Abstract：
Perceptions of errors associated with healthcare information technology (HIT) often depend on the context and position of the viewer. HIT vendors posit very different causes of errors than clinicians, implementation teams, or IT staff. Even within the same hospital, members of departments and services often implicate other departments. Organizations may attribute errors to external care partners that refer patients, such as nursing homes or outside clinics. Also, the various clinical roles within an organization (e.g., physicians, nurses, pharmacists) can conceptualize errors and their root causes differently. Overarching all these perceptual factors, the definitions, mechanisms, and incidence of HIT-related errors are remarkably conflictual. There is neither a universal standard for defining or counting these errors. This paper attempts to enumerate and clarify the issues related to differential perceptions of medical errors associated with HIT. It then suggests solutions.
摘要：
对与医疗保健信息技术(HIT)相关联的错误的感知通常取决于观看者的上下文和位置。HIT供应商认为错误的原因与临床医生非常不同，实施团队，或IT人员。即使在同一家医院里，部门和服务的成员经常牵连其他部门。组织可能会将错误归因于转诊患者的外部护理合作伙伴，如疗养院或诊所外。此外，组织内的各种临床角色(例如，医师,护士,药剂师)可以不同地概念化错误及其根本原因。支配所有这些感知因素，定义,机制,与HIT相关的错误的发生率是非常矛盾的。定义或计算这些错误都没有通用标准。本文试图列举和阐明与HIT相关的医疗错误的差异认知相关的问题。然后提出解决方案。
