• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>European journal of information systems >Enacting computer workaround practices within a medication dispensing system
【24h】

Enacting computer workaround practices within a medication dispensing system

机译：在药物分配系统中制定计算机变通方法

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Computer workarounds in health information systems (HIS) threaten the potential for gains in efficiency through computerization aimed at reducing process variability. Eliminating such workarounds is desirable, but information system (IS) researchers tend to treat computer workarounds as black-boxes, whereas HIS researchers are primarily concerned with descriptive or prescriptive remedies. We propose to open the black-box of computer workarounds and study them as situated practices that consist of adjustments to existing computer-based procedures, which are enabled by the negotiated order of a hospital. This negotiative property of a hospital's organizational environment allows for interpretive flexibility, in which physicians stretch certain rules in practice, while inducing others to cooperate. We illustrate this conceptual framework with a non-participant observer case study of a medication dispensing system used in a teaching hospital to support a prior-approval policy for anti-microbial drugs. Within these enacted workaround practices, we found significant variety in roles, timing and interactions, which boil down to a pattern of four practices revolving around one function of an HIS. Our research extends the literature on computer workarounds in IS and HIS by proposing a theoretical understanding of workaround practices based on a contextual healthcare study.
机译：健康信息系统（HIS）中的计算机变通办法威胁着通过旨在减少过程可变性的计算机化来提高效率的潜力。消除此类变通办法是可取的，但是信息系统（IS）研究人员倾向于将计算机变通方法视为黑盒，而HIS研究人员则主要关注描述性或规定性补救措施。我们建议打开计算机变通办法的黑匣子，并将其作为位于现场的做法进行研究，其中包括对现有基于计算机的程序进行的调整，这些调整由医院的议定顺序支持。医院组织环境的这种谈判性质提供了解释上的灵活性，医生可以在实践中延伸某些规则，同时诱导其他人进行合作。我们用教学医院使用的药物分配系统的非参与者观察员案例研究来说明此概念框架，以支持抗菌药物的事先批准政策。在这些已制定的解决方法实践中，我们发现角色，时间安排和交互作用存在很大差异，可归结为围绕HIS的一项功能的四种实践的模式。我们的研究通过提出基于上下文医疗保健研究的变通方法实践的理论理解，扩展了IS和HIS中计算机变通方法的文献。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号