Hua Lei, Gong Yang
Department of Health Management and Informatics, School of Medicine, University of Missouri, Columbia, MO 65212, USA.
Stud Health Technol Inform. 2010;160(Pt 1):203-7.
Medical errors are one of leading causes of death among adults in the United States. According to the Institute of Medicine, reporting of medical incidents could be a cornerstone to learn from errors and to improve patient safety, if incident data are collected in a properly structured format which is useful for the detection of patterns, discovery of underlying factors, and generation of solutions. Globally, a number of medical incident reporting systems were deployed for collecting observable incident data in care delivery organizations (CDO) over the past several years. However, few researches delved into design of user-centered reporting system for improving completeness and accuracy of medical incident collection, let alone design models created for other institutes to follow. In this paper, we introduce the problems identified in a current using voluntary reporting system and our effort is being made towards complete, accurate and useful user-centered new reporting system through a usability engineering process.
医疗差错是美国成年人死亡的主要原因之一。根据医学研究所的说法,如果以适当的结构化格式收集事件数据,这些数据对于检测模式、发现潜在因素以及生成解决方案很有用,那么医疗事件报告可能是从差错中吸取教训并提高患者安全的基石。在全球范围内,过去几年部署了一些医疗事件报告系统,用于在医疗服务提供组织(CDO)中收集可观察到的事件数据。然而,很少有研究深入探讨以用户为中心的报告系统的设计,以提高医疗事件收集的完整性和准确性,更不用说为其他机构创建可供遵循的设计模型了。在本文中,我们介绍了当前使用的自愿报告系统中发现的问题,并通过可用性工程过程努力构建一个完整、准确且实用的以用户为中心的新报告系统。