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电子错误报告系统:对医疗错误护士报告影响的案例研究。

Electronic error-reporting systems: a case study into the impact on nurse reporting of medical errors.

机构信息

Department of Computing and Information Systems, School of Engineering, University of Melbourne, Melbourne, Australia.

出版信息

Nurs Outlook. 2013 Nov-Dec;61(6):417-426.e5. doi: 10.1016/j.outlook.2013.04.008. Epub 2013 Jul 6.

DOI:10.1016/j.outlook.2013.04.008
PMID:23838568
Abstract

BACKGROUND

Underreporting of errors in hospitals persists despite the claims of technology companies that electronic systems will facilitate reporting. This study builds on previous analyses to examine error reporting by nurses in hospitals using electronic media.

PURPOSE

This research asks whether the electronic media creates additional barriers to error reporting, and, if so, what practical steps can all hospitals take to reduce these barriers.

METHOD

This is a mixed-method case study nurses' use of an error reporting system, RiskMan, in two hospitals. The case study involved one large private hospital and one large public hospital in Victoria, Australia, both of which use the RiskMan medical error reporting system.

CONCLUSION

Information technology-based error reporting systems have unique access problems and time demands and can encourage nurses to develop alternative reporting mechanisms. This research focuses on nurses and raises important findings for hospitals using such systems or considering installation. This article suggests organizational and technical responses that could reduce some of the identified barriers.

摘要

背景

尽管技术公司声称电子系统将方便报告的出现,但医院的错误报告仍存在漏报情况。本研究以前期分析为基础,检查了医院中使用电子媒体的护士的错误报告情况。

目的

本研究旨在探讨电子媒体是否会给错误报告带来额外的障碍,如果是,所有医院可以采取哪些实际措施来减少这些障碍。

方法

这是一个混合方法的案例研究,研究了护士在两家医院使用错误报告系统 RiskMan 的情况。该案例研究涉及澳大利亚维多利亚州的一家大型私立医院和一家大型公立医院,这两家医院都使用 RiskMan 医疗错误报告系统。

结论

基于信息技术的错误报告系统具有独特的访问问题和时间要求,并可能鼓励护士开发替代报告机制。本研究主要关注护士,并为使用此类系统或考虑安装此类系统的医院提出了重要发现。本文提出了一些组织和技术方面的应对措施,这些措施可以减少一些已确定的障碍。

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