Patient safety: Casting a spotlight on electronic medical record-related incidents

已制定了与电子病历有关的事件管理系统草案。它不仅包括一个通用的电子病历相关事件报告格式，还包括如何对事件进行分析;对应分析结果，可以采取什么样的措施，以及如何采取措施;以及如何在采取措施后进行评估。已与几家医院的医疗保健管理人员讨论了已开发的EMR相关事件管理系统的草案。提出了改进建议，大部分要点已经修改，但尚未全部完成。去年还计划进行一项未列入原项目的新研究。这项新研究的目的是调查EMR系统是否真的对安全性、生产率和医疗质量产生积极影响。进行了文献调查，并准备了研究设计。但是，由于需要日本所有公立医院的EMR系统实施时间的信息，因此这些信息不向公众开放。虽然也努力向有关政府部门进行了询问，但甚至没有提供研究资料。因此，新计划的研究无法继续，并终止。

A draft of the EMR-related incident management system has been developed. It includes not only a common format for EMR-related incident reporting, but also includes how to make analysis of incidents; corresponding to the analysis results, what kind of measures could be taken and how; and how to make evaluations after taking measures. The draft of the developed EMR-related incident management system has been discussed with the healthcare management personnel in several hospitals. Improvements were suggested and most of the points have been revised but not all finished.A new study unincluded in the original project was also planned last year. The objective of this new study is to investigate whether EMR system really has positive effects on safety, productivity and healthcare quality. A literature survey was conducted and research design was all prepared. However, as the information about the EMR system implementation period of all the Japanese public hospitals is needed, such information is not open to the public. Although efforts were also made to inquire the relevant government ministry, it was not provided even for research. Therefore, the new planned study could not continue anymore and was terminated.