Toward the paperless hospital / Harper, et. al. (1997)

Citation - Harper, R. H. R., O'Hara, K. P. A., Sellen, A. J., & Duthie, D. J. R. (1997). Toward the paperless hospital? British Journal of Anaesthesia, 78(6), 762-767.

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這是一份以人類學的方式,描繪在麻醉醫療中的文件使用現象的研究。此研究主要討論在心胸外科的麻醉實務中,手術前風險評估表所扮演的角色。及,瞭解由紙本轉換到電子文件形式的優缺點。在此研究個案中的證據顯示,在實務中醫療專業人員對文件的使用,與組織中預期文件如何被使用有很大的矛盾。我們認為,醫院需要考慮這種實務觀點,以建立一有效的線上文件系統。

This report describes an ethnographic study of document use by anaesthetists. In doing so, it focuses on the role of the preoperative risk assessment form as used in anaesthetic practice at a cardiothoracic hospital, and considers what would be the advantages and disadvantages of shifting the paper into the electronic form. Evidence from this case study is used to comment on how the practical use of documents by medical professionals can be fundamentally at odds with how the organization at large would like to use them. We argue that hospital trusts need to take into account this practical perspective in order to build effective, on-line document systems.

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