Gong Yang, Song Hsing-Yi, Wu Xinshuo, Hua Lei
School of Biomedical Informatics, University of Texas Health Science Center, 7000 Fannin St. Suite 165, Houston 77030, TX, USA.
Saf Health. 2015;1:7. doi: 10.1186/2056-5917-1-7. Epub 2015 Aug 27.
To learn from errors, electronic patient safety event reporting systems (e-reporting systems) have been widely adopted to collect medical incidents from the frontline practitioners in US hospitals. However, two issues of underreporting and low-quality of reports pervade and thus the system effectiveness remains dubious.
This study employing semi-structured interviews of health professionals in the Texas Medical Center investigated the perceived benefits and barriers from users who have used e-reporting systems.
As a result, the perceived benefits include the enhanced convenience in data processing and the assistant functions leading to patient safety enhancement. The perceived barriers to the acceptance and quality use of the system include the lack of instructions, lack of reporter-friendly classifications, lack of time, and lack of feedback The identified benefits and barriers help design a user-centered e-reporting system where learning and assistant features are discussed during the interviews.
As a response, the learning and assistant features aiming at enhancing benefits and removing barriers of e-reporting systems should be included for facilitating the acceptance and effective use of the systems.
为了从错误中吸取教训，电子患者安全事件报告系统（电子报告系统）已被广泛采用，以收集美国医院一线从业者的医疗事件。然而，漏报和报告质量低这两个问题普遍存在，因此该系统的有效性仍然存疑。
本研究对德克萨斯医疗中心的卫生专业人员进行了半结构化访谈，调查了使用电子报告系统的用户所感知到的益处和障碍。
结果显示，感知到的益处包括数据处理便利性增强以及有助于提高患者安全的辅助功能。该系统在接受度和高质量使用方面所感知到的障碍包括缺乏说明、缺乏对报告者友好的分类、缺乏时间以及缺乏反馈。在访谈中确定的益处和障碍有助于设计一个以用户为中心的电子报告系统，其中学习和辅助功能得到了讨论。
作为应对措施，应纳入旨在增强电子报告系统的益处并消除其障碍的学习和辅助功能，以促进该系统的接受度和有效使用。
