کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
4971955 | 1450705 | 2017 | 14 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Toward a process-level view of distributed healthcare tasks: Medication management as a case study
ترجمه فارسی عنوان
به سمت دیدگاه فرایند وظایف بهداشتی توزیع شده: مدیریت دارو به عنوان یک مطالعه موردی
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کلمات کلیدی
روند، سیستم اجتماعی، سیستم کاری، مدیریت دارو، مرزهای سیستم، مراقبت انتقالی، فرهیخته سالمند، آژانس های مراقبت از خانه،
موضوعات مرتبط
مهندسی و علوم پایه
مهندسی کامپیوتر
تعامل انسان و کامپیوتر
چکیده انگلیسی
We aim to highlight the importance of using a process-level view in analyzing distributed healthcare tasks through a case study analysis of medication management (MM). MM during older adults' hospital-to-skilled-home-healthcare (SHHC) transitions is a healthcare process with tasks distributed across people, organizations, and time. MM has typically been studied at the task level, but a process-level is needed to fully understand and improve MM during transitions. A process-level view allows for a broader investigation of how tasks are distributed throughout the work system through an investigation of interactions and the resultant emergent properties. We studied MM during older adults' hospital-to-SHHC transitions through interviews and observations with 60 older adults, their 33 caregivers, and 79 SHHC providers at 5 sites associated with 3 SHHC agencies. Study findings identified key cross-system characteristics not observable at the task-level: (1) identification of emergent properties (e.g., role ambiguity, loosely-coupled teams performing MM) and associated barriers; and (2) examination of barrier propagation across system boundaries. Findings highlight the importance of a process-level view of healthcare delivery occurring across system boundaries.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Applied Ergonomics - Volume 65, November 2017, Pages 255-268
Journal: Applied Ergonomics - Volume 65, November 2017, Pages 255-268
نویسندگان
Nicole E. Werner, Seema Malkana, Ayse P. Gurses, Bruce Leff, Alicia I. Arbaje,