对瑞典医疗保健领域与医疗信息技术有关的事件进行审查,以确定系统问题的特征,为改进临床实践奠定基础。

IF 2.2 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Ding Pan, Evalill Nilsson, Md Shafiqur Rahman Jabin
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引用次数: 0

摘要

本研究调查了与医疗信息技术相关的事故,以确定系统问题的特征,为瑞典临床实践的改进提供依据。研究人员通过访谈收集了事故报告,并从自愿事故数据库中回顾性地收集了事故信息,然后采用演绎法和归纳法对其进行了分析。大多数主题与系统问题有关,如功能、设计和集成。确定的系统问题主要是技术因素(74%),人为因素占 26%。一半以上的事件(55%)对员工或组织造成了影响,其余事件对患者造成了影响--患者不便(25%)和患者伤害(20%)。研究结果表明,选择和调试合适的系统、设计出 "易出错 "的功能、确保应急计划到位、实施临床决策支持系统以及及时应对事故至关重要。这些战略将改善医疗信息技术系统和瑞典的临床实践。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A review of incidents related to health information technology in Swedish healthcare to characterise system issues as a basis for improvement in clinical practice.

This study examined health information technology-related incidents to characterise system issues as a basis for improvement in Swedish clinical practice. Incident reports were collected through interviews together with retrospectively collected incidents from voluntary incident databases, which were analysed using deductive and inductive approaches. Most themes pertained to system issues, such as functionality, design, and integration. Identified system issues were dominated by technical factors (74%), while human factors accounted for 26%. Over half of the incidents (55%) impacted on staff or the organisation, and the rest on patients - patient inconvenience (25%) and patient harm (20%). The findings indicate that it is vital to choose and commission suitable systems, design out "error-prone" features, ensure contingency plans are in place, implement clinical decision-support systems, and respond to incidents on time. Such strategies would improve the health information technology systems and Swedish clinical practice.

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来源期刊
Health Informatics Journal
Health Informatics Journal HEALTH CARE SCIENCES & SERVICES-MEDICAL INFORMATICS
CiteScore
7.80
自引率
6.70%
发文量
80
审稿时长
6 months
期刊介绍: Health Informatics Journal is an international peer-reviewed journal. All papers submitted to Health Informatics Journal are subject to peer review by members of a carefully appointed editorial board. The journal operates a conventional single-blind reviewing policy in which the reviewer’s name is always concealed from the submitting author.
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