开发和评估牙科事故报告系统:以用户为中心的风险管理方法
Kiti Siriwatana1, Sathirakorn Pongpanich2
1Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand. kiti.s@chula.ac.th.
BMC oral health
|March 5, 2025
概括
一个新的牙科事件报告系统 (DIRS) 通过提供一个用户友好的,标准化的方法来报告牙科中的不良事件来提高患者的安全性. 这种专门的系统提高了报告准确性,并促进了牙科护理的透明度.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 牙科患者的安全.
- 医疗信息学 医疗信息学
背景情况:
- 在医疗保健中,患者安全至关重要,牙科护理中的不良事件 (AE) 需要专门的报告系统.
- 现有的通用系统不能满足牙科的独特要求,强调了需要量身定制的方法.
- 牙科事件报告系统 (DIRS) 是作为一个以用户为中心的框架来解决这些报告障碍而开发的.
研究的目的:
- 引入和评估牙科事件报告系统 (DIRS),以改善牙科不良事件报告.
- 开发一个全面的牙科AE的分类系统.
- 评估DIRS的可用性和用户接受度.
主要方法:
- 在三个阶段采用混合方法方法.
- 第一个阶段:使用752份事故报告开发了牙科AE分类系统.
- 第二阶段:通过启发式评估验证的自动化风险评估和分类协助设计和完善DIRS.
- 第三阶段:对16名用户进行可用性测试,使用系统可用性量表 (SUS) 和用户接受性测试 (UAT).
主要成果:
- 该分类系统有效地对牙科特定的AE进行了分类,与认证标准保持一致.
- DIRS表现出高于平均水平的可用性,平均SUS分数为69.7.
- 用户验收测试显示,有效性 (3.15),有用性 (3.15) 和满意度 (3.38) 的评分很高,可靠性很强 (ICC=0.91).
结论:
- 通过一个用户友好的,标准化的系统,DIRS有效地解决了牙科事故报告的局限性.
- 该系统有可能提高报告准确性,并促进牙科机构的透明度文化.
- 进一步的研究应侧重于提高可用性,扩大测试,并探索可扩展性以实现更广泛的采用.
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