Roumm Adam R, Sciamanna Christopher N, Nash David B
Cephalon Inc., 41 Moores Road, PO Box 1411, Frazer, PA 19355, USA.
Am J Med Qual. 2005 Nov-Dec;20(6):304-12. doi: 10.1177/1062860605281670.
The purpose of this study was to review the state of the art of private sector internal error-reporting systems and to begin to develop a classification system for comparing systems. Interviews were conducted to research and examine 9 systems currently on the market. Analysis resulted in the following observations: (1) 7 of the systems are stand-alone, while 2 are part of larger hospital information systems; (2) most of the systems have been in existence for less than 5 years; (3) acute care hospitals are the primary clients; (4) systems are capable of interfacing with other information systems and root-cause analysis programs; and (5) systems are browser based and accessible via the Internet and/or the provider's intranet. Additional studies are needed to determine the impact of these systems on health outcomes. However, one fact is clear: tracking incidents will not improve patient safety unless administrators close the feedback loop on quality.
本研究的目的是回顾私营部门内部错误报告系统的发展现状，并开始开发一个用于比较各系统的分类系统。通过访谈对目前市场上的9个系统进行了调研和审查。分析得出以下观察结果：（1）其中7个系统为独立系统，2个是大型医院信息系统的一部分；（2）大多数系统的使用时间不到5年；（3）急症护理医院是主要客户；（4）系统能够与其他信息系统和根本原因分析程序对接；（5）系统基于浏览器，可通过互联网和/或供应商的内部网访问。还需要进行更多研究以确定这些系统对健康结果的影响。然而，有一个事实很清楚：除非管理人员闭合质量反馈回路，否则追踪事件并不能提高患者安全。
