The JCAHO patient safety event taxonomy: a standardized terminology and classification schema for near misses and adverse events
The JCAHO patient safety event taxonomy: a standardized terminology and classification schema for near misses and adverse events
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DOI：
10.1093/intqhc/mzi021
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发表时间：
2005-04-01
影响因子：
2.6
通讯作者：
Loeb, JM
中科院分区：
文献类型：
--
作者：
Chang, A;Schyve, PM;Loeb, JM
背景资料。目前美国关于患者安全的全国性讨论并不是基于共同语言。这阻碍了从事件报告中获得的数据的系统应用，以及从险些发生和不利事件中学习。为收集和组织患者安全数据制定通用术语和分类方案(分类法)。该项目包括系统的文献综述；评估现有的患者安全术语和分类，并确定哪些术语和分类应该包括在标准化分类的核心集中；评估分类的表面和内容有效性；收集来自多个学科的患者安全利益相关者的信息；以及对分类的相对可靠性进行初步研究。现有分类方案和报告系统中的要素(术语)和结构(数据域)可分为五个互补的根节点或主要分类：影响、类型、领域、原因以及预防和缓解。然后，根节点被划分为21个子分类，这些子分类又被细分为200多个编码类别和无限数量的未编码文本字段，以捕获叙事信息。较早版本的分类(n=111个编码类别。)与ICU安全报告系统的分类数据要求显示出可接受的可比性。结果表明，医疗组织认证联合委员会(JCAHO)患者安全事件可以。促进患者安全信息系统的通用方法。访问标准化数据将使提交患者安全事件报告和以一致的方式进行根本原因分析变得更容易。
Background. The current US national discussions on patient safety are not based on a common language. This hinders systematic application of data obtained from incident reports, and learning from near misses and adverse events.Objective. To develop a common terminology and classification schema (taxonomy) for collecting and organizing patient safety data.Methods. The project comprised a systematic literature review; evaluation of existing patient safety terminologies and classifications, and identification of those that should be included in the core set of a standardized taxonomy; assessment of the taxonomy's face and content validity; the gathering of input from patient safety stakeholders in multiple disciplines; and a preliminary study of the taxonomy's comparative reliability.Results. Elements (terms) and structures (data fields) from existing classification schemes and reporting systems could be grouped into five complementary root nodes or primary classifications: impact, type, domain, cause, and prevention and mitigation. The root nodes were then divided into 21 subclassifications which in turn are subdivided into more than 200 coded categories and an indefinite number of uncoded text fields to capture narrative information. An earlier version of the taxonomy (n = 111 coded categories.) demonstrated acceptable comparability with the categorized data requirements of the ICU safety reporting system.Conclusions. The results suggest that the joint Commission on Accreditation of Healthcare Organizations (JCAHO) Patient Safety Event could. facilitate a common approach for patient safety information systems. Having access to standardized data would make it easier to file patient safety event reports and to conduct root cause analyses in a consistent fashion.