使用人,组织,流程,技术合适 (HOPT-fit) 框架评估与健康信息系统相关的错误
Maryati Mohd Yusof1, Toshihiro Takeda2, Yoshie Shimai2
1Faculty of Information Science and Technology, Universiti Kebangsaan Malaysia(UKM), Bangi, Malaysia.
Health informatics journal
|May 28, 2024
概括
医疗信息系统 (HIS) 错误的有效管理依赖于社会技术因素. 一个评估人类,组织,流程和技术适合性的框架指导着更安全的IS实施和使用.
科学领域:
- 医疗信息学 医疗信息学
- 社会技术系统分析 系统分析
- 患者安全 患者安全
背景情况:
- 复杂的健康信息系统 (HIS) 带来了独特的错误风险.
- 管理与HIS相关的错误对于患者安全和系统效率至关重要.
- 现有的框架可能无法完全捕捉到HIS错误的社会技术层面.
研究的目的:
- 评估与健康信息系统 (HIS) 相关的错误.
- 通过拟议的人类,组织,流程和技术合适的框架来识别所学到的经验教训.
- 为临床环境提供有关管理与HIS相关错误的指导.
主要方法:
- 定性案例研究方法.
- 通过观察,采访和文档分析收集数据.
- 在一座拥有1000张床位的日本专科教学医院进行.
主要成果:
- 有效的HIS错误管理涉及持续改进,安全文化,强有力的领导,沟通和反循环.
- 系统复杂性和过程因素 (规避方法,工作量,错误沟通) 导致药物错误.
- 拟议的框架有效指导评估与HIS相关的错误.
结论:
- 社会技术因素是有效管理HIS错误的关键.
- 一个系统的评估框架对于尽量减少与HIS相关的错误至关重要.
- 优化社会技术HIS组件可促进更安全的系统使用和患者护理.
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