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了解系统优化规范错误:与技术相关的错误机制分类技术相关的错误机制
Magdalena Z Raban1, Alison Merchant2, Erin Fitzpatrick2
1Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia Magda.Raban@mq.edu.au.
BMJ health & care informatics
|November 2, 2024
概括
计算机化供应商订单输入 (CPOE) 系统中与技术相关的处方错误 (TREs) 是一个重大问题. 这项研究更新了使用儿科数据对TRE机制的分类,有助于对药物安全性进行CPOE优化.
科学领域:
- 医疗信息学 医疗信息学
- 药物安全 药物安全
- 临床系统 临床系统
背景情况:
- 与技术相关的错误 (TREs) 削弱了计算机化提供者订单输入 (CPOE) 对药物安全的好处.
- 了解TRE机制对于优化CPOE系统至关重要.
- 使用成人医院数据开发了TRE机制的先前分类.
研究的目的:
- 通过使用儿科处方错误数据更新现有的TRE机制分类.
- 评估应用更新分类的独立审稿人的可靠性.
- 在儿科环境中为CPOE优化策略提供信息.
主要方法:
- 分析了来自第三级儿科医院的1696个处方错误 (2016-2017年).
- 识别和调查与技术相关的错误 (TREs).
- 使用更新系统对潜在机制进行分类,包括在CPOE测试环境中进行模拟.
主要成果:
- 更新的技术相关错误机制 (TREM) 分类包括六个机制类别和一个贡献因素.
- 确定的特定类别包括错误的系统配置,错误的患者记录选择,构建错误,编辑错误,工作流差异和混合系统使用.
- 该分类包括19个子类别,详细说明特定的错误类型.
结论:
- 在CPOE系统中,TRE仍然是一个关键的挑战.
- 更新的TREM分类提供了一种系统的方法来评估和监测TREs.
- 这种分类现在在儿科环境中得到了验证,可以指导CPOE系统的改进,并优先考虑干预措施.
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