hospital information system;
risk management;
process analysis;
D O I:
10.1016/S1246-7820(03)00096-X
中图分类号:
R5 [内科学];
学科分类号:
1002 ;
100201 ;
摘要:
Nowadays, information system is recognised as one of the key points of the management strategy. An information system is regarded conceptualised as a mean to link 3 aspects of a firm (structure, organisation rules and staff). Its design and implementation have to meet the objectives of medical and economical evaluation, especially risk management objectives. In order to identify, analyse, reduce and prevent the occurence of adverse events, and also to measure the efficacy and efficiency of the production of care services, the design of information systems should be based on a process analysis in order to describe and classify all the working practices within the hospital. According to various methodologies (usually top-down analysis), each process can be divided into activities. Each activity (especially each care activity) can be described according to its potential risks and expected results. For care professionals performing a task, the access to official or internal guidelines and the adverse events reporting forms has also to be defined. Putting together all the elements of such a process analysis will contribute to integrate, into daily practice, the management of risks, supported by the information system. (C) 2003 Editions scientifiques et medicales Elsevier SAS. Tous droits reserves.
机构:
Univ Calif San Diego, Sch Med, Dept Family & Prevent Med, San Diego, CA 92103 USAUniv Calif San Diego, Sch Med, Dept Family & Prevent Med, San Diego, CA 92103 USA
Schneiderman, LJ
Capron, AM
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机构:Univ Calif San Diego, Sch Med, Dept Family & Prevent Med, San Diego, CA 92103 USA
机构:
Univ Tras Os Montes & Alto, Escola Ciencias & Tecnol, Douro, Vila Real, PortugalUniv Tras Os Montes & Alto, Escola Ciencias & Tecnol, Douro, Vila Real, Portugal
Costa, Fabio
Santos, Patricia
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机构:
Univ Tras Os Montes & Alto, Escola Ciencias & Tecnol, Douro, Vila Real, PortugalUniv Tras Os Montes & Alto, Escola Ciencias & Tecnol, Douro, Vila Real, Portugal
Santos, Patricia
Varajao, Joao
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机构:
Univ Minho, Dept Sistemas Informacao, Guimaraes, PortugalUniv Tras Os Montes & Alto, Escola Ciencias & Tecnol, Douro, Vila Real, Portugal
Varajao, Joao
Pereira, Lui Torres
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机构:
Univ Tras Os Montes & Alto, Escola Ciencias & Tecnol, Douro, Vila Real, PortugalUniv Tras Os Montes & Alto, Escola Ciencias & Tecnol, Douro, Vila Real, Portugal
Pereira, Lui Torres
Costa, Vitor
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机构:
Ctr Hosp Tras Os Montes & Alto Douro, Vila Real, PortugalUniv Tras Os Montes & Alto, Escola Ciencias & Tecnol, Douro, Vila Real, Portugal
机构:
Univ Groningen, Fac Spatial Sci, Dept Cultural Geog, NL-9700 AB Groningen, NetherlandsUniv Groningen, Fac Spatial Sci, Dept Cultural Geog, NL-9700 AB Groningen, Netherlands
Prenzel, Paula V.
Vanclay, Frank
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机构:
Univ Groningen, Fac Spatial Sci, Dept Cultural Geog, NL-9700 AB Groningen, NetherlandsUniv Groningen, Fac Spatial Sci, Dept Cultural Geog, NL-9700 AB Groningen, Netherlands
机构:
Univ Gothenburg, Sch Business Econ & Law, POB 600, SE-40530 Gothenburg, SwedenUniv Gothenburg, Sch Business Econ & Law, POB 600, SE-40530 Gothenburg, Sweden