کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
13437135 | 1843109 | 2020 | 8 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Reducing delays to diagnosis in ambulatory care settings: A macrocognition perspective
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کلمات کلیدی
موضوعات مرتبط
مهندسی و علوم پایه
مهندسی کامپیوتر
تعامل انسان و کامپیوتر
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چکیده انگلیسی
We aim to use a macrocognition theoretical perspective to characterize contributors to diagnostic delays by physicians that can be mitigated by work system redesign. As experienced with other complex, sociotechnical domains, system redesign is anticipated to be more effective at improving safety than training-based solutions. In the outpatient care setting, complex tasks, conducted by a primary care provider, are provided for five macrocognition functions: sensemaking, re-planning, detecting problems, deciding, and coordinating. Redesigning systems could reduce delays to diagnosis by helping users to avoid missed symptoms, forgotten follow-up activities, and delayed actions. Health information technology could support resilience strategies by offloading documentation burdens, recording working diagnoses, displaying planned follow-up activities at the correct time interval, and supporting recognition of patterns in patient care. These insights suggest a path forward for future research on system design innovations to reduce diagnostic delays, and ultimately, reduce patient harm.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Applied Ergonomics - Volume 82, January 2020, 102965
Journal: Applied Ergonomics - Volume 82, January 2020, 102965
نویسندگان
Emily S. Patterson, George Su, Urmimala Sarkar,