HERO (Healthcare Electronic Records in Organisations)

HERO（组织中的医疗保健电子记录）

• 批准号: G0600654/1
• 负责人: Trisha Greenhalgh
• 金额: $ 55.03万
• 依托单位: University College London
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2007
• 资助国家: 英国
• 起止时间: 2007 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=G0600654%2F1
• 关键词: HERO; Healthcare; Electronic; Records; Organisations

A major innovation in the NHS is a fully electronic patient record (EPR) that allows data to be transferred (e.g. between general practice and pharmacies or hospitals), and which also provide automatic prompts to make sure the doctor or nurse remembers to do the right tests and provide the right treatment (evidence based practice). But medical work is complex, and the EPR does not fit seamlessly into the way doctors, nurses and managers tend to go about their business. This study, which draws heavily on recent theoretical and methodological insights from organisational scientists in the USA, takes a new look at what the EPR is really for. Instead of considering it as a container for knowledge about the patient, we view the EPR as an ORGANISER for collaborative work practices around the patient s unfolding illness trajectory. In other words, the EPR tells the numerous health professionals, administrators and managers what they have to do when and in what order (and where the patient has to be), to ensure that an appropriate package of care is delivered. We will use a multi-method, multi-site case study approach (based on the work of Yin) to study these work practices and how the EPR enhances, develops, and threatens them. The goal of the research is to produce a pragmatic model for supporting NHS organisations in implementing the EPR and comparable complex technologies.

NHS的主要创新是一项完全电子的患者记录（EPR），允许传输数据（例如，在通用实践和药房或医院之间），并且还提供自动提示，以确保医生或护士记得做正确的事测试并提供正确的治疗方法（基于证据的实践）。但是医疗工作很复杂，EPR并不适合医生，护士和管理人员倾向于从事业务的方式。这项研究大大借鉴了美国组织科学家的最新理论和方法论洞察，它可以详细了解EPR的真正目的。我们没有将其视为有关患者知识的容器，而是将EPR视为围绕患者展开疾病轨迹的协作工作实践的组织者。换句话说，EPR告诉众多卫生专业人员，管理人员和经理，他们在何时何地（以及患者必须在哪里）要做什么，以确保提供适当的护理包。我们将使用多方法，多站点的案例研究方法（基于Yin的工作）来研究这些工作实践，以及EPR如何增强，发展和威胁它们。该研究的目的是生产一种实用模型，用于支持NHS组织实施EPR和可比的复杂技术。