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首页> 外文期刊>The HIM journal >Adverse events and near misses relating to information management in a hospital
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Adverse events and near misses relating to information management in a hospital

机译：与医院信息管理有关的不良事件和未遂事件

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Objective: This study described information management incidents and adverse event reporting choices of health professionals. Methods: Hospital adverse events reported in an anonymous electronic reporting system were analysed using directed content analysis and descriptive and inferential statistics. The data consisted of near miss and adverse event incident reports (n = 3075) that occurred between January 2008 and the end of December 2009. Results: A total of 824 incidents were identified. The most common information management incident was failure in written information transfer and communication, when patient data were copied or documented incorrectly. Often patient data were transferred using paper even though an electronic patient record was in use. Reporting choices differed significantly among professional groups; in particular, registered nurses reported more events than other health professionals. Conclusion: A broad spectrum of information management incidents was identified, which indicates that preventing adverse events requires the development of safe practices, especially in documentation and information transfer.
机译：目的：本研究描述了卫生专业人员的信息管理事件和不良事件报告选择。方法：使用定向内容分析以及描述性和推断性统计分析匿名电子报告系统中报告的医院不良事件。数据包括2008年1月至2009年12月结束之间发生的未遂事件和不良事件报告（n = 3075）。结果：总共确定了824个事件。最常见的信息管理事件是书面信息传输和通信失败，此时患者数据被不正确地复制或记录。即使正在使用电子病历，也经常使用纸来传输病历。专业组之间的报告选择差异很大。特别是注册护士报告的事件要多于其他卫生专业人员。结论：确认了各种各样的信息管理事件，这表明预防不良事件需要发展安全实践，尤其是在文档和信息传递方面。

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