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Socio-technical analysis and modeling of hazards related to test ordering and results management systems in primary care: impacts on safety and performance

机译:初级保健中试验订购与结果管理系统有关的社会技术分析及危害:对安全性和性能的影响

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The ordering of laboratory tests by clinicians for the purpose of screening, diagnosing and monitoring patients is a vital part of routine primary care worldwide (Callen et al, 2012). However, evidence indicates that 15% - 54% of all detected safety incidents in primary care are directly related to the systems management of testing results (Dovey et al., 2002). Existing support systems are complex, problematic, error prone and vary in terms of reliability and design quality (Elder et al., 2005). The impacts for patients include missed or delayed diagnosis and treatment causing unnecessary distress and continued ill-health (Bowie et al., 2005).
机译:临床医生的实验室测试的排序是为了筛查,诊断和监测患者的目的是全球常规初级保健的重要组成部分(Callen等,2012)。然而,证据表明,在初级保健中的所有检测到的安全事件中有15% - 54%与测试结果的系统管理直接相关(Dovey等,2002)。现有的支持系统是复杂的,有问题的,易于易置的,并且在可靠性和设计质量方面变化(Elder等,2005)。患者的影响包括错过或延迟诊断和治疗,导致不必要的痛苦和持续不良健康(Bowie等,2005)。

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