An Investigation on Patient Incident Reports: Association Rule Mining Approach

Cheng-Feng Wu, Hsin-Hung Wu, Cheng-Shan Wu, Kuan-Kai Huang, Meng-Chen Lin
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Abstract

The occurrence of error events in incident reporting systems leads to deterioration of performance in patient safety. Investigating the critical pattern to identify human or system factors in the problem process is crucial for healthcare organizations. However, little is known about incident reports in general ward settings. To analyze error events in an incident reporting system widely used in Taiwan, and to explore various levels of severity assessment and critical attributes leading to. The data consisted of error events (n = 738), including 13 types of reported errors, reported by one of the best regional hospitals in Taiwan in 2016–2018. The association rules are used to extract professionals' and patients' related sources of risk in the general ward. The important attributes including types of reported errors, gender, and working shifts result in serious and major severeness. Female inpatients who suffered from unexpected cardiac arrest events have less severeness comparing to male inpatients. Unexpected cardiac arrest events represent important events in types of reported errors, suggesting the professionals in healthcare organizations should consider an intervention for preventing the event.
患者事件报告研究:关联规则挖掘方法
事故报告系统中错误事件的发生导致患者安全性能的恶化。调查关键模式以识别问题流程中的人为或系统因素对于医疗保健组织至关重要。然而,对于一般病房设置的事故报告知之甚少。分析台湾广泛使用的事件报告系统中的错误事件,并探讨不同级别的严重性评估和导致的关键属性。数据由台湾某最好的地区医院2016-2018年报告的错误事件(n = 738)组成,包括13种报告错误。关联规则用于提取普通病房中专业人员和患者相关的风险源。包括报告错误类型、性别和工作班次在内的重要属性导致严重和重大严重程度。女性住院患者发生意外心脏骤停事件的严重程度低于男性住院患者。意外心脏骤停事件是报告错误类型中的重要事件,建议医疗机构的专业人员应考虑采取干预措施来预防该事件。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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