Health care quality management by means of an incident report system and an electronic patient record system
Health care quality management by means of an incident report system and an electronic patient record system
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DOI：
10.1016/s1386-5056(03)00010-8
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发表时间：
2003-03-01
影响因子：
4.9
通讯作者：
Inoue, M
中科院分区：
文献类型：
--
作者：
Takeda, H;Matsumura, Y;Inoue, M
背景：医疗保健服务的质量管理并不像其他行业那样成功。目的：评估在线事件报告系统（OIRS）和电子病历（EPR）系统对医院质量管理的潜在贡献。方法：这两种方法正在大坂大学医院实施。结果如下：对早期使用在线报告系统的分析表明，这种定性方法可以有效避免不良医疗事件。扩大生产者责任的定量方法仍处于发展阶段。结论：由医务人员直接输入数据和基于动态模板和动态问题导向方法的EPR可能有助于建立支持临床质量管理的临床数据库。(C)2003爱思唯尔科学爱尔兰有限公司保留所有权利。
Background: Quality management in health care services has not been as successful as in other industries. Objective: To assess the potential contribution of an on-line incident reporting system (OIRS) and of an electronic patient record (EPR) system to quality management in hospitals. Methods: The two approaches are being implemented in Osaka University Hospital. Results: Analysis of the early use of the on-line reporting system indicates that this qualitative approach has been effective to avoid adverse medical events. The quantitative methodology with the EPR is still in the phase of developing. Conclusion: Direct data entry by medical staff and an EPR based on dynamic templates and a dynamic problem oriented approach could be useful for building clinical data repositories that can support clinical quality management. (C) 2003 Elsevier Science Ireland Ltd. All rights reserved.