To err is not entirely human Complex technology and user cognition

To err is not entirely human Complex technology and user cognition

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1、ARTICLEINPRESSJournalofBiomedicalInformaticsxxx(2005)xxx–xxxwww.elsevier.com/locate/yjbinCommentaryToerrisnotentirelyhuman:Complextechnologyandusercognitiona,*baJanHorsky,JiajieZhang,VimlaL.PatelaDepartmentofBiomedicalInformatics,ColumbiaUniversityMedicalCenter,NY,USAbSchoolofHealthInformationScienc

2、e,UniversityofTexas,Houston,TX,USAReceived5May2005Errors,misunderstandings,andinaccuracies,largeperhapsmoreakintothoseofa?re?ghterbrigadecom-andsmall,areroutineoccurrencesinoureverydayactiv-manderthantothepilotofanairliner.Inthesedo-ities.Wecanlivewithimperfectionmostofthetime,butmains,decisionsares

3、ometimesmadewithlittleorwerequirehealthcaretobe100%error-freeandmedicalunreliableevidence,andchangingcircumstancesdictatedevicestorun?awlessly.Whenourhighexpectationsquickadjustmentsintheplanningofactions.arenotmet,societyfeelsviolated.GiventhecomplexityTherecentJAMAreport[1]suggestingthatclinicalof

4、medicine,weshouldnotbesurprisedthatmistakesorderingsystems(CPOE)mayinfactcontributetomed-occur.However,wecanaskhealthcaretechnologyicalerrorsisasoberingreminderoftheofteninadequatedesignerstoplayanactiveroleinmitigatingthee?ects?tofcurrentcomputingtechnologytoclinicalwork.ofusererrorinmedicine.Clini

5、calmedicineisauniquelyCautionarystatementsaboutanewkindofmedicaler-complex?eldforwhichcomputingtechnologyneedstororthatmayensuefromworkingwithinformationsys-bedevelopedaccordingtonovelandoftenunprecedent-tems[3]andanecdotalevidenceofthetremendouseddesignprinciples.challengestotheimplementationofclin

6、icalcomputingHealthinformationtechnology(HIT)hasundoubted-technology[4]haveappearedperiodicallyintheresearchlyreducedtheriskofseriousinjuryforpatientsduringliterature.Importantly,theJAMAstudymakesthehospitalstays.However,itstruepotentialforpreventingcharacterizationoftechnology-relatedmedicalerrorsm

7、edicalerrorsremainsonlypartiallyrealizedand,para-itscentralthesis.Theauthorsareconveyingtheirbeliefdoxically,ashasbeendemonstratedinarecentJAMAthatitisthe?aweddesignandpoorintegrationwitharticle[1],so

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