用eSafety检查清单对全省范围的临床信息系统进行系统配置评估
Reed T Sutton1,2, Pritma Dhillon-Chattha1, Jason Kumagai3
1eQuality and eSafety Program, Provincial Patient Safety, Alberta Health Services, Edmonton, Alberta, Canada.
Applied clinical informatics
|September 13, 2023
概括
电子安全检查清单有效地识别了大型省级临床信息系统 (CIS) 中的配置缺口,提高了患者安全. 这种工具对于新的和现有的CIS实施来说是有价值的,以提高与技术相关的患者安全.
科学领域:
- 医疗信息学 医疗信息学
- 患者安全技术技术
- 临床信息系统临床信息系统
背景情况:
- 临床信息系统 (CIS) 实施后,与技术相关的问题导致大约三分之一的患者安全事故.
- 开发了一个基于证据的eSafety检查清单,以提供系统无关的配置建议,以提高CIS安全性.
研究的目的:
- 应用eSafety检查清单来支持安全的Connect Care初始配置,这是加拿大阿尔伯塔省的全省系统CIS.
- 评估eSafety检查清单在现实世界,大规模CIS实施中的临床适用性.
主要方法:
- 电子安全检查清单被改编成一个缩短的,高优先级版本.
- 记录了13个连接护理模块的演示.
- 两个独立的eSafety评估人员使用缩短的检查列表评估了每个模块的记录.
主要成果:
- 所有模块达到了超过72%的合规性,平均达到84%.
- 在四个关键主题中确定了273个改进机会:日期/时间一致性,患者识别清晰度,警报系统有效性和决策支持的充分性.
- 识别的机会被提交给开发团队进行审查和实施.
结论:
- 这项研究是首次在现实世界CIS实施中使用eSafety检查清单,证明了其实际价值.
- 检查清单成功识别了CIS配置中的关键缺口,突出了其在提高患者安全方面的实用性.
- 建议在新的和现有的CIS部署中使用eSafety检查清单,以积极解决与技术相关的安全问题.
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