Abstract：
This case study presents a process that was iteratively developed for clinical informaticians to identify, analyse, and respond to safety events related to health information technologies (HIT) in community care settings (This research was supported by the CIHR Health Systems Impact Fellowship Program. We would also like to thank Vancouver Coastal Health for their valuable contributions.). The goal was to build capacity within a clinical informatics team to integrate patient safety into their work and to help them recognize and respond to HIT-related safety events. The technology-related safety event analysis process that was ultimately developed included three key components: 1) an internal workflow to analyse voluntarily reported HIT-related safety events using a sociotechnical model, 2) safety huddles to amplify learnings from reviewed events, and 3) a cumulative analysis of all events over time to identify and respond to patterns. A systematic approach to quickly identify and understand HIT safety concerns enables informatics teams to proactively reduce risks and prevent harm.
摘要：
本案例研究提出了一个迭代开发的过程，供临床信息学家识别，分析，并应对社区护理环境中与健康信息技术（HIT）相关的安全事件（该研究得到了CIHR卫生系统影响研究金计划的支持。我们还要感谢温哥华沿海卫生的宝贵贡献。).目标是在临床信息学团队中建立能力，将患者安全纳入他们的工作，并帮助他们识别和应对与HIT相关的安全事件。最终开发的与技术相关的安全事件分析过程包括三个关键组成部分：1）使用社会技术模型分析自愿报告的与HIT相关的安全事件的内部工作流程，2)安全拥挤，以扩大从经审查的事件中学到的知识，和3）随着时间的推移对所有事件进行累积分析，以识别和响应模式。快速识别和理解HIT安全问题的系统方法使信息学团队能够主动降低风险并防止伤害。
