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1、ARTICLEINPRESSJournalofBiomedicalInformaticsxxx(2005)xxx–xxxwww.elsevier.com/locate/yjbinCommentaryToerrisnotentirelyhuman:Complextechnologyandusercognitiona,*baJanHorsky,JiajieZhang,VimlaL.PatelaDepartmentofBiomedicalInformatics,ColumbiaUniversityMedicalCenter,NY,USAbSchoolofHealthInformationScienc
2、e,UniversityofTexas,Houston,TX,USAReceived5May2005Errors,misunderstandings,andinaccuracies,largeperhapsmoreakintothoseofafirefighterbrigadecom-andsmall,areroutineoccurrencesinoureverydayactiv-manderthantothepilotofanairliner.Inthesedo-ities.Wecanlivewithimperfectionmostofthetime,butmains,decisionsares
3、ometimesmadewithlittleorwerequirehealthcaretobe100%error-freeandmedicalunreliableevidence,andchangingcircumstancesdictatedevicestorunflawlessly.Whenourhighexpectationsquickadjustmentsintheplanningofactions.arenotmet,societyfeelsviolated.GiventhecomplexityTherecentJAMAreport[1]suggestingthatclinicalof
4、medicine,weshouldnotbesurprisedthatmistakesorderingsystems(CPOE)mayinfactcontributetomed-occur.However,wecanaskhealthcaretechnologyicalerrorsisasoberingreminderoftheofteninadequatedesignerstoplayanactiveroleinmitigatingtheeffectsfitofcurrentcomputingtechnologytoclinicalwork.ofusererrorinmedicine.Clini
5、calmedicineisauniquelyCautionarystatementsaboutanewkindofmedicaler-complexfieldforwhichcomputingtechnologyneedstororthatmayensuefromworkingwithinformationsys-bedevelopedaccordingtonovelandoftenunprecedent-tems[3]andanecdotalevidenceofthetremendouseddesignprinciples.challengestotheimplementationofclin
6、icalcomputingHealthinformationtechnology(HIT)hasundoubted-technology[4]haveappearedperiodicallyintheresearchlyreducedtheriskofseriousinjuryforpatientsduringliterature.Importantly,theJAMAstudymakesthehospitalstays.However,itstruepotentialforpreventingcharacterizationoftechnology-relatedmedicalerrorsm
7、edicalerrorsremainsonlypartiallyrealizedand,para-itscentralthesis.Theauthorsareconveyingtheirbeliefdoxically,ashasbeendemonstratedinarecentJAMAthatitistheflaweddesignandpoorintegrationwitharticle[1],so
