Pharmacy Benefits Management Clinical Informatics, Veterans Health Administration, Washington, DC 20420, United States.
Certified Usability Analyst, Informatics Patient Safety, Veterans Health Administration, Washington, DC 20420, United States.
J Am Med Inform Assoc. 2024 Jun 20;31(7):1588-1595. doi: 10.1093/jamia/ocae107.
Implement the 5-type health information technology (HIT) patient safety concern classification system for HIT patient safety issues reported to the Veterans Health Administration's Informatics Patient Safety Office.
A team of informatics safety analysts retrospectively classified 1 year of HIT patient safety issues by type of HIT patient safety concern using consensus discussions. The processes established during retrospective classification were then applied to incoming HIT safety issues moving forward.
Of 140 issues retrospectively reviewed, 124 met the classification criteria. The majority were HIT failures (eg, software defects) (33.1%) or configuration and implementation problems (29.8%). Unmet user needs and external system interactions accounted for 20.2% and 10.5%, respectively. Absence of HIT safety features accounted for 2.4% of issues, and 4% did not have enough information to classify.
The 5-type HIT safety concern classification framework generated actionable categories helping organizations effectively respond to HIT patient safety risks.
为向退伍军人事务部信息学患者安全办公室报告的医疗信息技术（HIT）患者安全问题实施 5 型 HIT 患者安全关注分类系统。
一组信息安全分析师通过共识讨论，按照 HIT 患者安全关注的类型对 1 年的 HIT 患者安全问题进行回顾性分类。随后，将在回顾性分类过程中建立的流程应用于未来的 HIT 安全问题。
在回顾性审查的 140 个问题中，有 124 个符合分类标准。大多数是 HIT 故障（例如软件缺陷）（33.1%）或配置和实施问题（29.8%）。未满足用户需求和外部系统交互分别占 20.2%和 10.5%。HIT 安全功能缺失占问题的 2.4%，4%的问题没有足够的信息进行分类。
5 型 HIT 安全关注分类框架生成了可操作的类别，帮助组织有效应对 HIT 患者安全风险。
