Int J Med Inform - National efforts to improve health information system safety in Canada, the United States of America and England.

Tópicos

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{ data(3008) multipl(1320) sourc(1022) }
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{ patient(2315) diseas(1263) diabet(1191) }
{ framework(1458) process(801) describ(734) }
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{ studi(1410) differ(1259) use(1210) }
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{ spatial(1525) area(1432) region(1030) }
{ record(1888) medic(1808) patient(1693) }
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{ ehr(2073) health(1662) electron(1139) }
{ patient(2837) hospit(1953) medic(668) }
{ model(2656) set(1616) predict(1553) }
{ data(2317) use(1299) case(1017) }
{ 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) }
{ first(2504) two(1366) second(1323) }
{ intervent(3218) particip(2042) group(1664) }
{ activ(1138) subject(705) human(624) }
{ time(1939) patient(1703) rate(768) }
{ patient(1821) servic(1111) care(1106) }
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{ health(1844) social(1437) communiti(874) }
{ cancer(2502) breast(956) screen(824) }
{ use(1733) differ(960) four(931) }
{ drug(1928) target(777) effect(648) }
{ result(1111) use(1088) new(759) }
{ estim(2440) model(1874) function(577) }
{ decis(3086) make(1611) patient(1517) }
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{ method(1969) cluster(1462) data(1082) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

JECTIVE: In this paper we review progress as well as challenges encountered in Canada, the United States and England with regard to ensuring safety of health information technology.METHOD: A review of major programs and initiatives for ensuring safety of health information technology in the three countries was conducted. Published literature and Web resources from national programs were reviewed for relevant information.RESULTS: It was found that in all three countries the issue of technology-induced error has been recognized as being of critical importance. The three countries have developed approaches for dealing with the issue that have some commonalities; however, they are at varying different stages of maturity, with England having the longest standing and most well developed safety programs, while Canada and the United States are at earlier stages. The types of approaches employed have included work on developing standards related to usability and interface design, certifications, directives from regulatory bodies, educational initiatives in health information technology (HIT) safety as well as research into safer HIT design and implementation methods.CONCLUSIONS: HIT promises to lead to improved patient safety. However, it has become recognized that if not designed and deployed appropriately, such systems can lead to new types of errors. Based on this recognition, a variety of initiatives are being undertaken in Canada, the United States and England to promote the safe design, procurement and deployment of HIT. It is concluded that improved approaches to system design, testing, regulation, error reporting, safety education and cross-country collaboration will be needed to further promote safer HIT.

Resumo Limpo

jectiv paper review progress well challeng encount canada unit state england regard ensur safeti health inform technologymethod review major program initi ensur safeti health inform technolog three countri conduct publish literatur web resourc nation program review relev informationresult found three countri issu technologyinduc error recogn critic import three countri develop approach deal issu common howev vari differ stage matur england longest stand well develop safeti program canada unit state earlier stage type approach employ includ work develop standard relat usabl interfac design certif direct regulatori bodi educ initi health inform technolog hit safeti well research safer hit design implement methodsconclus hit promis lead improv patient safeti howev becom recogn design deploy appropri system can lead new type error base recognit varieti initi undertaken canada unit state england promot safe design procur deploy hit conclud improv approach system design test regul error report safeti educ crosscountri collabor will need promot safer hit

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