Patient safety: Casting a spotlight on electronic medical record-related incidents

2023 Fiscal Year Final Research Report

• Project/Area Number: 19K15236
• Research Category: Grant-in-Aid for Early-Career Scientists
• Allocation Type: Multi-year Fund
• Review Section: Basic Section 25010:Social systems engineering-related
• Research Institution: Tokyo Institute of Technology
• Principal Investigator: Gu Xiuzhu 東京工業大学, 工学院, 准教授 (20632615)
• Project Period (FY): 2019-04-01 – 2024-03-31
• Keywords: Patient safety / Accident / Incident / EMR system / Taxonomy

Outline of Final Research Achievements

This study focused on new patient safety issues arising from electronic medical record (EMR) systems and aimed to develop an EMR-related incident management system that includes reporting, analysis, countermeasures, and evaluation of these events. A literature review and interviews with experts such as healthcare providers and management personnel were conducted to develop a taxonomy system for EMR-related incident analysis. Using this taxonomy system, the current problems and characteristics were clarified through the analysis of related incident and accident events. Based on these results, EMR-related incident management system was developed, consisting of incident reporting, analysis, countermeasures, and evaluation. The effectiveness of the system was evaluated through case studies, considering the trends in related incident reports, the appropriateness of countermeasures applied by the system, and the satisfaction levels of healthcare providers and management personnel.

Free Research Field

医療管理、安全工学、人間工学

Academic Significance and Societal Importance of the Research Achievements

本研究の3つの主要な成果：第一、電子カルテ（EMR）関連のインシデント分析のためのエラー分類法である。この分類法は、これまでの研究が技術的なエラーに焦点を当てていたのに対し、医療スタッフとEMRシステムとの間のインタラクションの失敗に注目。第二、日本の病院の現状におけるEMR関連のインシデントの重要な特徴である。この分野において日本での研究はまだ行われていないため、本研究で得られる結果は初めてのものとなる。第三、現在の患者安全管理システムは、新たなEMR関連の安全問題には適していないため、本研究で開発されたEMR関連のインシデント管理システムは、これらの問題を解決するための有用な支援となる。