Abstract：
This study examined health information technology-related incidents to characterise system issues as a basis for improvement in Swedish clinical practice. Incident reports were collected through interviews together with retrospectively collected incidents from voluntary incident databases, which were analysed using deductive and inductive approaches. Most themes pertained to system issues, such as functionality, design, and integration. Identified system issues were dominated by technical factors (74%), while human factors accounted for 26%. Over half of the incidents (55%) impacted on staff or the organisation, and the rest on patients - patient inconvenience (25%) and patient harm (20%). The findings indicate that it is vital to choose and commission suitable systems, design out \"error-prone\" features, ensure contingency plans are in place, implement clinical decision-support systems, and respond to incidents on time. Such strategies would improve the health information technology systems and Swedish clinical practice.
摘要：
这项研究检查了与健康信息技术相关的事件，以描述系统问题，以此作为改进瑞典临床实践的基础。通过访谈收集了事件报告，并从自愿事件数据库中回顾性收集了事件。使用演绎和归纳法对其进行了分析。大多数主题与系统问题有关，如功能，设计,和融合。发现的系统问题主要由技术因素(74%)，而人为因素占26%。超过一半的事件（55％）影响到员工或组织，其余的患者-患者不便（25％）和患者伤害（20％）。调查结果表明，选择和委托合适的系统至关重要，设计出“容易出错”的功能，确保应急计划到位，实施临床决策支持系统，并及时响应事件。这些战略将改善卫生信息技术系统和瑞典临床实践。
