健康信息技术安全的先行因素:一项探索性调查

L. Salahuddin, Z. Ismail
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引用次数: 1

摘要

医疗过程中涉及患者安全的意外伤害大多导致医疗差错。预防医疗事故的建议之一是通过信息技术(IT)。医疗信息技术有可能提高医疗服务的质量,并从根本上提高患者的安全。建议医疗保健提供者以电子方式收集、存储、检索和传输患者信息。然而,也有越来越多的证据表明,如果医疗信息技术设计、实施或采用不当,也会给患者安全带来风险。以前的研究主要集中在医疗信息技术引入的错误或意外后果上。医疗信息技术导致医疗事故的根源是多方面的,其成因是多方面的。尽管如此,很少有人关注影响医疗信息技术安全的因素。为了解决这一差距,本研究调查了影响健康IT安全的前因。通过系统的文献综述,找出与健康信息技术安全相关的文章。在Science Direct数据库中搜索综述相关文章。13篇完整的文章符合进一步分析的资格标准。可用性、可用性、兼容性、沟通、变通和知识被认为是影响医疗IT安全的重要前因。这项研究可能对如何安全实施医疗IT采用提供有用的信息。政策制定者、政府机构、医疗保健提供者、医疗IT开发人员和研究人员等各种利益相关者可能会发现本研究对他们各自的需求很有用。
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Antecedents for safety in health IT: An exploratory investigation
Most of the accidental harm in the healthcare process related to patient safety leads to medical errors. One of the recommendations to prevent medical errors is through information technology (IT). Health IT has the potential to improve the quality of the healthcare services and essentially patient safety. It suggests the healthcare provider to collect, store, retrieve and transfer patient's information electronically. Nevertheless, there are also growing evidence that the health IT can also post a risk to patient safety when it is poorly designed, implemented or adopted. Previous studies primarily focused on the errors or unintended consequences introduced by the health IT. The root cause of the medical errors due to health IT is multifaceted and originated from numerous factors. In spite of that, little focus has been given on the antecedents that influence the safety of health IT. In order to address this gap, this study investigates the antecedents that influence the safety of health IT. Systematic literature review was conducted to identify articles pertinent to safety of health IT. Science Direct database was searched for reviews relevance articles. Thirteen full articles met the eligibility criteria for further analysis. Usability, availability, compatibility, communication, workaround and knowledge were discerned as the significance antecedents influencing safety in health IT. This study may be of significance in providing useful information on how to safely implement health IT adoption. Various stakeholders such as policy makers, government agencies, healthcare providers, health IT developers and researchers may find this study useful for their respective needs.
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