Kilbridge Peter M, Classen David C
Department of Pediatrics, Washington University School of Medicine, USA.
J Am Med Inform Assoc. 2008 Jul-Aug;15(4):397-407. doi: 10.1197/jamia.M2735. Epub 2008 Apr 24.
Health care providers have a basic responsibility to protect patients from accidental harm. At the institutional level, creating safe health care organizations necessitates a systematic approach. Effective use of informatics to enhance safety requires the establishment and use of standards for concept definitions and for data exchange, development of acceptable models for knowledge representation, incentives for adoption of electronic health records, support for adverse event detection and reporting, and greater investment in research at the intersection of informatics and patient safety. Leading organizations have demonstrated that health care informatics approaches can improve safety. Nevertheless, significant obstacles today limit optimal application of health informatics to safety within most provider environments. The authors offer a series of recommendations for addressing these challenges.
医疗保健提供者有保护患者免受意外伤害的基本责任。在机构层面，创建安全的医疗保健组织需要一种系统的方法。有效利用信息学来提高安全性需要建立和使用概念定义及数据交换标准，开发可接受的知识表示模型，鼓励采用电子健康记录，支持不良事件的检测和报告，并在信息学与患者安全交叉领域加大研究投入。领先的组织已经证明，医疗保健信息学方法可以提高安全性。然而，如今的重大障碍限制了健康信息学在大多数医疗服务环境中对安全性的最佳应用。作者针对应对这些挑战提出了一系列建议。
