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

与电子病历有关的事故管理系统的草拟本已制订。它不仅包括电子病历相关事件报告的通用格式，还包括如何对事件进行分析；针对分析结果，可采取何种措施以及如何采取措施；以及采取措施后如何进行评价。已开发的电子病历相关事故管理系统草案已与多家医院的医疗保健管理人员进行了讨论。提出了改进建议，大部分要点都已修改，但尚未全部完成。去年还计划进行一项未包括在原项目中的新研究。本研究的目的是探讨电子病历系统是否真的对安全、生产力和医疗保健质量有积极的影响。进行了文献调查和研究设计。但是，由于需要日本所有公立医院的EMR系统实施时间信息，这些信息并没有向公众开放。虽然也向政府有关部门进行了询问，但连研究都没有提供。因此，新的计划研究不能继续进行，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.