Classification and analysis of incidents in complex medical environments.
Classification and analysis of incidents in complex medical environments.
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复杂医疗环境下事件的分类与分析。
DOI：
10.1197/jamia.m1349
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发表时间：
2000
期刊：
影响因子：
--
通讯作者：
Wright Dj
中科院分区：
文献类型：
--
作者：
D. Busse;Wright Dj
医学中的风险管理通常被认为落后于其他安全关键领域，在这些领域对事件因果模型进行了大量研究。在本文中，来自医学以外领域的事件分析理论和方法被应用于爱丁堡重症监护室的事件报告计划。使用的事件分析模型强调潜在组织因素和复杂、多层事件因果关系的重要性。它还考虑了认知表现塑造因素的作用。这提供了一个分析框架，整合了远端因果因素的识别和比较替代因果假设的机制。
Risk management in medicine is often seen as lagging behind other safety-critical domains where there has been considerable research into incident causation models. In this article, incident analysis theory and methodology from fields other than medicine are applied to an incident reporting scheme in an Edinburgh Intensive Care Unit. The incident analysis model used emphasizes the importance of latent organizational factors and complex, multilayered incident causation. It also takes the role of cognitive performance-shaping factors into account. This provides an analytical framework that integrates the identification of distal causal factors and a mechanism for comparing alternative causal hypotheses.