medigraphic.com
ISSN 2307-2113 (Electronic)
Revista Cubana de Información en Ciencias de la Salud (ACIMED)

2020, Number 4

<< Back Next >>

Revista Cubana de Información en Ciencias de la Salud (ACIMED) 2020; 31 (4)

Use of the information system and its influences on patient safety

Souza GD, Delgado CE, Ribeiro FL, da Costa CF, de Castro FDB, Barbosa CEA, Cavalcante RB

Language: Portugués
References: 24
Page: 1-21
PDF size: 513.45 Kb.


ABSTRACT

In this study we analyzed the use of an information system and its influences on patient safety. A study with a qualitative approach was conducted, where interviews were carried out with 21 professionals and observations related to the use of an information system in a Regional Emergency Service in Minas Gerais, Brazil. The data were processed through content analysis and thematic-categorical modality. It was found that there are deficiencies in connectivity; incompatibilities between technology and emergency work; low quality of information; work overload; external and internal pressures; weaknesses in training, technical support and technological evaluation. These situations have weakened the use of technology, which has increased risks to patient safety. It is necessary to develop safe technologies, promote their use and improve them, considering professionals as participants in these processes.


REFERENCES

  1. Abdulla AAMA, Shobaki MJA, Naser SSA. The reality of integrating the dimensions of Computerized Health Information Systems in Dar Al-Shifa Medical Complex. IJEAIS. 2017 [acceso: 22/06/2020];1(9):80-104. Disponible en: https://papers.ssrn.com/sol3/papers.cfm?abstract_id=3084556

  2. Keen J, Greenhalgh J, Randell R, Gardner P, Waring J, Longo R, et al. Networked information technologies and patient safety: a protocol for a realist synthesis. Syst Rev. 2019;8(1):307. DOI: https://doi.org/10.1186/s13643-019-1223-1

  3. Ministério da Saúde. Portaria nº 529, de 1º de abril de 2013: Institui o Programa Nacional de Segurança do Paciente (PNSP). Brasil: Diário Oficial da União; 2013. p. 43.

  4. Klein VR. Risk Management in Obstetrics and Gynecology. Clin Obstet Gynecol. 2019;62(3):550-9. DOI: https://doi.org/10.1097/GRF.0000000000000473

  5. Clarke A, Adamson J, Watt I, Sheard L, Cairns P, Wright J. The impact of electronic records on patient safety: a qualitative study. BMC Med Inform Decis Mak. 2016;16:62. DOI: https://doi.org/10.1186/s12911-016-0299-y

  6. Islam MM, Poly TN, Li YJ. Recent Advancement of Clinical Information Systems: Opportunities and Challenges. Yearb Med Inform. 2018;27(1):83-90. DOI: https://doi.org/10.1055/s-0038-1667075

  7. Stavropoulou C, Doherty C, Tosey P. How Effective Are Incident-Reporting Systems for Improving Patient Safety? A Systematic Literature Review. Milbank Q [Internet]. 2015 [acceso: 22/06/2020];93(4):826-66. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4678941/

  8. Meek DW, Takian A, Sittig DF, Singh H, Baber N. Exploring the sociotechnical intersection of patient safety and electronic health record implementation. J Am Med Inform Assoc. 2014 [acceso: 22/06/2020];21(e1):e28-e34. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3957388/

  9. Palojoki S, Mäkelä M, Lehtonen L, Saranto K. An analysis of electronic health record-related patient safety incidents. Health Informatics J. 2017;23(2):134-45. DOI: https://doi.org/10.1177/1460458216631072

  10. Kim MO, Coiera E, Magrabi F. Problems with health information technology and their effects on care delivery and patient outcomes: a systematic review. J Am Med Inform Assoc [Internet]. 2017; 24(2):246-60. DOI: https://doi.org/10.1093/jamia/ocw154

  11. Carson-Stevens A, Hibbert P, Williams H, Evans HP, Cooper A, Rees P, et al. Characterising the nature of primary care patient safety incident reports in the England and Wales National Reporting and Learning System: a mixed-methods agenda-setting study for general practice. Health Serv Deliv Res. 2016;4(27). DOI: https://doi.org/10.3310/hsdr04270

  12. Yin RK. Estudo de caso: Planejamentos e Métodos. Porto Alegre: Bookman; 2015.

  13. Minayo MCS. O desafio do conhecimento: Pesquisa qualitativa em saúde. São Paulo: Hucitec; 2014.

  14. Nascimento LCN, Souza TV, Oliveira ICS, Moraes JRMM, Aguiar RCB, Silva LF. Theoretical saturation in qualitative research: an experience report in interview with schoolchildren. Rev Bras Enferm. 2018;71(1):228-33. DOI: http://dx.doi.org/10.1590/0034-7167-2016-0616

  15. Bardin L. Análise de Conteúdo. São Paulo: Edições; 2016.

  16. Menon S, Singh H, Giardina TD, Rayburn WL, Davis BP, Russo EM, et al. Safety huddles to proactively identify and address electronic health record safety. J Am Med Inform Assoc. 2017; 24(2):261-7. DOI: https://doi.org/10.1093/jamia/ocw153

  17. Kashiwagi DT, Sexton MD, Graves CES, Johnson JM, Yu RC, et al. All Clear ? Preparing for IT Downtime. Am J Med Qual. 2017;32(5):547-51. Disponible en: DOI: https://doi.org/10.1177/1062860616667546

  18. Menon S, Singh H, Meyer AND, Belmont E, Sittig DF. Electronic health record-related safety concerns: a cross-sectional survey. J Healthc Risk Manag. 2014 [acceso: 22/06/2020];34(1):14-26. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/25070253

  19. Sher ML, Talley PC, Cheng TJ, Kuo KM. How can hospitals better protect the privacy of electronic medical records? Perspectives from staff members of health information management departments. Health Inf Manag. 2017;46(2):87-95. DOI: https://doi.org/10.1177/1833358316671264

  20. Soares EVB. Atenção básica e informação: análise do Sistema de Informação em Saúde para Atenção Básica (SISAB) e estratégia e-SUS AB e suas repercussões para uma gestão da saúde com transparência [monografia]. Brasília: Universidade de Brasília; 2016 [acceso: 22/06/2020]. Disponible en: https://bdm.unb.br/handle/10483/14323

  21. Ferreira JL, Ruffoni J, Carvalho AM. Dinâmica da difusão de inovações no contexto brasileiro. Rev Bras Inov. 2018;17(1):175. DOI: https://doi.org/10.20396/rbi.v16i4.8650852

  22. Wang J, Liang H, Kang H, Gong Y. Understanding Health Information Technology Induced Medication Safety Events by Two Conceptual Frameworks. Appl Clin Inform. 2019;10(1):158-67. DOI: https://doi.org/10.1055/s-0039-1678693

  23. Schiff GD, Amato MG, Eguale T, Boehne JJ, Wright A, Koppel R, et al. Computerised physician order entry-related medication errors: analysis of reported errors and vulnerability testing of current systems. BMJ Qual Saf. 2015;24(4):264-71. DOI: https://doi.org/10.1136/bmjqs-2014-003555

  24. Magrabi F, Baker M, Sinha I, Ong MS, Harrison S, Kidd MR, et al. Clinical safety of England's national programme for IT: a retrospective analysis of all reported safety events 2005 to 2011. Int J Med Inform. 2015;84(3):198-206. DOI: https://doi.org/10.1016/j.ijmedinf.2014.12.003




2020     |     www.medigraphic.com