کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
517321 867441 2011 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Adverse events in medicine: Easy to count, complicated to understand, and complex to prevent
موضوعات مرتبط
مهندسی و علوم پایه مهندسی کامپیوتر نرم افزارهای علوم کامپیوتر
پیش نمایش صفحه اول مقاله
Adverse events in medicine: Easy to count, complicated to understand, and complex to prevent
چکیده انگلیسی

The performance of patient safety initiatives has not met expected targets for reasons that are gradually being understood. They have been too hospital-centered and too process- and “silo”-driven in their search for the causes of adverse events (AEs). Information technology could help overcome many obstacles, but only if the tools developed are based on a relevant safety model. We have applied the distinction between easy, complicated, and complex problems and strategies in healthcare to changes that need to be made in the detection and analysis of AEs. We propose a triple shift: (i) adopting an outcome-driven rather than a process-driven policy when defining and counting AEs (relatively easy), (ii) applying a patient- and not silo-driven approach and extending the timeframe when analyzing AEs (more difficult), and (iii) taking a systemic view of all care delivered to a patient during their life-span in order to erect barriers against the risks identified (highly complex).

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Biomedical Informatics - Volume 44, Issue 3, June 2011, Pages 390–394
نویسندگان
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