与电子医疗记录相关的医疗错误构成的不同看法
Ross Koppel1,2, Craig Kuziemsky3, Peter L Elkin2
1University of Pennsylvania, Philadelphia, PA, USA.
Studies in health technology and informatics
|June 22, 2023
概括
由于不同的背景和角色,利益相关者对医疗信息技术 (HIT) 错误的看法在各个利益相关者之间存在很大差异. 本研究阐明了这些关于HIT错误的不同观点,并提出了解决方案.
科学领域:
- 医疗信息学 医疗信息学
- 医学错误研究 医学错误研究
- 人与计算机的交互
背景情况:
- 对于医疗信息技术 (HIT) 错误的看法是高度可变的,受个人角色和组织环境的影响.
- 在HIT供应商,临床医生,IT工作人员和各部门之间存在关于错误原因和定义的差异.
- 对与HIT相关的错误缺乏标准化的定义和计数方法,这使得准确的评估变得复杂.
研究的目的:
- 列举和澄清围绕着与HIT相关的医疗错误的差异感知问题的问题.
- 分析关于HIT错误因果关系和发生率的相互矛盾观点的根本原因.
- 提出可行的解决方案,以减轻在HIT错误管理中的基于感知的挑战.
主要方法:
- 对有关HIT错误的利益相关者的观点进行定性分析.
- 关于定义和报告医疗错误的现有框架的文献综述.
- 在不同的医疗保健角色和组织单位中对错误归因进行比较分析.
主要成果:
- 利益相关者对HIT错误的看法在很大程度上取决于他们的职业角色,部门隶属和组织地位.
- HIT供应商,临床医生,实施团队和IT人员经常将错误归因于不同的来源.
- 目前缺乏定义和量化与HIT相关错误的通用标准,导致数据和理解冲突.
结论:
- 解决对HIT错误的不同看法需要采用多方面的方法,承认不同的观点.
- 标准化HIT错误的定义和报告机制对于准确的分析和改进至关重要.
- 实施涉及所有利益相关者的协作策略可以加强识别和解决与HIT相关的安全问题.
相关概念视频
01:30Methods of Documentation VII: EMR
868
Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare...
868
01:18Guidelines and Strategies for Safe Computer Charting
836
The guidelines and strategies provided by the American Nurses Association (ANA) and the Canadian Nurses Association (CNA) offer essential principles for ensuring safe and secure computer charting systems in healthcare settings. Let's break down each recommendation:
Maintain Confidentiality and Security:
Maintain Confidentiality and Security:
836
01:25Errors occurring during blood pressure monitoring
781
Blood pressure monitoring is a crucial clinical procedure in diagnosing and managing various cardiovascular conditions. Despite its significance, the accuracy of blood pressure measurements can be compromised by multiple factors, potentially leading to either falsely high or low readings. These inaccuracies are critical as they can significantly impact patient care. So, it is vital to understand these challenges deeply and adopt strategic approaches to minimize errors.
Several factors...
Several factors...
781
01:10Documentation of Nursing Diagnosis
1.3K
The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a plan of care or entered into the electronic health record.
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
1.3K
01:11Purpose of Health Records I
1.3K
The vital purpose of health records is to provide a complete and accurate account of a patient's medical history, including communication, diagnostic and therapeutic orders, care planning, research, and quality review.
Here's a breakdown of how health records serve these purposes:
Here's a breakdown of how health records serve these purposes:
1.3K
01:21Barriers to Effective Communication II
3.7K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
3.7K