Mejia Medina Felipe, Cucaita Vergara Zenaida, Dario Castro Acuña Ruben, Tellez Jair
Consultant and Independent Researcher. MScIH Chemical Engineer, Bogotá, Colombia.
Biomedical Engineer, Student Master in Health Technology Management, Manuela Beltrán University, Bogotá, Colombia.
Int J Med Biomed Stud. 2019 Sep;3(9):181-187. doi: 10.32553/ijmbs.v3i9.516. Epub 2019 Sep 27.
Patient safety is one of the most important challenges facing healthcare organizations in the world. Patient safety programs aim to avoid the events caused to the patient during their care, through strategies aimed at guaranteeing infection control, safe use of medications, equipment, clinical practice and environment. However, errors in health care are often due to weak information systems and their causes can be corrected by identifying the incidents and events presented during the care. Each country must have solid and reliable health information systems (HIS) to generate its own data, in order to monitor the different health programs and thus report on their management. In many countries, HISs are weak, incomplete and fragmented, with problems related to infrastructure, interoperability, connectivity, lack of training and availability to health care personnel. The objective of this study was to conduct a rapid systematic review of the literature about the experiences reported by users or health professionals with the Health Information Systems of Patient Safety Programs (PSP). 98 articles were identified in the Medline database, of which 5 articles with a qualitative approach were included. The results showed problems with the definition of concepts related to patient safety, fear of professionals to report events or incidents, reluctance to use HIS due to interoperability or communication problems. The qualitative studies related to HIS of the PSP are scarce and the publications found have been carried out in countries such as Iran, Taiwan, Austria, Spain and the Netherlands.
患者安全是全球医疗机构面临的最重要挑战之一。患者安全计划旨在通过旨在确保感染控制、安全用药、设备、临床实践和环境的策略，避免在患者护理期间对其造成的事件。然而，医疗保健中的错误往往归因于薄弱的信息系统，其原因可以通过识别护理期间出现的事件和事故来纠正。每个国家都必须拥有健全可靠的健康信息系统（HIS）来生成自己的数据，以便监测不同的健康计划并报告其管理情况。在许多国家，HIS薄弱、不完整且分散，存在与基础设施、互操作性、连通性、缺乏培训以及医疗保健人员可用性相关的问题。本研究的目的是对用户或卫生专业人员报告的关于患者安全计划（PSP）健康信息系统的经验的文献进行快速系统综述。在Medline数据库中识别出98篇文章，其中包括5篇采用定性方法的文章。结果显示，与患者安全相关的概念定义存在问题，专业人员害怕报告事件或事故，由于互操作性或通信问题而不愿使用HIS。与PSP的HIS相关的定性研究很少，已发现的出版物是在伊朗、台湾、奥地利、西班牙和荷兰等国家和地区开展的。
