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Estimating reporting culture and its link to safety performance by applying hemodialysis error taxonomy

机译：通过应用血液透析错误分类法来评估报告文化及其与安全绩效的联系

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This paper reports a hemodialysis error taxonomy system for not only providing a framework to analyze characteristics of hemodialysis incidents, but also estimating safety status in a dialysis organization. The error taxonomy system was developed by adapting a common health care error taxonomy system to hemodialysis situations. Based on the results of its application to 1,909 incident reports collecting from two dialysis facilities, we obtained a plausible link between reporting culture - which was estimated by average descriptive depth - and safety performance, for which we introduced two indices, i.e., rate of near miss reporting and rate of adverse event reporting. Thus, the error taxonomy system for hemodialysis events proposed in this paper well demonstrated its ability for predicting safety status in a specific dialysis organization.
机译：本文报道了一种血液透析错误分类系统，该系统不仅提供了分析血液透析事件特征的框架，而且还可以估计透析组织的安全状态。错误分类系统是通过将常见的医疗错误分类系统应用于血液透析情况而开发的。基于将其应用于从两个透析设施收集的1,909个事件报告的结果，我们获得了报告文化（通过平均描述深度进行估算）与安全性能之间的合理联系，为此我们引入了两个指标，即接近率漏检报告和不良事件报告率。因此，本文提出的用于血液透析事件的错误分类系统很好地证明了其在特定透析组织中预测安全状态的能力。

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