Kaplan Harold S, Callum Jeannie L, Rabin Fastman Barbara, Merkley Lisa L
New York Presbyterian Hospital and Columbia University, Harkness Pavilion 4-418, 622 West 168th Street, New York, NY 10032, USA.
Transfus Med Rev. 2002 Apr;16(2):86-102. doi: 10.1053/tmrv.2002.31459.
The Medical Event Reporting System for Transfusion Medicine (MERS-TM) collects, classifies, and analyzes events that potentially could compromise the safety of transfused blood to facilitate system improvement. This system is designed to collect data on near misses as well as actual events. Near-miss events are a valuable source of data because they occur more frequently than, but share many characteristics and causes of, actual events. Further, although most current reporting efforts describe only what has occurred with little attention to what caused the event, MERS-TM includes a standardized method of causal analysis. The standardization provided by MERS allows users to compare their experience with that of other organizations, which speeds learning across the entire transfusion medicine community. Important features of the MERS-TM system are that it is able to capture threats, hazards, near misses, injuries, and deaths; characterizes failures and recoveries systematically; identifies and provides causal codes for the entire range of system defects including technical, organizational, cultural, and human factors; raises staff awareness about error management; is easily integrated with existing quality assurance programs; has a consistent and straightforward classification method; enables compliance with mandatory Food and Drug Administration reporting and accreditation requirements; has features to deal with a high volume of reports; supplies Web-based training, data entry, and analysis; and provides comparative benchmarks from comparable institutions.
输血医学医疗事件报告系统（MERS-TM）收集、分类和分析可能危及输血安全的事件，以促进系统改进。该系统旨在收集未遂事件以及实际事件的数据。未遂事件是宝贵的数据来源，因为它们比实际事件发生得更频繁，且与实际事件有许多共同的特征和原因。此外，尽管目前大多数报告工作只描述了发生的事情，而很少关注事件发生的原因，但MERS-TM包括一种标准化的因果分析方法。MERS提供的标准化使用户能够将自己的经验与其他组织的经验进行比较，从而加快整个输血医学界的学习速度。MERS-TM系统的重要特点包括：能够捕获威胁、危险、未遂事件、伤害和死亡；系统地描述故障和恢复情况；识别并为包括技术、组织、文化和人为因素在内的所有系统缺陷提供因果代码；提高工作人员对差错管理的认识；易于与现有的质量保证计划整合；有一致且简单的分类方法；能够符合美国食品药品监督管理局的强制报告和认证要求；具备处理大量报告的功能；提供基于网络的培训、数据录入和分析；并提供来自可比机构的比较基准。
