Gearing Pauline, Olney Christine M, Davis Kim, Lozano Diego, Smith Laura B, Friedman Bruce
Dr. Kiran C Patel Research Institute, Pepin Heart Hospital, University Community Hospital, Tampa, FL, USA.
J Healthc Inf Manag. 2006 Fall;20(4):40-5.
As technology becomes more sophisticated in healthcare, there is increasing need to measure its impact on key quality indicators, such as error reduction, patient safety, and cost-benefit ratios. When a product is designed to decrease medical errors, the baseline error rate must be determined before implementation to accurately measure the impact. Given the opportunity to adopt a technology that would eliminate the need to manually document vital signs, a large Florida hospital decided to measure the current process and error rate of vital signs documentation. University Community Hospital in Tampa, Fla., designed a two-phase study to evaluate this process. Phase I of the study evaluated errors in the electronic medical record and traditional manual documentation. The results demonstrate that use of an EMR can reduce vital sign documentation errors by more than half compared with traditional manual documentation in paper charts. Researchers found the error rate for electronic vital signs documentation to be less than 5 percent, compared with the paper chart error rate of 10 percent.
随着医疗保健领域的技术日益复杂，越来越需要衡量其对关键质量指标的影响，如减少错误、患者安全和成本效益比。当一种产品旨在减少医疗错误时，在实施之前必须确定基线错误率，以便准确衡量其影响。有机会采用一种无需手动记录生命体征的技术时，佛罗里达州的一家大型医院决定测量当前生命体征记录的流程和错误率。佛罗里达州坦帕市的大学社区医院设计了一项两阶段研究来评估这一流程。该研究的第一阶段评估了电子病历和传统手动记录中的错误。结果表明，与纸质图表中的传统手动记录相比，使用电子病历可将生命体征记录错误减少一半以上。研究人员发现，电子生命体征记录的错误率低于5%，而纸质图表的错误率为10%。
