School of Health Information Science, University of Victoria, Canada.
Stud Health Technol Inform. 2022 Jun 29;295:551-554. doi: 10.3233/SHTI220787.
In many ways health technology safety has improved significantly over the past few decades. Yet, we still have examples of incidents where safety of health technology systems of care have led to possible and actual safety incidents. In this paper we examine the complexity of errors in an increasingly complex and digitized system of care. Although safety incidents are decreasing over time due to improvements in the tools used to support care, they still occur. Simple safety incidents prevailed in the 2005. Today, incident reports suggest complexity has emerged as an important issue that needs to be addressed in order to make further healthcare industry safety gains.
在许多方面,医疗技术的安全性在过去几十年中得到了显著提高。然而,我们仍然有一些例子表明,医疗技术系统的安全性导致了可能和实际的安全事件。本文研究了在日益复杂和数字化的医疗系统中,错误的复杂性。尽管由于支持护理的工具的改进,安全事件的数量随着时间的推移而减少,但它们仍然会发生。简单的安全事件在 2005 年占主导地位。今天,事故报告表明,复杂性已经成为一个重要问题,需要加以解决,以便在医疗保健行业进一步提高安全性。