在瘤护理中对计算机相关事件的回顾性社会技术分析
Chantelle Recsky1,2, Prabhjot Gill3, Michelle Tam2
1University of British Columbia, Vancouver, British Columbia, Canada.
癌症护理中的计算机化系统可能会导致安全问题. 分析了76个事件,发现人为因素和工作流程问题是关键因素,强调需要解决技术实施的非技术方面.
科学领域:
- 医疗信息学 医疗信息学
- 患者安全 患者安全
- 在瘤学瘤学.
背景情况:
- 计算机化系统在现代瘤治疗中至关重要.
- 然而,这些系统可能会带来重大风险,包括工作流程中断,通信故障和潜在的处理错误.
研究的目的:
- 在瘤学环境中分析与计算机系统相关的自愿报告的安全事件.
- 通过使用公认的模型,识别导致这些事件的社会技术因素.
主要方法:
- 一项审查76个自愿报告的安全事件涉及计算机在瘤护理中心.
- 使用Sittig和Singh社会技术模型对事件进行分类,以确定导致的因素.
主要成果:
- 最常见的贡献维度是"人"和"工作流程和沟通".
- 与药物相关的问题和门诊化疗事件是常见的事件类型.
- 分析的事件中有很大一部分 (23%) 有可能造成严重伤害.
结论:
- 社会技术因素,特别是人为因素和工作流程/沟通问题,在瘤学中与技术相关的安全事件中发挥着关键作用.
- 解决这些非技术因素对于计算机化系统在癌症护理中的安全和有效实施至关重要.
- 减轻风险和提高瘤护理质量需要采用整体方法,考虑技术和人为因素之间的相互作用.
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