STANLEY asked in 社會與文化語言 · 9 years ago


- verbal interactions betweenphysician/patient and physician/nurse; - interactional events involving theobserved physician and other people (e.g. specialists, other nurses, the DepartmentHead, etc.). The mini-team physician reaches thedecision on whether to admit or discharge each patient in light of theinformation arriving from various sources. A first critical node of thecoordination process is the information flow from the triage nurse to thephysician. This flow is managed differently in the two EDs and entails theemployment of different artifacts. In the General ED the triage workspaceis located at the beginning of a long corridor along which all the visit roomsare lined. The triagist and the physician don’t have a direct line of sightfrom their workplaces, and the communication is mainly computer based(intranet). The triagist gathers information in a standardized way during thefirst contact with the patient and inputs the data directly into a computerizedform, selecting the emergency code and writing a short description of thesymptoms (approximately 25 characters). In addition the triagist inputs into asecond form the patient’s clinical parameters (e.g. blood pressure,temperature, etc). The system is configured in such a waythat the physician sees the above information in real time on his/her computerscreen. The default computer screen only specifies, for each waiting patient, the time and order of arrival, the emergencycode and the short description of symptoms. In order to view the clinicalparametersthe physician must exit the defaultscreen and launch a separate application. This switch from one application tothe other causes a loss of time and attention by the physician (who in themeantime cannot see if any other patient has arrived), and for this reason mostphysicians said they very seldom look at the clinical parameters screen.


This paper analyzes Decision Making practices of healthcare operators within Hospital Emergency Departments (ED).In EDs medical decision-making takes place within a complex environment: resources are limited and the number of decision making situations can be very high, often as a result of urgent c

Update 2:

care situations, high patient load and imperfect information.

Update 3:

Although in the ED physician autonomy is high, the decisions are situated within a process of interaction and exchanges with other professionals and mediated by physical media such as clinical notes and artifacts.

Update 4:


2 Answers

  • 9 years ago
    Favorite Answer

    betweenphysician口頭的互作用或患者和醫師或者護士; -涉及theobserved醫師和其他人民(即專家,其他的相互作用的事件護理, DepartmentHead等等)。 微型隊醫師是否到達thedecision根據到達的theinformation录取或釋放每名患者從各種各樣的來源。 thecoordination過程第一個重要結是從治療類選法護士的信息流到thephysician。 這流程在二編輯不同地被處理並且需要不同的人工製品的theemployment。 在一般ED在所有參觀roomsare排行的一個長的走廊初位于的治療類選法workspaceis。 triagist和醫師沒有sightfrom一條直线他們的工作場所,並且通信是主要計算機為主的(內部網)。 triagist收集信息用一個規範化的方式在與患者的第一次接触期間並且輸入數據直接地入computerizedform,選擇緊急代碼和寫thesymptoms (大约25個字符)的一個简短的描述。 另外triagist輸入入asecond形式患者的臨床參量(即血压、溫度等等)。 系統在醫師在实时看上述信息在他/她computerscreen的這樣waythat配置。 缺省计算机屏幕為每名等待的患者只指定,到來时期和, emergencycode和症狀的命令简短的描述。 為了觀看clinicalparameters 醫師必须退出defaultscreen和發射一種分開的應用。 從一種應用的這個開關在其他由醫師(誰導致时间损失和注意themeantime的看不到其他患者是否到達了),並且mostphysicians為此說他們非常很少看臨床參量屏幕

    Source(s): 奇摩翻譯
  • 9 years ago

    -言語交往 betweenphysician/患者和醫生/護士 ; -涉及 theobserved 醫師和其他人的互動事件 (例如專家、 其他的護士, DepartmentHead 等)。 Mini-team 醫生達到 thedecision 承認或執行每個病人的來自各種來源的資訊。 從分診護士的資訊流來 thephysician 的 thecoordination 過程的第一個關鍵節點。這個流量有區別的兩個 EDs 在管理和需要不同的工件的 theemployment。 在一般教育署分流 workspaceis 位於沿其所有訪問 roomsare 襯裡的長走廊的開始。在 triagist 和醫生沒有直接的行的 sightfrom 他們的工作場所和通信是主要電腦 based(intranet)。在 triagist 收集資訊的標準方法在第一個接觸的過程中與病人和輸入資料直接插入一個的 computerizedform 選擇緊急的代碼和寫作的 thesymptoms (大約 25 個字元) 的簡短說明。此外,asecond triagist 投入表單 (例如血壓、 溫度等) 的病人的臨床參數。 系統組態這種卻醫生對其 computerscreen 看到即時的上述資訊。預設的電腦螢幕只指定為每個輪候病人、 時間和到達順序、,emergencycode 和症狀的簡短說明。為了查看,clinicalparameters 醫生必須退出,defaultscreen,並啟動一個單獨的應用程式。此開關從一個應用程式與其他導致的時間的損失,並注意由內科 (醫生在 themeantime 中看不到任何其他病人是否已到達) 和為此原因 mostphysicians 說,他們很少看臨床參數螢幕。本文分析決策的醫療保健運算子內醫院緊急部門 (ED) 的做法。EDs 醫療決策在複雜的環境中發生: 資源是有限的和決策情況的數量可以是高往往緊急 c 的結果護理情況、 高的病人數量和不完美的資訊。雖然教育署醫生自治是高的決定位於內與其他專業人士的交流與互動的過程,介導物理介質如臨床記錄和工件。

Still have questions? Get your answers by asking now.