在条码药物管理中从规避方法中学习:安全II视角
Danielli Cossul1, Tarcisio Abreu Saurin1, Rosana da Silva Fraga2
1Industrial Engineering Post-Graduate Program, Universidade Federal do Rio Grande do Sul, Brazil.
Applied ergonomics
|July 27, 2025
概括
从医疗保健解决方案 (WA) 中学习是改善的关键. 本研究提供了从WA学习的指导方针,重点关注风险降低和安全II视角,以建立有弹性的医疗保健系统.
科学领域:
- 医疗保健信息学 医疗保健信息学
- 患者安全 患者安全
- 人类因素工程 人类因素工程
背景情况:
- 医疗数字技术中的解决方案 (WA) 是普遍存在的.
- 现有的研究缺乏从WA学习的方法来推动改进.
- 从安全II的角度来看,承认 WA 的上下文依赖性和混合结果至关重要.
研究的目的:
- 引入医疗保健中从规避方法中学习的指南.
- 用一个案例研究为这些准则提供经验基础.
- 为设计学习系统提供信息,以支持弹性医疗保健.
主要方法:
- 一个大型医院的条形码药物管理的案例研究.
- 混合方法数据收集:文档分析,影视,采访,焦点小组,调查 (风险评估和心理安全).
- 解决方案的分析,有助于因素和结果.
主要成果:
- 确定了22个解决方案,其中43个是有助于解决问题的因素.
- 记录了九个潜在的想要结果和九个潜在的不想要结果.
- 制定了五个学习指南,重点关注风险优先级,降低风险,数据驱动的洞察力,WA限制和安全II语言.
结论:
- 解决促成因素对于减少 WA 频率和风险至关重要.
- 拟议的指导方针可以增强从绕过方法的学习.
- 这些指导方针通过利用来自WA的见解来支持弹性医疗保健系统的发展.
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