Clinical safety of England's national programme for IT: A retrospective analysis of all reported safety events 2005 to 2011

被引:62
作者
Magrabi, Farah [1 ]
Baker, Maureen [2 ]
Sinha, Ipsita [3 ]
Ong, Mei-Sing [1 ]
Harrison, Stuart [2 ]
Kidd, Michael R. [4 ]
Runciman, William B. [5 ,6 ]
Coiera, Enrico [1 ]
机构
[1] Macquarie Univ, Australian Inst Hlth Innovat, Ctr Hlth Informat, N Ryde, NSW 2109, Australia
[2] Hlth & Social Care Informat Ctr, Leeds, W Yorkshire, England
[3] Oxford Univ NHS Trust, Oxford, England
[4] Flinders Univ S Australia, Fac Med Nursing & Hlth Sci, Adelaide, SA, Australia
[5] Univ S Australia, Sch Psychol Social Work & Social Policy, Adelaide, SA 5001, Australia
[6] Australian Patient Safety Fdn, Adelaide, SA, Australia
基金
英国医学研究理事会;
关键词
Computer systems; Equipment failure analysis; Risk management/classification; Medical errors/statistics and numerical data; User-computer interface; HEALTH INFORMATION-TECHNOLOGY; PATIENT SAFETY; INCREASED MORTALITY; IMPLEMENTATION; ADOPTION; CLASSIFICATION; MANAGEMENT; SYSTEM; CARE; INCIDENTS;
D O I
10.1016/j.ijmedinf.2014.12.003
中图分类号
TP [自动化技术、计算机技术];
学科分类号
0812 ;
摘要
Objectives: To analyse patient safety events associated with England's national programme for IT (NPfIT). Methods: Retrospective analysis of all safety events managed by a dedicated IT safety team between September 2005 and November 2011 was undertaken. Events were reviewed against an existing classification for problems associated with IT. The proportion of reported events per problem type, consequences, source of report, resolution within 24 h, time of day and day of week were examined. Sub-group analyses were undertaken for events involving patient harm and those that occurred on a large scale. Results: Of the 850 events analysed, 68% (n = 574) described potentially hazardous circumstances, 24% (n = 205) had an observable impact on care delivery, 4% (n = 36) were a near miss, and 3% (n = 22) were associated with patient harm, including three deaths (0.35%). Eleven events did not have a noticeable consequence (1%) and two were complaints (<1%). Amongst the events 1606 separate contributing problems were identified. Of these 92% were predominately associated with technical rather than human factors. Problems involving human factors were four times as likely to result in patient harm than technical problems (25% versus 8%; OR 3.98, 95% CI 1.90-8.34). Large-scale events affecting 10 or more individuals or multiple IT systems accounted for 23% (n = 191) of the sample and were significantly more likely to result in a near miss (6% versus 4%) or impact the delivery of care (39% versus 20%; p < 0.001). Conclusion: Events associated with NPfIT reinforce that the use of IT does create hazardous circumstances and can lead to patient harm or death. Large-scale patient safety events have the potential to affect many patients and clinicians, and this suggests that addressing them should be a priority for all major IT implementations. (C) 2015 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:198 / 206
页数:9
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