The Growing Move Toward Clinical Systems Engineering

The Clinical Engineering–Information Technology Professional Practice Interface

“…Therefore, clinical engineering approaches that acknowledge the abstractions provided by complexity have described engineering practice in parallel to biomedical informatics, with the engineer contributing technical expertise comparable with clinical expertise. 34 These approaches have sought to build structures or systems for technical outcomes alongside clinical outcomes and have facilitated the integration of care processes within the clinical workflow rather than simply designing individual solutions to cognitive performance processes. These engineering approaches are still grounded, however, in the core task of engineering design and seek to solve problems for physicians within the clinical systems they describe.…”

“…Given the complexity of healthcare problems, clinical engineering, much like other branches of engineering, 35 has adopted a systems-based perspective. 34 Fundamentally, this perspective does not seek to redefine the core task of engineering being performed, rather, seeks to better integrate engineering work into the complex system that is healthcare. Whether this perspective shift necessitates new formal skills in systems engineering or focuses on applying engineering skills necessary for the support and advancement of patient care to healthcare systems, the clinical engineer is still expected to perform engineering tasks within the healthcare system: seeking to be one of the individuals on the ground improving systems and processes in healthcare rather than the clinical informaticist looking to model healthcare.…”

“…This has resulted in novel disciplines of engineering such as architectural conservation and sustainability (civil), or green process (chemical) engineering or subspecialty interdisciplinary combinations such as mechatronics engineering. Therefore, clinical engineering approaches that acknowledge the abstractions provided by complexity have described engineering practice in parallel to biomedical informatics, with the engineer contributing technical expertise comparable with clinical expertise 34 . These approaches have sought to build structures or systems for technical outcomes alongside clinical outcomes and have facilitated the integration of care processes within the clinical workflow rather than simply designing individual solutions to cognitive performance processes.…”

“…Given the complexity of healthcare problems, clinical engineering, much like other branches of engineering, 35 has adopted a systems-based perspective 34 . Fundamentally, this perspective does not seek to redefine the core task of engineering being performed, rather, seeks to better integrate engineering work into the complex system that is healthcare.…”

Proposta de diretrizes curriculares para o desenvolvimento de um curso de especialização para o gerenciamento de tecnologias da informação em saúde

“…A escolha dos artigos foi baseada na descrição do impacto das TIS e nos resultados apresentados por cada trabalho. Foram levantados riscos relacionados principalmente com elementos externos aos centros hospitalares, vinculados à legislação e comportamentos sociais (Ash et al 2004;Sloane, 2004;Heeks, 2006;Harrison et al, 2007;Riha, 2009;Welch, 2009;Castañeda, 2010;Schrenker, 2010;Rhoads et al, 2010;Zambuto & Grimes, 2010;Black et al, 2011;Pereira & Paiva, 2011;Cooper & Eagles, 2011;Mattox, 2012;Sinsky et al, 2012).…”