临床信息学团队成员对健康信息技术安全的观点经验学习和安全过程开发后:定性描述性研究
Chantelle Recsky1, Kathy L Rush2, Maura MacPhee1
1School of Nursing, University of British Columbia, Vancouver, BC, Canada.
临床信息学家通过体验式学习,安全聚集和社会技术分析来提高健康信息技术 (HIT) 安全性,培养更强大的安全文化.
科学领域:
- 医疗信息学 医疗信息学
- 患者安全 患者安全
- 社会技术系统理论社会技术系统理论
背景情况:
- 快速采用健康信息技术 (HIT) 可以在医疗保健中引入意想不到的安全风险.
- 一名嵌入式研究人员与临床信息学团队合作,检查HIT安全性和初级和社区护理中的危害.
- 该团队参与了关于人为因素和社会技术系统的学习活动,开发了技术相关安全事件的安全聚集等流程.
研究的目的:
- 探索临床信息学家在将患者安全实践纳入工作中的经验.
- 确定临床信息学家解决卫生信息技术安全问题的障碍和推动因素.
主要方法:
- 定性描述性研究设计.
- 基于网络的焦点小组与10名临床信息学家进行了讨论.
- 用于数据解释的专题分析.
主要成果:
- 关键障碍包括先前对HIT安全的有限知识,竞争的优先事项和报告系统的困难.
- 启用器包括学习课程,分析安全事件,参与安全聚会和研究人员领导.
- 结果包括增加对HIT安全的所有权,社会技术视角,以及加强团队沟通和安全文化.
结论:
- 临床计算机专家必须认识到与HIT集成相关的安全风险.
- 经验式学习,安全事件审查和安全聚集对HIT安全有重大影响.
- 一个专门的HIT安全学习计划可以增强计算机专家的知识和参与度.
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