Toward an Optimal Patient Safety Information System

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چکیده

This study was designed to understand the “landscape” of hospital incident reporting systems and to examine the use of health information technology to improve reporting, data analysis, and learning from errors in health care. To date, no systematic estimates exist of the characteristics of reporting systems operated by U.S. hospitals or of how these systems are being used. More research is needed to substantiate the value of improved patient safety reporting at both the organizational and individual practitioner levels. Surveys were administered to U.S. hospitals to determine the current state of incident reporting systems and their perceived value. During the first phase of the study, the Adverse Event Reporting Survey (AERS) was administered to a representative sample of 2,050 U.S. hospitals to gather information about hospital incident reporting systems in use. For the second phase of the study, a stratified subsample of 489 hospitals was selected from AERS respondents to complete a questionnaire about their perceptions of their incident reporting system. The Patient Safety Event Taxonomy (PSET) was used to link disparate patient safety data from a sample of hospitals to assess the value of using a common framework to analyze and produce standardized reports of patient safety data. During the last phase of the study, a nonrandom subsample of 20 hospitals was selected to provide the Joint Commission with 30 de-identified incident reports per month for 12 months (April 2007 through March 2008). The PSET and hospital incident report data were used to develop a hospital incident reporting ontology (HIRO) to enable adverse event data analysis.

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تاریخ انتشار 2010