PDF(Pubmed)
Abstract：
Healthcare delivery systems are widely accepted as socio-technical systems. Unlike other socio-technical systems, healthcare systems leave very little decision-making to technical automation and control. Instead, the healthcare delivery system relies on human healthcare resources for decision-making. Human decision-making is imperative to the clinical delivery of care to patients and to the operational processes that support care delivery, quality improvement, and other organizational management activities. For these clinical and operational activities, human resources make healthcare decisions using healthcare data typically housed in electronic medical records (EMRs). Unfortunately, EMR systems were first designed with the functional capability to store data, and, second to a lesser degree, to retrieve data. The literature recognizes the need to improve the retrieval of information from EMR systems. More specifically, there remains the need to directly view a patient\'s holistic health and healthcare trajectory. At this time, decision-makers are left to mentally build this holistic picture in their mind by sequentially clicking through many sections of the EMR. Therefore, in this paper, we develop a visualization tool to organize and present an individual\'s health and healthcare trajectory by describing a patient record holistically from a system architecture perspective. This approach is based on a previously developed system model for healthcare delivery and individual health outcomes.
摘要：
医疗保健递送系统被广泛接受为社会技术系统。与其他社会技术系统不同，医疗保健系统留给技术自动化和控制的决策很少。相反，医疗保健提供系统依赖于人力资源进行决策。人类决策对于临床向患者提供护理以及支持护理提供的操作过程至关重要，质量改进,和其他组织管理活动。对于这些临床和手术活动，人力资源使用通常存储在电子医疗记录（EMR）中的医疗数据做出医疗决策。不幸的是,EMR系统最初设计为具有存储数据的功能，and,其次是较小的程度，以检索数据。文献认识到需要改进从EMR系统的信息检索。更具体地说,仍然需要直接查看患者的整体健康和医疗保健轨迹。此时,决策者可以通过按顺序点击EMR的许多部分，在他们的脑海中建立这种整体画面。因此,在本文中，我们开发了一个可视化工具，通过从系统架构角度全面描述患者记录来组织和呈现个人的健康和医疗保健轨迹。此方法基于先前开发的用于医疗保健提供和个人健康结果的系统模型。
