对老年护理认证报告进行文本数据挖掘，以识别澳大利亚老年护理院药物管理中的风险因素。

Text Data Mining of Aged Care Accreditation Reports to Identify Risk Factors in Medication Management in Australian Residential Aged Care Homes.

作者信息

Jiang Tao, Qian Siyu, Hailey David, Ma Jun, Yu Ping

机构信息

Centre for IT-enabled Transformation, School of Computing and Information Technology, University of Wollongong, Wollongong, NSW, Australia.

SMART Infrastructure Facility, University of Wollongong, Wollongong, NSW, Australia.

出版信息

Stud Health Technol Inform. 2017;245:892-895.

PMID:29295228

Abstract

This study aimed to identify risk factors in medication management in Australian residential aged care (RAC) homes. Only 18 out of 3,607 RAC homes failed aged care accreditation standard in medication management between 7th March 2011 and 25th March 2015. Text data mining methods were used to analyse the reasons for failure. This led to the identification of 21 risk indicators for an RAC home to fail in medication management. These indicators were further grouped into ten themes. They are overall medication management, medication assessment, ordering, dispensing, storage, stock and disposal, administration, incident report, monitoring, staff and resident satisfaction. The top three risk factors are: "ineffective monitoring process" (18 homes), "noncompliance with professional standards and guidelines" (15 homes), and "resident dissatisfaction with overall medication management" (10 homes).

摘要

本研究旨在确定澳大利亚老年护理院药物管理中的风险因素。在2011年3月7日至2015年3月25日期间，3607家老年护理院中只有18家在药物管理方面未达到老年护理认证标准。采用文本数据挖掘方法分析失败原因。这导致确定了21个老年护理院药物管理失败的风险指标。这些指标进一步分为十个主题。它们是整体药物管理、药物评估、订购、配药、储存、库存与处置、给药、事件报告、监测、员工和居民满意度。前三大风险因素是：“监测流程无效”（18家）、“不符合专业标准和指南”（15家）以及“居民对整体药物管理不满意”（10家）。