随着时间的推移,用于检测和减轻系统相关错误的策略:澳大利亚卫生区的定性研究
Madaline Kinlay1, Wu Yi Zheng2, Rosemary Burke3
1Biomedical Informatics and Digital Health, School of Medical Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, 2006, Australia.
BMC health services research
|July 25, 2024
概括
前线临床医生是检测电子医疗记录 (EMR) 系统中系统相关错误的关键. 积极的,多层次的组织策略和EMR重新设计对于减轻这些错误和确保安全使用EMR至关重要.
科学领域:
- 医疗信息学 医疗信息学
- 患者安全 患者安全
- 临床风险管理临床风险管理
背景情况:
- 电子医疗记录 (EMR) 系统增强了临床信息获取和药物安全.
- 然而,EMR可以引入与纸质记录不存在的与系统有关的错误.
- 这项研究调查了澳大利亚卫生区内的错误检测和缓解策略.
研究的目的:
- 确定目前用于检测和减轻系统相关EMR错误的策略.
- 探索利益相关者对未来错误预防策略的看法.
- 提高EMR系统的安全性和有效性.
主要方法:
- 使用半结构面试进行的定性描述性研究.
- 从澳大利亚悉尼三家医院的25个利益相关方收集的数据 (2020年9月至2021年5月).
- 专题分析使用一般的诱导方法来识别新出现的主题.
主要成果:
- 前线临床医生是系统相关EMR错误的主要检测器.
- 检测方法包括直接报告,事件管理系统,EMR报告和组织流程.
- 重新设计EMR,用户教育和最大限度地减少混合系统是关键的缓解策略.
结论:
- 虽然临床医生对于最初的错误检测至关重要,但积极的组织策略可以改善系统管理.
- 经过EMR设计修改和有针对性的教育,支持安全的EMR实施和持续开发.
- 多层次的方法对于全面的EMR安全至关重要.
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