, R. ^{[2
]}

Beyer, M. ^{[2
]}

Heger, O. ^{[2
]}

Biber, C. ^{[3
,4
]}

Baeumlein, M. ^{[3
,4
]}

Schnabel, M. ^{[3
,4
]}

机构：

[1] Univ Erlangen & Nuremberg, Dept Comp Sci, Erlangen, Germany

[2] Univ Marburg, Inst Med Informat, D-35032 Marburg, Germany

[3] Univ Hosp, Dept Trauma Reconstruct & Hand Surg, Giessen, Germany

[4] Univ Hosp, Dept Trauma Reconstruct & Hand Surg, Marburg, Germany

来源：

INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS | 2007年 / 76卷

关键词：

Information systems [MeSH; Clinical pathways [MeSH; Process alignment; Interaction design; Speech act theory;

D O I：

10.1016/j.ijmedinf.2007.04.012

中图分类号：

TP [自动化技术、计算机技术];

学科分类号：

0812 ;

摘要：

Clinical pathways are an effective instrument to decrease undesired practice variability and improve clinician performance. IT-applications embedded into clinical routine work can help to increase pathway compliance. Successfully implementing such applications requires both a responsive IT infrastructure and a participatory and iterative design process aimed at achieving user acceptance and usability. Experiences from the implementation and iterative improvement of an online surgical pathway at Marburg University Medical Centre have shown that pathway conformance actually could be improved by the use of IT. An analysis of the iterative design process has shown that future pathway projects can benefit from the lessons learned during this project. Based on these lessons recommendations for developing well adapted interaction mechanisms are presented, aimed at improving process alignment. Our goal is to build up a library of tested reusable components to reduce the number of iterations for pathway implementation. (C) 2007 Elsevier Ireland Ltd. All rights reserved.

引用

页码：S397 / S402

页数：6

共 42 条

[1] [Anonymous], 2000, RATIONAL UNIFIED PRO
[2] Implementing computerized physician order entry: the importance of special people
Ash, JS
Stavri, PZ
Dykstra, R
Fournier, L
[J]. INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS, 2003, 69 (2-3) : 235 - 250
[3] Austin John., 1955, How to do Things with Words
[4] Ten commandments for effective clinical decision support: Making the practice of evidence-based medicine a reality
Bates, DW
Kuperman, GJ
Wang, S
Gandhi, T
Kittler, A
Volk, L
Spurr, C
Khorasani, R
Tanasijevic, M
Middleton, B
[J]. JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION, 2003, 10 (06) : 523 - 530
[5] Beck K., 2004, Extreme Programming Explained: Embrace Change, V2nd
[6] Berg M, 2003, METHOD INFORM MED, V42, P297
[7] Blaser R, 2005, ST HEAL T, V116, P199
[8] Brender J, 2006, METHOD INFORM MED, V45, P125
[9] Campbell H, 1998, BMJ-BRIT MED J, V316, P133
[10] Four rules for the reinvention of health care
Coiera, E
[J]. BRITISH MEDICAL JOURNAL, 2004, 328 (7449): : 1197 - 1199

← 1 2 3 4 5 →