Preliminary Exploration of Main Elements for Systematic Classification Development: Case Study of Patient Safety...

Area of Science:

• Health Information Technology
• Patient Safety
• Classification Development

Background:

• Lack of a holistic theoretical approach for classification development.
• Existing literature often focuses on specific domains or practical applications.
• Need for a systematic approach in health information technology patient safety classification.

Purpose of the Study:

• Address the methodological gap in classification development research.
• Explore elements of systematic classification development.
• Promote sustainable and well-grounded classification outcomes.

Main Methods:

• Qualitative research approach.
• Specified preliminary elements: concept model, process documentation, multidisciplinary expertise, validation, and maintenance.
• Tested elements using patient safety incidents (n=501).

Main Results:

• Demonstrated classification development using defined elements.
• Identified technology-induced errors in usability, system downtime, clinical workflow, and medication.
• Confirmed that a systematic, theory-based approach improves transparency and assessment.

Conclusions:

• Recommend further testing of the presented elements.
• The study provides a basis for future classification development research.
• Suggests refining the approach with data from diverse electronic health records and use contexts.