Information technology for patient safety
Information technology for patient safety
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DOI：
10.1136/qshc.2009.038497
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发表时间：
2010-08-01
影响因子：
--
通讯作者：
Majeed, Azeem
中科院分区：
文献类型：
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作者：
Huckvale, Christopher;Car, Josip;Majeed, Azeem
背景：对患者护理的研究已经确定了医疗保健质量和安全方面的实质性差异，以及医源性伤害的相当大的风险是重大问题。这些缺陷导致本可避免的发病率和死亡率很高，并导致许多卫生系统的卫生保健支出水平不断上升。近几十年来，信息技术取得了重大发展，现在确实有潜力应用这些技术发展来改善普遍提供的保健服务。国际上特别关注的是电子保健应用程序的使用。然而，在电子健康应用的理论和经验证明的好处之间存在很大差距。虽然这些应用程序通常具有帮助专业人员提供医疗保健的技术能力，但对其使用的社会技术层面的关注不足，可能会给患者带来新的可避免的风险。结果和讨论鉴于目前缺乏关于质量和安全改进以及与引入电子保健应用相关的成本效益的证据，应侧重于实施更成熟的技术；同样重要的是，应根据一套全面和严格的措施对电子医疗应用程序进行评估，理想情况下应在其应用程序生命周期的所有阶段进行评估。
Background Research on patient care has identified substantial variations in the quality and safety of healthcare and the considerable risks of iatrogenic harm as significant issues. These failings contribute to the high rates of potentially avoidable morbidity and mortality and to the rising levels of healthcare expenditure seen in many health systems. There have been substantial developments in information technology in recent decades and there is now real potential to apply these technological developments to improve the provision of healthcare universally. Of particular international interest is the use of eHealth applications. There is, however, a large gap between the theoretical and empirically demonstrated benefits of eHealth applications. While these applications typically have the technical capability to help professionals in the delivery of healthcare, inadequate attention to the socio-technical dimensions of their use can result in new avoidable risks to patients.Results and discussion Given the current lack of evidence on quality and safety improvements and on the cost-benefits associated with the introduction of eHealth applications, there should be a focus on implementing more mature technologies; it is also important that eHealth applications should be evaluated against a comprehensive and rigorous set of measures, ideally at all stages of their application life cycle.