4.1.4  Principle 4: Design for Human and Organization Factors,

 

32

   

 4.1.5  Principle 5: Support the Cognitive Functions of All Caregivers, Including Health Professionals, Patients, and Their Families,

 

33

   

 4.2  Radical Change,

 

33

   

 4.2.1  Principle 6: Architect Information and Workflow Systems to Accommodate Disruptive Change,

 

33

   

 4.2.2  Principle 7: Archive Data for Subsequent Re-interpretation,

 

34

   

 4.2.3  Principle 8: Seek and Develop Technologies That Identify and Eliminate Ineffective Work Processes,

 

34

   

 4.2.4  Principle 9: Seek and Develop Technologies That Clarify the Context of Data,

 

35

5

 

RESEARCH CHALLENGES

 

36

   

 5.1  An Overarching Research Grand Challenge: Patient-Centered Cognitive Support,

 

39

   

 5.2  Other Representative Research Challenges,

 

45

   

 5.2.1  Modeling,

 

45

   

 5.2.2  Automation,

 

46

   

 5.2.3  Data Sharing and Collaboration,

 

49

   

 5.2.4  Data Management at Scale,

 

53

   

 5.2.5  Automated Full Capture of Physician-Patient Interactions,

 

56

6

 

RECOMMENDATIONS

 

59

   

 6.1  Government,

 

60

   

 6.2  The Computer Science Community,

 

65

   

 6.3  Health Care Organizations,

 

66

7

 

CONCLUDING THOUGHTS

 

68

 

 

APPENDIXES

 

 

   

 A  Committee Members and Staff

 

71

   

 B  Meeting and Site Visit Agendas and Site Visit Methodology

 

80

   

 C  Observations, Consequences, and Opportunities: The Site Visits of the Committee

 

93



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