Escoto Kamisha Hamilton, Karsh Ben-Tzion, Beasley John W
MacroErgonomics Safety and Health Laboratory, University of Wisconsin-Madison, Madison, Wisconsin 53706, USA.
Hum Factors. 2006 Spring;48(1):48-58. doi: 10.1518/001872006776412207.
The study examined the differences between physicians and clinical assistants in their preferences for a statewide medical error reporting system.
Medical error reporting systems have been proposed as a means for studying the causes of medical error. Knowledge of user similarities and differences is needed for the development of design guidelines for medical error reporting systems.
Separate focus groups composed of 8 physicians and 6 clinical assistants (physician clinical support staff) were conducted. One-hour focus group meetings were conducted via toll-free teleconference lines one to two times per month for 9 months. All conversations were audiotaped and transcribed for analysis. An inductive content analysis was conducted.
Eighty-six major and minor themes emerged. Differences between physicians and clinical assistants included rules and regulations governing the use of the system, the medium of reporting, and aspects of the organization that may affect reporting levels.
Although physicians and clinical assistants shared similar preferences and beliefs surrounding error reporting, there were differences that need to be considered if medical error reporting systems are to be effective.
To successfully deploy a medical error reporting system, the system itself must be designed for the potential users. This study uncovered previously underappreciated issues that should be incorporated into the design and implementation process. Actual or potential applications of this research include the improvement of the design and implementation of medical error reporting systems to account for the needs of different types of users.
本研究考察了医生和临床助理在对全州医疗差错报告系统的偏好方面的差异。
医疗差错报告系统已被提议作为研究医疗差错原因的一种手段。在制定医疗差错报告系统的设计指南时，需要了解用户的异同。
分别组织了由8名医生和6名临床助理（医生临床支持人员）组成的焦点小组。通过免费电话会议线路，每月进行一到两次一小时的焦点小组会议，共持续9个月。所有对话都进行了录音和转录以供分析。进行了归纳性内容分析。
共出现了86个主要和次要主题。医生和临床助理之间的差异包括系统使用的规章制度、报告媒介以及可能影响报告水平的组织方面。
尽管医生和临床助理在差错报告方面有相似的偏好和信念，但如果医疗差错报告系统要有效，仍存在一些需要考虑的差异。
为了成功部署医疗差错报告系统，系统本身必须针对潜在用户进行设计。本研究发现了一些此前未被充分认识的问题，应将其纳入设计和实施过程。本研究的实际或潜在应用包括改进医疗差错报告系统的设计和实施，以满足不同类型用户的需求。
