将 "人为因素分析和分类系统"(HFACS)模型应用于预防医疗事故和不良事件:系统回顾。

IF 1.7 Q2 MEDICINE, GENERAL & INTERNAL
International Journal of Preventive Medicine Pub Date : 2023-11-30 eCollection Date: 2023-01-01 DOI:10.4103/ijpvm.ijpvm_123_22
Mahdi Jalali, Habibollah Dehghan, Ehsanollah Habibi, Nima Khakzad
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引用次数: 0

摘要

医院作为人类社会最重要的分部门之一,有责任为客户提供安全有效的医疗服务。但有时,这些医院也会因医疗失误而成为造成病人伤亡的根源。本系统综述研究调查了人为因素分析和分类系统(HFACS)方法在医疗事故分类中的应用。研究人员检索了 Scopus、Web of Science 和 MEDLINE 等主要电子数据库。纳入了自 2001 年至 2021 年 2 月期间进行的所有研究,这些研究调查了医疗差错和不良事件的编码、因果关系和分类中 HFACS 方法的应用情况。共找到 108 篇文章。由于内容重复,有 18 篇研究从审查名单中删除。在阅读了标题和摘要后,其中 50 篇文章因其目的与本综述不同而被剔除。剩下的 40 篇文章被检索出来做进一步评估。其中 28 篇文章因不符合纳入标准而被剔除。最后,剩下 12 篇文章用于最终的系统综述。我们发现,在 65% 的选定研究中,不安全行为的先决条件是医疗事故和不良事件的主要成因。在大多数研究中,沟通与协调、不良心理状态、物理环境、机组资源管理和技术环境也被认为是本研究中最重要的成因类别。因此,要预防医疗事故和不良事件的发生,重点应放在控制不安全行为的先决条件上,包括人员因素、操作人员条件和环境因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Application of "Human Factor Analysis and Classification System" (HFACS) Model to the Prevention of Medical Errors and Adverse Events: A Systematic Review.

Hospitals, as one of most important subsectors in human societies, are responsible for providing safe and effective medical services to clients. But sometimes these hospitals are the source of injury and death in patients by creating medical errors. In this systematic review study, the application of human factor analysis and classification system (HFACS) method in the classification of medical errors was investigated. Major electronic databases including Scopus, Web of Science, and MEDLINE were searched. All studies that investigated the application of HFACS method for coding, causation, and classification of medical errors and adverse events conducted from 2001 until February 2021 were included. A total of 108 articles were found. Due to duplication, 18 studies were removed from the review list. After reading the titles and abstracts, 50 of these publications were excluded because they had objectives different from this review. The remaining 40 publications were retrieved for further assessment. Of these, 28 publications were excluded because it did not meet the inclusion criteria. Finally, 12 articles remained for the final systematic review. We found that in 65% of the selected studies, preconditions for unsafe acts have been the major causal level of medical errors and adverse events. In the majority of the studies, communication and coordination, adverse mental states, physical environment, crew resource management, and technological environment have also been recognized as the most important causal categories in this study. As a result, to prevent medical errors and adverse events, the main focus should be on controlling the preconditions for unsafe acts including personnel factors, operator conditions, and environmental factors.

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来源期刊
International Journal of Preventive Medicine
International Journal of Preventive Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
3.20
自引率
4.80%
发文量
107
期刊介绍: International Journal of Preventive Medicine, a publication of Isfahan University of Medical Sciences, is a peer-reviewed online journal with Continuous print on demand compilation of issues published. The journal’s full text is available online at http://www.ijpvmjournal.net. The journal allows free access (Open Access) to its contents and permits authors to self-archive final accepted version of the articles on any OAI-compliant institutional / subject-based repository. The journal will cover technical and clinical studies related to health, ethical and social issues in field of Preventive Medicine. Articles with clinical interest and implications will be given preference.
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