• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

相似文献

1
Integrating incident reporting into an electronic patient record system.将事件报告整合到电子病历系统中。
J Am Med Inform Assoc. 2007 Mar-Apr;14(2):175-81. doi: 10.1197/jamia.M2196. Epub 2007 Jan 9.
2
Incident reporting in one UK accident and emergency department.英国一家急诊科的事件报告。
Accid Emerg Nurs. 2006 Jan;14(1):27-37. doi: 10.1016/j.aaen.2005.10.001.
3
On stepwise integrating an electronic patient record based on digital-optical archiving and multi-purpose health professional workstations: experiences at the Heidelberg University Hospital.基于数字光学存档和多用途医疗专业工作站逐步集成电子病历：海德堡大学医院的经验
Stud Health Technol Inform. 1998;52 Pt 1:89-92.
4
Prenatal care: a strategic first step toward EMR acceptance.产前护理：迈向接受电子病历的战略第一步。
J Healthc Inf Manag. 2003 Spring;17(2):47-50.
5
Integrating specialized application systems into hospital information systems--obstacles and factors for success.将专业应用系统集成到医院信息系统中——成功的障碍与因素
Stud Health Technol Inform. 2000;77:890-4.
6
Implementation and expansion of an electronic medical record for HIV care and treatment in Haiti: an assessment of system use and the impact of large-scale disruptions.海地艾滋病毒护理和治疗电子病历的实施和扩展：系统使用情况评估和大规模中断的影响。
Int J Med Inform. 2012 Apr;81(4):244-56. doi: 10.1016/j.ijmedinf.2012.01.011. Epub 2012 Feb 22.
7
Integrating images into the electronic patient record of the hospital authority of Hong Kong.将图像整合到香港医院管理局的电子病历中。
Comput Med Imaging Graph. 2005 Mar-Apr;29(2-3):137-42. doi: 10.1016/j.compmedimag.2004.09.007.
8
Toward a human-centered voluntary medical incident reporting system.迈向以人为主导的自愿医疗事件报告系统。
Stud Health Technol Inform. 2010;160(Pt 1):729-33.
9
Developing an electronic incident report: experiences of a multi-site teaching hospital.开发电子事件报告：一家多院区教学医院的经验
Healthc Q. 2007;10(2):117-22.
10
Square pegs in round holes: information systems, hospitals and the significance of contextual awareness.圆孔中的方榫：信息系统、医院与情境意识的重要性。
Soc Sci Med. 2009 Feb;68(3):519-25. doi: 10.1016/j.socscimed.2008.11.005. Epub 2008 Dec 4.

引用本文的文献

1
Electronic surveillance of patient safety events using natural language processing.利用自然语言处理技术对患者安全事件进行电子监测。
Health Informatics J. 2022 Oct-Dec;28(4):14604582221132429. doi: 10.1177/14604582221132429.
2
The Abrupt Expansion of Ambulatory Telemedicine: Implications for Patient Safety.门诊远程医疗的迅猛扩张：对患者安全的影响。
J Gen Intern Med. 2022 Apr;37(5):1270-1274. doi: 10.1007/s11606-021-07329-9. Epub 2022 Jan 19.
3
Enhancing Patient Safety Event Reporting. A Systematic Review of System Design Features.加强患者安全事件报告：系统设计特征的系统评价
Appl Clin Inform. 2017 Aug 30;8(3):893-909. doi: 10.4338/ACI-2016-02-R-0023.
4
Medication errors reported to the National Medication Error Reporting System in Malaysia: a 4-year retrospective review (2009 to 2012).向马来西亚国家药物错误报告系统报告的药物错误：一项为期4年的回顾性研究（2009年至2012年）。
Eur J Clin Pharmacol. 2016 Dec;72(12):1515-1524. doi: 10.1007/s00228-016-2126-x. Epub 2016 Sep 15.
5
Medication incident reporting in residential aged care facilities: limitations and risks to residents' safety.养老机构药物事件报告：对居民安全的限制和风险。
BMC Geriatr. 2012 Nov 2;12:67. doi: 10.1186/1471-2318-12-67.
6
Interventions to increase clinical incident reporting in health care.增加医疗保健领域临床事件报告的干预措施。
Cochrane Database Syst Rev. 2012 Aug 15;2012(8):CD005609. doi: 10.1002/14651858.CD005609.pub2.
7
Development of a validation algorithm for 'present on admission' flagging.'入院时即存在'标识验证算法的开发。
BMC Med Inform Decis Mak. 2009 Dec 1;9:48. doi: 10.1186/1472-6947-9-48.
8
Rate of undesirable events at beginning of academic year: retrospective cohort study.学年开始时不良事件发生率：回顾性队列研究。
BMJ. 2009 Oct 13;339:b3974. doi: 10.1136/bmj.b3974.
9
The automation of clinical trial serious adverse event reporting workflow.临床试验严重不良事件报告工作流程的自动化。
Clin Trials. 2009 Oct;6(5):446-54. doi: 10.1177/1740774509344778. Epub 2009 Sep 8.
10
Using electronic medical records to enhance detection and reporting of vaccine adverse events.利用电子病历加强疫苗不良事件的检测与报告。
J Am Med Inform Assoc. 2007 Nov-Dec;14(6):731-5. doi: 10.1197/jamia.M2232. Epub 2007 Aug 21.

本文引用的文献

1
Incorporation of clinical practice guidelines for glaucoma into an ophthalmology electronic medical record.将青光眼临床实践指南纳入眼科电子病历。
AMIA Annu Symp Proc. 2005;2005:1115.
2
Use of computerized clinical support systems in medical settings: United States, 2001-03.2001 - 2003年美国医疗机构中计算机化临床支持系统的使用情况
Adv Data. 2005 Mar 2(353):1-8.
3
Electronic alerts to prevent venous thromboembolism among hospitalized patients.预防住院患者静脉血栓栓塞的电子警报
N Engl J Med. 2005 Mar 10;352(10):969-77. doi: 10.1056/NEJMoa041533.
4
Computer applications in clinical practice.计算机在临床实践中的应用。
Curr Opin Rheumatol. 2005 Mar;17(2):124-8. doi: 10.1097/01.bor.0000151404.56769.ad.
5
The gap between nurses and residents in a community hospital's error-reporting system.社区医院差错报告系统中护士与住院医师之间的差距。
Jt Comm J Qual Patient Saf. 2005 Jan;31(1):13-20. doi: 10.1016/s1553-7250(05)31003-8.
6
Use of incident reports by physicians and nurses to document medical errors in pediatric patients.医生和护士使用事件报告来记录儿科患者的医疗差错。
Pediatrics. 2004 Sep;114(3):729-35. doi: 10.1542/peds.2003-1124-L.
7
Using an anesthesia information management system to prove a deficit in voluntary reporting of adverse events in a quality assurance program.利用麻醉信息管理系统来证明质量保证计划中不良事件自愿报告存在不足。
J Clin Monit Comput. 2000;16(3):211-7. doi: 10.1023/a:1009977917319.
8
Reporting of adverse events.不良事件报告。
N Engl J Med. 2002 Nov 14;347(20):1633-8. doi: 10.1056/NEJMNEJMhpr011493.
9
The computerized patient record: balancing effort and benefit.计算机化病历：权衡努力与收益。
Int J Med Inform. 2002 Jun;65(2):97-119. doi: 10.1016/s1386-5056(02)00007-2.
10
The reliability of medical record review for estimating adverse event rates.用于估计不良事件发生率的病历审查的可靠性。
Ann Intern Med. 2002 Jun 4;136(11):812-6. doi: 10.7326/0003-4819-136-11-200206040-00009.

将事件报告整合到电子病历系统中。

Integrating incident reporting into an electronic patient record system.

作者信息

Haller Guy, Myles Paul S, Stoelwinder Johannes, Langley Mark, Anderson Hugh, McNeil John

机构信息

Department of Anesthesia & Perioperative Medicine Alfred Hospital, Melbourne, Australia.

出版信息

J Am Med Inform Assoc. 2007 Mar-Apr;14(2):175-81. doi: 10.1197/jamia.M2196. Epub 2007 Jan 9.

DOI:10.1197/jamia.M2196
PMID:17213499
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2213474/
Abstract

Developments in information technology offer new opportunities to design electronic patient record systems (EPR) which integrate a broad range of functions such as clinical decision support, order entry, or electronic alerts. It has been recently suggested that EPR could support new applications for disease surveillance and patient safety. We describe the integration of a voluntary incident reporting system into an EPR used in operating theatres, to allow the reporting of accidents and preventable complications. We assessed system's reliability and users' acceptance. During the 4-years observation period (2002-2006), 48,983 interventional procedures were performed. Clinicians documented 85.1% of procedures on the incident reporting form. Agreement between chart review and electronically reported incidents was 80.6%. The integration of an incident reporting system into an EPR is reliable and well supported by health care professionals.

摘要

信息技术的发展为设计电子病历系统（EPR）提供了新机遇，该系统整合了临床决策支持、医嘱录入或电子警报等多种功能。最近有人提出，电子病历可支持疾病监测和患者安全方面的新应用。我们描述了将一个自愿事件报告系统集成到手术室使用的电子病历中，以允许报告事故和可预防的并发症。我们评估了系统的可靠性和用户接受度。在4年观察期（2002 - 2006年）内，共进行了48,983例介入手术。临床医生在事件报告表上记录了85.1%的手术。图表审查与电子报告事件之间的一致性为80.6%。将事件报告系统集成到电子病历中是可靠的，并且得到了医疗保健专业人员的良好支持。