协和医学杂志

2013, v.4(03) 224-232

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基于认知任务分析的急诊信息系统设计与实施
Design and Implementation of Emergency Information System Based on Cognitive Task Analysis

刘继海;赵连军;廖万鹏;于学忠;郭树彬;徐腾达;周文华;朱华栋;
LIU Ji-hai 1 ,ZHAO Lian-jun 2 ,LIAO Wan-peng 2 ,YU Xue-zhong 1 ,GUO Shu-bin 1 ,XU Teng-da 1 , ZHOU Wen-hua 1 ,ZHU Hua-dong 1 1 Department of Emergency,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences & Peking Union Medical College,Beijing 100730,China 2 Donghua Software Company,Beijing 100190,China

摘要(Abstract):

本研究采用认知任务分析的方法分析急诊临床工作中的关键环节并指导急诊信息系统的设计和实施。首先进行本院急诊信息系统的现况调查,形成初步的调研报告,整理急诊信息系统建设中需要解决的关键问题;然后采用认知任务分析的方法确定急诊临床工作的关键环节并生成任务分析报告,提出改善急诊临床工作效率和保障患者安全方面对于急诊信息系统建设的核心需求;最后完成急诊信息系统的设计。结果显示,本院现有急诊信息系统存在众多需要完善和改进的方面,在透彻分析急诊临床工作关键环节对于信息系统建设的核心需求的基础上,完成了新的急诊信息系统的搭建,可更好地服务于急诊临床。急诊独特的临床需求需要有针对性的良好的信息系统设计,通过认知任务分析搭建了充分适应急诊临床实践需要的信息系统。
The objective of the study was to design and implement the emergency information system based on cognitive task analysis. Firstly,we carried out a survey on the current information systems in the emergency department in our hospital to identify the needs and key issues in the development of emergency information system. Secondly,based on cognitive task analysis,we tried to identify the key links during the emergency services as well as the potential measures that are able to improve the healthcare efficiency and protect patients' safety. Finally,we successfully completed the design of the emergency information system. Results showed that the currently available emergency department information system had gradually been out-of-dated and needed improvement. By thoroughly analyzing the core needs of the emergency services,we found the key issues to be addressed in the new information system and developed the new architecture of emergency information system in our hospital. The emergency department has unique features and needs supports from a more sophiscated information system. In our current study,we successfully developed a new information system that is suitable for emergency services based on cognitive task analysis.

关键词(KeyWords): 认知任务分析;急诊医学;信息系统
cognitive task analysis; emergency medicine; information system

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作者(Author): 刘继海;赵连军;廖万鹏;于学忠;郭树彬;徐腾达;周文华;朱华栋;
LIU Ji-hai 1 ,ZHAO Lian-jun 2 ,LIAO Wan-peng 2 ,YU Xue-zhong 1 ,GUO Shu-bin 1 ,XU Teng-da 1 , ZHOU Wen-hua 1 ,ZHU Hua-dong 1 1 Department of Emergency,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences & Peking Union Medical College,Beijing 100730,China 2 Donghua Software Company,Beijing 100190,China

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