The potential role of IT in supporting the work of junior doctors.

R J Young, S D Horsley, M McKenna
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Abstract

Objectives: To develop an information system using hand-held personal computers to support the work of junior doctors.

Design: A user-driven design process was used. Functionality reflected the core work of house officers (HOs) and senior house officers (SHOs); i.e. ward round lists, immediate discharge summaries, patient handover, laboratory and guidelines reference information and a personal record of clinical experience.

Setting: Salford Royal Hospital NHS Trust is a university hospital with a large acute medical case load.

Subjects: Several 'generations' of HOs and SHOs working in two of the four medical firms. Predominantly acute medical case load.

Main outcome measures: Robustness, acceptability and benefits, assessed by observations and questionnaires.

Results: The system has proved robust. It is time neutral for the juniors and minimal time is needed for training/adaptation. Most felt the system to have either made their lives easier or to have had no detrimental impact. Ward round lists and printed immediate discharge summaries have been particularly successful.

Conclusions: A hand-held IT system designed for house doctors can provide immediate, low-cost support for their activities.

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资讯科技在支援初级医生工作方面的潜在作用。
目的:开发一种支持初级医生工作的掌上电脑信息系统。设计:使用用户驱动的设计过程。功能反映屋务主任和高级屋务主任的核心工作;即查房名单、即时出院摘要、病人交接、实验室和指南参考信息以及个人临床经验记录。设置:索尔福德皇家医院NHS信托是一所大学医院,有大量的急性医疗病例负荷。研究对象:在四家医疗公司中的两家工作的几代HOs和SHOs。主要是急性医疗病例负荷。主要结果测量:稳健性、可接受性和效益,通过观察和问卷评估。结果:该系统具有较好的鲁棒性。这对青少年来说是时间中性的,训练/适应所需的时间最少。大多数人认为,该制度要么使他们的生活更轻松,要么没有产生有害影响。查房名单和打印的即时出院摘要尤其成功。结论:为家庭医生设计的手持式IT系统可以为他们的活动提供即时、低成本的支持。
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