电子输血安全系统的实施挑战:从一个国际性的多地点比较案例研究中得出的教训
Stijn Horck1, Nick Fahy2, Trisha Greenhalgh3
1Department of Health Promotion, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands.
实施用于输血的条形码扫描面临着后勤和机构方面的挑战. 医院间的学习和灵活的设计对于这种重要的安全措施的广泛采用和持续使用至关重要.
科学领域:
- 医疗保健安全 医疗保健安全
- 医疗信息学 医疗信息学
- 患者血液管理患者血液管理
背景情况:
- 严重的输血反应是可以预防的错误,称为"从未发生的事件".
- 扫描条形码以匹配患者和血液袋是技术上简单的安全措施.
- 在医疗保健中普遍采用条形码扫描仍然是一个挑战,原因是后勤和机构障碍.
研究的目的:
- 为了调查实施条码扫描用于输血的实施.
- 确定在医疗保健中传播,扩展和维持IT支持的安全措施的挑战.
主要方法:
- 一个5年的前性,多个地点的案例研究.
- 涉及英国的一家医院和荷兰的三家医院.
- 利用民族学方法,包括采访和观察.
主要成果:
- 在采用和实施条码扫描路径方面观察到显著的差异.
- 引入条码扫描的成功程度在不同的医疗保健环境中各不相同.
- 尽管它具有潜力,但在减少输血错误方面取得的广泛成功并不统一.
结论:
- 医院间学习和灵活的系统设计对于成功实施至关重要.
- 一个结构化的国家知识共享网络可以改善创新的传播和可持续性.
- 解决后勤和机构挑战是提高输血患者安全的关键.
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