财团法人医院评鉴暨医疗品质策进会.pptVIP

Main strategies for preventing medical errors and adverse events using IT Tools to improve communication Making knowledge more readily accessible Assisting with calculations Performing checks in real time Assisting with systemic checking monitoring Providing decision support IT in healthcare applications: a review Decision Support Systems Computerized Physician Order Entry Adverse event systems alert systems Electronic Medical Record (EMR) Incident reporting systems HAI surveillance systems: an example * February 09, 2010, MGH, Swaziland Practical Approaches to development of patient safety information systems Chien-Tsai Liu, Professor Graduate Institute of Biomedical Informatics, Taipei Medical University The Conference on Patient Safety Integrated Health Records Patient safety definitions Narrowly: the issues specifically related to adverse events and their prevention Broadly: any aspect of healthcare and health services that may lead to patient injury, and any interventions, including clinical, organisational and policy changes that aim to reduce injury Patient safety is now one of the most important issues in healthcare internationally through the initiative “World Alliance for Patient Safety” led by the World Health Organisation (Oct. 2004 ) Medical Errors Adverse Events No harm events Near Misses Preventable events Sentinel Events Negligence A Venn diagram of Patient safety definitions 財團法人醫院評鑑暨醫療品質策進會 .tw/ Deaths associated with medical errors 5 elements for improving Patient safety A ‘just’ or ‘fair’ culture that encourages a reporting and questioning culture that is complemented by systems for reporting and analysing incidents both locally and nationally. A good in depth analysis process to establish root causes for selected individual incidents and aggregate incident reviews which enables learning. A process to ensure that actions are implemented, and corresponding improvements in patient safety and quality of care can be demonstrated. Ef