Health care quality management by means of an incident report system and an electronic patient record system

被引：21

作者：

Takeda, H

Matsumura, Y

Nakajima, K

Kuwata, S

Yang, ZJ

Ji, SM

Zhang, QY

Chen, YF

Kusuoka, H

Inoue, M

机构：

[1] Osaka Univ, Grad Sch Med, Dept Med Informat Sci, Suita, Osaka 5650871, Japan

[2] Osaka Univ, Dept Med Qual Management, Suita, Osaka 5650871, Japan

[3] Osaka Natl Hosp, Chuo Ku, Osaka 5400006, Japan

来源：

INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS | 2003年 / 69卷 / 2-3期

关键词：

quality management; incident report; electronic patient records; structured data;

D O I：

10.1016/S1386-5056(03)00010-8

中图分类号：

TP [自动化技术、计算机技术];

学科分类号：

0812 ;

摘要：

Background: Quality management in health care services has not been as successful as in other industries. Objective: To assess the potential contribution of an on-line incident reporting system (OIRS) and of an electronic patient record (EPR) system to quality management in hospitals. Methods: The two approaches are being implemented in Osaka University Hospital. Results: Analysis of the early use of the on-line reporting system indicates that this qualitative approach has been effective to avoid adverse medical events. The quantitative methodology with the EPR is still in the phase of developing. Conclusion: Direct data entry by medical staff and an EPR based on dynamic templates and a dynamic problem oriented approach could be useful for building clinical data repositories that can support clinical quality management. (C) 2003 Elsevier Science Ireland Ltd. All rights reserved.

引用

页码：285 / 293

页数：9

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