KIDRS

논문검색

논문제목환자 안전 경고의 누락 방지를 위한 병동 상황인지 기반 정보 시스템 인터랙션 디자인
영문Interaction Design of a Ward Situation Awareness–Based Information System to Prevent Missed Patient Safety Alerts
저자이혜민첨부파일
초록
Hospital wards must respond quickly to patient safety incidents, yet accumulated alerts often fail to lead to resolution. This study defines this breakdown as alert leakage, focusing on disconnections after an alert is issued—acknowledgement, assignment of responsibility, action execution, and closure. We propose five leakage types and structure ward situation awareness–based information system interaction as a stepwise pipeline from patient monitoring setup and patient–sensor linkage to event capture, state interpretation, priority ordering, responsibility designation, acknowledgement and confirmation, action execution, closure or unresolved-state retention, and switching under delay. For each stage, we map likely leakage points and propose minimal interaction design mechanisms, including standardized state levels with concise rationale and check items, top-incident emphasis with bundled summaries, explicit primary/backup/escalation paths, persistent unresolved-state visibility, a minimal action sequence (verify–contact–intervene–document), and clear closure conditions. The system is illustrated through infusion anomaly and fall scenarios and refined via expert group discussion with nurses, developers, and UX specialists. The contribution is a design-oriented information system interaction framework that secures end-to-end continuity from alert to closure within ward workflows.