Health information technologies: From hazardous to the dark side
本文探讨健康信息技术在手术室中带来的五种相互关联的危险因素(复杂性、负荷失衡、个人培训不足、团队培训不足、外科医生过度自信),并分析其对患者安全的负面影响及工作替代等阴暗面。
This article explores the effects of health information technologies (HIT) in operating rooms (ORs). When functioning well, HIT are a boon to mankind. However, HIT in the OR also create hazards for patients for a number of interrelated reasons. We introduce 5 interrelated components of hazard situations for medical teams operating in the OR: complexity, overload/underload, inadequate individual training, inadequate training of medical teams, and overconfidence of surgeons. These components of hazard situations in the OR may negatively impact patient safety. We discuss implications, especially in terms of individuals and medical teams in the OR, as well as work substitution as a broader aspect of the potential dark side of health IT.