Human Factors in Prescription Medication Management.ppt

Need to do formative work Some work done in medicine by Cook, Woods, and Cuschieri. * VA HSRD Salt Lake Informatics Decision Enhancement And Surveillance Center Human Factors in Prescription Medication Management Jonathan R. Nebeker MS MD VA Salt Lake City GRECC Acknowledgements Charlene R. Weir, PhD Frank Drews, PhD Molly Leecaster, PhD Rand Rupper, MPH MD Kenneth Boockvar, MD Brittany Mallin, MS MPH AHRQ R18 HS017186 VA Salt Lake City GRECC VA Salt Lake City IDEAS Center * Overview The Electronic Health Record context Current Future How theory gets us to future Theoretical Framework Study design Preliminary Findings * * Current CPRS VistA Emphasis on access Information siloed in tabs * Future CPRS VistA Emphasis on control Information integrated * Goal: EHR of future Decision Support v. Sense Making Computerized decision support is typically normative and targets the right decision. The CPRS of the future will emphasize an information-rich environment that targets sense making to support higher quality decisions in the highly variable context of patient care. * Progress The Electronic Health Record context Theoretical Framework (The pathway to the future) Joint Cognitive Systems or Cognitive Systems Engineering Contextual Control Model Study Design Preliminary Findings * Towards the Future Apply Cognitive Systems Engineering Human Factors in this talk Not about usability About the human-computer system * Joint Cognitive Systems Erik Hollnagel and David Woods System of artifact(s) + human(s) that accomplishes work. Not what do human and computer do best Control is a measure of the work’s quality. Examples of JCS: Scissors Fighter jets Combat robots * Contextual Control Model (CoCoM) Performance in context Different types of behaviors predict better outcomes Functional not structural approach Not about information processing models: Memory, programs, etc. Used in engineered systems ABS at Saab Nuclear Power Plants * CoCoM Main Concepts Competencies: possible