Int J Med Inform - A framework of a patient safety information system for Iranian hospitals: lessons learned from Australia, England and the US.

Tópicos

{ decis(3086) make(1611) patient(1517) }
{ health(3367) inform(1360) care(1135) }
{ medic(1828) order(1363) alert(1069) }
{ framework(1458) process(801) describ(734) }
{ concept(1167) ontolog(924) domain(897) }
{ data(3963) clinic(1234) research(1004) }
{ record(1888) medic(1808) patient(1693) }
{ inform(2794) health(2639) internet(1427) }
{ use(976) code(926) identifi(902) }
{ estim(2440) model(1874) function(577) }
{ model(2220) cell(1177) simul(1124) }
{ health(1844) social(1437) communiti(874) }
{ process(1125) use(805) approach(778) }
{ studi(2440) review(1878) systemat(933) }
{ clinic(1479) use(1117) guidelin(835) }
{ algorithm(1844) comput(1787) effici(935) }
{ extract(1171) text(1153) clinic(932) }
{ control(1307) perform(991) simul(935) }
{ care(1570) inform(1187) nurs(1089) }
{ general(901) number(790) one(736) }
{ method(984) reconstruct(947) comput(926) }
{ risk(3053) factor(974) diseas(938) }
{ ehr(2073) health(1662) electron(1139) }
{ gene(2352) biolog(1181) express(1162) }
{ featur(3375) classif(2383) classifi(1994) }
{ problem(2511) optim(1539) algorithm(950) }
{ howev(809) still(633) remain(590) }
{ research(1085) discuss(1038) issu(1018) }
{ compound(1573) activ(1297) structur(1058) }
{ data(2317) use(1299) case(1017) }
{ first(2504) two(1366) second(1323) }
{ high(1669) rate(1365) level(1280) }
{ use(1733) differ(960) four(931) }
{ survey(1388) particip(1329) question(1065) }
{ activ(1452) weight(1219) physic(1104) }
{ detect(2391) sensit(1101) algorithm(908) }
{ model(3404) distribut(989) bayesian(671) }
{ can(774) often(719) complex(702) }
{ imag(1947) propos(1133) code(1026) }
{ data(1737) use(1416) pattern(1282) }
{ system(1976) rule(880) can(841) }
{ measur(2081) correl(1212) valu(896) }
{ imag(1057) registr(996) error(939) }
{ bind(1733) structur(1185) ligand(1036) }
{ sequenc(1873) structur(1644) protein(1328) }
{ method(1219) similar(1157) match(930) }
{ imag(2830) propos(1344) filter(1198) }
{ network(2748) neural(1063) input(814) }
{ imag(2675) segment(2577) method(1081) }
{ patient(2315) diseas(1263) diabet(1191) }
{ take(945) account(800) differ(722) }
{ motion(1329) object(1292) video(1091) }
{ assess(1506) score(1403) qualiti(1306) }
{ treatment(1704) effect(941) patient(846) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ error(1145) method(1030) estim(1020) }
{ chang(1828) time(1643) increas(1301) }
{ learn(2355) train(1041) set(1003) }
{ method(1557) propos(1049) approach(1037) }
{ data(1714) softwar(1251) tool(1186) }
{ design(1359) user(1324) use(1319) }
{ search(2224) databas(1162) retriev(909) }
{ featur(1941) imag(1645) propos(1176) }
{ case(1353) use(1143) diagnosi(1136) }
{ studi(1410) differ(1259) use(1210) }
{ perform(999) metric(946) measur(919) }
{ system(1050) medic(1026) inform(1018) }
{ import(1318) role(1303) understand(862) }
{ model(2341) predict(2261) use(1141) }
{ visual(1396) interact(850) tool(830) }
{ perform(1367) use(1326) method(1137) }
{ studi(1119) effect(1106) posit(819) }
{ blood(1257) pressur(1144) flow(957) }
{ spatial(1525) area(1432) region(1030) }
{ model(3480) simul(1196) paramet(876) }
{ monitor(1329) mobil(1314) devic(1160) }
{ state(1844) use(1261) util(961) }
{ research(1218) medic(880) student(794) }
{ patient(2837) hospit(1953) medic(668) }
{ model(2656) set(1616) predict(1553) }
{ age(1611) year(1155) adult(843) }
{ signal(2180) analysi(812) frequenc(800) }
{ cost(1906) reduc(1198) effect(832) }
{ group(2977) signific(1463) compar(1072) }
{ sampl(1606) size(1419) use(1276) }
{ data(3008) multipl(1320) sourc(1022) }
{ intervent(3218) particip(2042) group(1664) }
{ activ(1138) subject(705) human(624) }
{ time(1939) patient(1703) rate(768) }
{ patient(1821) servic(1111) care(1106) }
{ use(2086) technolog(871) perceiv(783) }
{ can(981) present(881) function(850) }
{ analysi(2126) use(1163) compon(1037) }
{ structur(1116) can(940) graph(676) }
{ cancer(2502) breast(956) screen(824) }
{ drug(1928) target(777) effect(648) }
{ result(1111) use(1088) new(759) }
{ implement(1333) system(1263) develop(1122) }
{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }

Resumo

TRODUCTION: Patient Safety Information Systems (PSIS) are prerequisite for any patient safety program. The purpose of the study was to review PSISs in developed countries and to customize a preliminary framework for such systems for Iran.METHODS: Three developed countries in the field of patient safety including the USA, England and Australia were selected and their PSISs or reporting systems were studied. In addition, 15 unstructured interviews were conducted with Iranian informants.RESULTS: In the developed countries, specific regulations have been formulated regarding reporting and recording of patient safety incidents. Based on these regulations, a variety of patient safety data needs to be collected. In addition, the reportable incidents, the mechanisms of data analysis, the entities involved in the system, tools and technologies as well as feedback mechanisms have been defined well. In the field of patient safety, the Iranian health system is still in its infancy and lacks a formal information system for collecting, analyzing, disseminating and sharing patient safety information. Based on other countries' experiences, a preliminary framework for an Iranian PSIS was suggested.CONCLUSION: Developing a PSIS for Iranian hospitals is crucially needed. In this regard, Iranian hospitals and health authorities should develop standardized data sets, standard forms for reporting, mechanisms for data analysis and feedback modes.

Resumo Limpo

troduct patient safeti inform system psis prerequisit patient safeti program purpos studi review psiss develop countri custom preliminari framework system iranmethod three develop countri field patient safeti includ usa england australia select psiss report system studi addit unstructur interview conduct iranian informantsresult develop countri specif regul formul regard report record patient safeti incid base regul varieti patient safeti data need collect addit report incid mechan data analysi entiti involv system tool technolog well feedback mechan defin well field patient safeti iranian health system still infanc lack formal inform system collect analyz dissemin share patient safeti inform base countri experi preliminari framework iranian psis suggestedconclus develop psis iranian hospit crucial need regard iranian hospit health author develop standard data set standard form report mechan data analysi feedback mode

Resumos Similares

AMIA Annu Symp Proc - Constructing Clinical Decision Support Systems for Adverse Drug Event Prevention: A Knowledge-based Approach. ( 0,67562261852918 )
Med Decis Making - Theoretical foundation of patient v. population preferences in calculating QALYs. ( 0,670751765408201 )
J Am Med Inform Assoc - Workshop on using natural language processing applications for enhancing clinical decision making: an executive summary. ( 0,670735720432528 )
J Biomed Inform - Opportunistic decision making and complexity in emergency care. ( 0,661929038030106 )
Methods Inf Med - Public reporting in Germany: the content of physician rating websites. ( 0,648162184876615 )
Med Decis Making - A model to support shared decision making in electronic health records systems. ( 0,635274020106125 )
AMIA Annu Symp Proc - Revisiting the EBM decision model to formalize non-compliance with computerized CPGs: results in the management of breast cancer with OncoDoc2. ( 0,634167490589177 )
J. Med. Internet Res. - Ethical principles for physician rating sites. ( 0,621652292948504 )
BMC Med Inform Decis Mak - Delivering patient decision aids on the Internet: definitions, theories, current evidence, and emerging research areas. ( 0,621566075196712 )
BMC Med Inform Decis Mak - The design of a low literacy decision aid about rheumatoid arthritis medications developed in three languages for use during the clinical encounter. ( 0,609019698157623 )
J Am Med Inform Assoc - The influence of computerized decision support on prescribing during ward-rounds: are the decision-makers targeted? ( 0,608375111585845 )
Appl Clin Inform - Towards meaningful medication-related clinical decision support: recommendations for an initial implementation. ( 0,605380333597583 )
AMIA Annu Symp Proc - An information-centric framework for designing patient-centered medical decision aids and risk communication. ( 0,601509458927117 )
Med Decis Making - All stories are not alike: a purpose-, content-, and valence-based taxonomy of patient narratives in decision aids. ( 0,600885909446868 )
Appl Clin Inform - AMDIS Case Conference: Intrusive Medication Safety Alerts. ( 0,598935963334223 )
AMIA Annu Symp Proc - Supporting shared decision making within the MobiGuide project. ( 0,590874317210429 )
BMC Med Inform Decis Mak - Developing and user-testing Decision boxes to facilitate shared decision making in primary care--a study protocol. ( 0,590746950453908 )
Int J Med Inform - Design of decision support interventions for medication prescribing. ( 0,589300747659807 )
J Am Med Inform Assoc - Challenges in ethics, safety, best practices, and oversight regarding HIT vendors, their customers, and patients: a report of an AMIA special task force. ( 0,587645415636675 )
Med Decis Making - Are medical outcomes fungible? A survey of voters, medical administrators, and physicians. ( 0,583415793107127 )
BMC Med Inform Decis Mak - A qualitative study of professional and client perspectives on information flows and decision aid use. ( 0,580104259580834 )
AMIA Annu Symp Proc - Sharing my health data: a survey of data sharing preferences of healthy individuals. ( 0,579755198392479 )
Med Decis Making - Investing in deliberation: a definition and classification of decision support interventions for people facing difficult health decisions. ( 0,578687747390791 )
BMC Med Inform Decis Mak - Basing information on comprehensive, critically appraised, and up-to-date syntheses of the scientific evidence: a quality dimension of the International Patient Decision Aid Standards. ( 0,578641893163258 )
BMC Med Inform Decis Mak - User needs elicitation via analytic hierarchy process (AHP). A case study on a Computed Tomography (CT) scanner. ( 0,578399605441735 )
BMC Med Inform Decis Mak - Clarifying values: an updated review. ( 0,576120419352333 )
BMC Med Inform Decis Mak - Disclosing conflicts of interest in patient decision aids. ( 0,572246205956968 )
AMIA Annu Symp Proc - Using design principles to foster understanding of complex health concepts in consumer informatics tools. ( 0,571872022762082 )
Int J Med Inform - Comparison of extent of use, information accuracy, and functions for manual and electronic patient status boards. ( 0,570374343542252 )
J Med Syst - Integration of an OWL-DL knowledge base with an EHR prototype and providing customized information. ( 0,566478863046698 )
J Am Med Inform Assoc - Implementation of an innovative, integrated electronic medical record (EMR) and public health information exchange for HIV/AIDS. ( 0,565584819932511 )
Int J Med Inform - Model development for EHR interdisciplinary information exchange of ICU common goals. ( 0,562275134910063 )
BMC Med Inform Decis Mak - Developing an electronic health record (EHR) for methadone treatment recording and decision support. ( 0,562117858729822 )
Comput Methods Programs Biomed - Development framework for a patient-centered record. ( 0,561335918441403 )
J. Med. Internet Res. - Review of online evidence-based practice point-of-care information summary providers: response by the publisher of DynaMed. ( 0,561024243182814 )
Appl Clin Inform - Cognitive analysis of decision support for antibiotic ordering in a neonatal intensive care unit. ( 0,559813097676599 )
Int J Med Inform - Online usability and patients with long-term conditions: a mixed-methods approach. ( 0,558081741286328 )
BMC Med Inform Decis Mak - Shared decision-making and health for First Nations, M?tis and Inuit women: a study protocol. ( 0,557581694494965 )
Med Decis Making - Content coding for contextualization of care: evaluating physician performance at patient-centered decision making. ( 0,557480508772196 )
AMIA Annu Symp Proc - Social network analysis of physician interactions: the effect of institutional boundaries on breast cancer care. ( 0,556863313736915 )
BMC Med Inform Decis Mak - Extensions to regret-based decision curve analysis: an application to hospice referral for terminal patients. ( 0,553457389959572 )
BMC Med Inform Decis Mak - Media, messages, and medication: strategies to reconcile what patients hear, what they want, and what they need from medications. ( 0,553261679623664 )
BMC Med Inform Decis Mak - Incorporating patient and family preferences into evidence-based medicine. ( 0,553241776754475 )
Med Decis Making - Assessing personalized medicines in Australia: a national framework for reviewing codependent technologies. ( 0,552366791718353 )
J Biomed Inform - The Arden Syntax standard for clinical decision support: experiences and directions. ( 0,551406684728251 )
Artif Intell Med - From decision to shared-decision: Introducing patients' preferences into clinical decision analysis. ( 0,550999861837804 )
BMC Med Inform Decis Mak - Event-based knowledge elicitation of operating room management decision-making using scenarios adapted from information systems data. ( 0,549949483342765 )
Telemed J E Health - Realist review to inform development of the electronic advance care plan for the personally controlled electronic health record in Australia. ( 0,549221891852873 )
J Am Med Inform Assoc - Lessons learned in detailed clinical modeling at Intermountain Healthcare. ( 0,549130236874884 )
AMIA Annu Symp Proc - Design and evaluation of a bacterial clinical infectious diseases ontology. ( 0,548768794990954 )
Med Decis Making - Contributions of Second Opinions, Outcome Forecasts, and Testimonials to Patient Decisions about Knee Replacement Surgery. ( 0,547747097124817 )
AMIA Annu Symp Proc - A legal framework to enable sharing of Clinical Decision Support knowledge and services across institutional boundaries. ( 0,546541439958064 )
J Med Syst - The reliability of an epilepsy treatment clinical decision support system. ( 0,545578853063386 )
BMC Med Inform Decis Mak - Do personal stories make patient decision aids more effective? A critical review of theory and evidence. ( 0,544708676401049 )
AMIA Annu Symp Proc - Clinical use of an enterprise data warehouse. ( 0,542388140540499 )
Med Decis Making - Quantifying long-term care preferences. ( 0,541867579349015 )
Artif Intell Med - Artificial intelligence framework for simulating clinical decision-making: a Markov decision process approach. ( 0,540978259333753 )
Healthc (Amst) - Worth a thousand words: Integrating clinical photographs into an electronic medical record. ( 0,540404439904373 )
Spat Spatiotemporal Epidemiol - The interactive atlas on health inequalities. ( 0,540273507791433 )
J. Med. Internet Res. - A web-based tool to support shared decision making for people with a psychotic disorder: randomized controlled trial and process evaluation. ( 0,536935644567079 )
J Med Syst - Cloud based emergency health care information service in India. ( 0,536508898102556 )
J Biomed Inform - Participatory design for computerization of clinical practice guidelines. ( 0,535951750301418 )
IEEE J Biomed Health Inform - Leveraging social supports for improving personal expertise on ACL reconstruction and rehabilitation. ( 0,535833260369167 )
BMC Med Inform Decis Mak - The Intego database: background, methods and basic results of a Flemish general practice-based continuous morbidity registration project. ( 0,535372105183514 )
J Am Med Inform Assoc - Normalized names for clinical drugs: RxNorm at 6 years. ( 0,53481991284656 )
BMC Med Inform Decis Mak - Presenting quantitative information about decision outcomes: a risk communication primer for patient decision aid developers. ( 0,534460886710493 )
BMC Med Inform Decis Mak - Use of handheld computers in clinical practice: a systematic review. ( 0,534071838982044 )
Healthc (Amst) - Incentivizing shared decision making in the USA--where are we now? ( 0,533528500722138 )
BMC Med Inform Decis Mak - Development of a tool to improve the quality of decision making in atrial fibrillation. ( 0,533110464831413 )
Med Decis Making - Why do patients derogate physicians who use a computer-based diagnostic support system? ( 0,532972743678406 )
Comput. Biol. Med. - Implementing the lifelong personal health record in a regionalised health information system: the case of Lombardy, Italy. ( 0,531632704138696 )
BMC Med Inform Decis Mak - Risk assessment and decision making about in-labour transfer from rural maternity care: a social judgment and signal detection analysis. ( 0,531176565889511 )
Med Decis Making - What is known about parents' treatment decisions? A narrative review of pediatric decision making. ( 0,530206769959217 )
Health Info Libr J - Evaluation of three point-of-care healthcare databases: BMJ Point-of-Care, Clin-eguide and Nursing Reference Centre. ( 0,529859423761566 )
Med Decis Making - Improving the accuracy and comparability of model-based economic evaluations of health technologies for reimbursement decisions: a methodological framework for the development of reference models. ( 0,529571285565586 )
Int J Med Inform - Physician and patient willingness to pay for electronic cardiovascular disease management. ( 0,529172691929382 )
Methods Inf Med - From adverse drug event detection to prevention. A novel clinical decision support framework for medication safety. ( 0,52913100999609 )
BMC Med Inform Decis Mak - Decision-making in healthcare: a practical application of partial least square path modelling to coverage of newborn screening programmes. ( 0,528999396301747 )
Int J Med Inform - What do physicians tell laboratories when requesting tests? A multi-method examination of information supplied to the microbiology laboratory before and after the introduction of electronic ordering. ( 0,528603457961268 )
Artif Intell Med - Physicians' responses to clinical decision support on an intensive care unit--comparison of four different alerting methods. ( 0,52734407220149 )
Healthc (Amst) - Will new care delivery solve the primary care physician shortage?: A call for more rigorous evaluation. ( 0,526978417266187 )
AMIA Annu Symp Proc - Implementation of interinstitutional and transnational remote terminology services. ( 0,526041880857177 )
Med Decis Making - The DECISIONS study: a nationwide survey of United States adults regarding 9 common medical decisions. ( 0,525409552167316 )
Artif Intell Med - Optimization of anemia treatment in hemodialysis patients via reinforcement learning. ( 0,524862353616045 )
J Am Med Inform Assoc - A clinical decision support needs assessment of community-based physicians. ( 0,52110660129566 )
J Am Med Inform Assoc - Validation of electronic medical record-based phenotyping algorithms: results and lessons learned from the eMERGE network. ( 0,520190117460065 )
BMC Med Inform Decis Mak - Congruence between patients' preferred and perceived participation in medical decision-making: a review of the literature. ( 0,519105438636264 )
Med Decis Making - Framing Options as Choice or Opportunity: Does the Frame Influence Decisions? ( 0,518195613826179 )
BMC Med Inform Decis Mak - Refining a brief decision aid in stable CAD: cognitive interviews. ( 0,51815951774001 )
BMC Med Inform Decis Mak - Dual processing model of medical decision-making. ( 0,515894937107135 )
J Biomed Inform - Knowledge engineering for adverse drug event prevention: on the design and development of a uniform, contextualized and sustainable knowledge-based framework. ( 0,515787912095455 )
Methods Inf Med - Memorandum on the use of information technology to improve medication safety. ( 0,515115955034758 )
AMIA Annu Symp Proc - An evaluation of the NQF Quality Data Model for representing Electronic Health Record driven phenotyping algorithms. ( 0,514971720096435 )
Med Decis Making - Better medicine by default. ( 0,514631886476861 )
J Am Med Inform Assoc - Policies for patient access to clinical data via PHRs: current state and recommendations. ( 0,513436709190795 )
BMC Med Inform Decis Mak - A randomized study of telephonic care support in populations at risk for musculoskeletal preference-sensitive surgeries. ( 0,513362095935578 )
Med Decis Making - Perceptions of shared decision making and decision aids among rural primary care clinicians. ( 0,509516983474611 )
AMIA Annu Symp Proc - Leveraging rich annotations to improve learning of medical concepts from clinical free text. ( 0,509464726721383 )
Appl Clin Inform - Novel Representation of Clinical Information in the ICU: Developing User Interfaces which Reduce Information Overload. ( 0,509424286624295 )
J Clin Monit Comput - Closed loop mechanical ventilation. ( 0,507761032300669 )