Access and retrieval of relevant information for patient safety and quality assessment is important in clinical contexts. The objective of critical incident reporting systems (CIRS) is to enable users, e.g. health care professionals working for a hospital, to report in an anonymous manner critical events that occurred in their working environment. Incident reporting has been instituted in healthcare systems in many countries for some time now, e.g. in Switzerland in 1997 , but not in all healthcare systems it is obligatory to report critical incidents. However, it has been shown that those anecdotal reports bear important information on limitations of systems and processes . On the one hand, critical situations or even systematic errors …show more content…
2. Material and Methods
In previous work, we studied user requirements and challenges of incident report retrieval . In summary, a future incident report retrieval system: (1) provides a keyword search on the entire data set, (2) enables coordinated queries (AND, OR), (3) performs a semantic enrichment or automatic query expansion with synonyms (e.g. when only a drug name is mentioned in a text, the text should be anyway retrieved when searching for the keyword “medication”) and lexical variants, and (4) identifies matches that sound similarly (SoundEx, phonetic algorithm ).
The basis of the analysis and retrieval experiment are 581 randomly selected incident reports from a university hospital. They originate from different clinics of the hospital and consist of at least of a date and a free-textual event description. Most of them have a title that is summarizing the critical event consisting mainly of one to three keywords. Sometimes, a potential measure for addressing the problem is suggested in a separate data field.
2.3. Retrieval …show more content…
Each sentence is then broken up by a chunking method. The resulting chunks contain noun, verb or adverbial phrases. In each of these phrases the clinical and additional concepts are identified. If one potential word is found, it is mapped onto the respective concept of the Wingert Nomenclature. The latter is a German derivate of an early version of SNOMED . It is a polyaxial nomenclature that contains ten axes of different categories of concepts. For example, the Topology-axis contains topological concepts, the Morphology-axis contains morphological concepts and the Procedure-axis contains concepts referring to medical procedures. In addition, the G-axis contains helpful concepts for certain adjectives and verbs and linguistic meta-information (e.g. „negated
The Chief Information Officer is responsible for generating statistical data and gathering meaningful use data on patients. The Health Information Management Specialist is involve with meaningful use data input. Describe the statistical reports generated by the health information department. Only meaningful use: Smoking, Lipid Entry, Diabetes, and PHI Log
The better of the two systems by far is National Incident-Based Reporting System or NIBRS, and basically, it offers much more detail, and for the state (MD) means collecting more quantifiable data. Under NIBRS, each offense incident is reported instead of using summaries as with Uniform Crime Reporting standards. NIBRS includes many more individual elements about events not covered with UCR. Besides, more crimes are reported in NIBRS and cover 49 'Group A ' offenses (Crime Against Person, Crime Against Property, or Crime Against Society).
Activity 1 highlights the types of staff access available within the hospital, including security access, technology restrictions and the different roles access can alter and how it can affect health information data, which is used for hospital funding, employment, resource budgeting, purchase of information systems and the differing types of treatment provided by the hospital. Hospital data attained from hospital health information systems can often present accuracy problems as errors with admission paperwork, coding information, medication and procedure documentation are often written inaccurately, staff are encouraged to actively minimise and reduce errors with appropriate maintenance, automatic error reporting and access restrictions to
Thing can fall through our fingers yes, but it is the organizations job to follow the right procedures mandated by the law. This in turn can contribute to finding better ways to protect patient’s personal information and keep the hospitals quality for caring and protecting their members not just their physical needs, but personal needs as
Hence, this is a sentimental event because this unanticipated event resulted in death to a patient, not related to the natural source of the patient's illness. Therefore, the threat and error management model should be used to determine both training needs and organizational strategies to improve the management of threats to safety. What defenses in the system failed in this case? Can you construct a Swiss cheese analysis of the system defenses and what occurred?
Confidentiality and data breaches are a few of the main concerns, as many providers become neglectful when sharing patient electronic health information. Current use of Electronic Health Records (EHR) has proven to be helpful for hospitals and independent medical practice to provide efficient care for patients. Balestra reports that using computers to maintain patient health records and care reduces errors, and advances in health information technology are saving lives and reducing cost (Balestra, 2017). As technology advances EHR are going to continue to be the main method of record keeping among medical providers. Therefore, staff and medical providers need to be trained on how to properly share patients EHR safely and in a secure form in order to maintain patient confidentiality.
What are the two main methods by which we measure crime? How is this information captured? • Uniform Crime Reports • the National Incident-Based Reporting System Two major sources of crime statistics commonly used in the United States. The UCR is the FBI’s widely used system for recording crimes and making policy decisions.
The patient medical form, as a genre primarily used for information gathering and record keeping, is structured in such a way that it allows the reader the necessary information concerning the patient’s past medical history, as well as any other relevant or current information that would aid the physician in constructing diagnosis and treatment. This is another example of the rhetoric appeal for the genre. The audience of the genre, the patient when filling out the form, gets a sense of a __________ due the genre’s writing structure and rhetor. The rhetor utilizes basic vocabulary so that even an average person, even illiterate in the field of medicine is well aware about what is being asked.
ARTICLE #9 Legal Concerns Regarding Medical Record Alteration: The Proof is in the Metadata From Coverys Risk Management (Timothy Malec, Manager, Claims) With the advent of new technological systems and the passage of the Patient Protection and Affordable Healthcare Act, electronic medical records have been widely adopted by many healthcare organizations. While there are many benefits to electronic medical records, such as better access to patient data and improved preventive health, there are also issues that arise due to the application of this technology. Particularly when it comes to medical malpractice litigation, problems emerge when healthcare providers don’t understand the implications of their actions, like accessing and changing
This resulted in 7% of the respondents reporting involvement in a medication error during that past year. Good interpersonal skills and effective communication ensures that concerns regarding patient safety can be brought up without seemingly challenging the knowledge of the other healthcare
This information is used to appropriately implement prevention and treatment for patients. The second outcome integrates analysis of information gathered by healthcare personnel to identify trends and inconsistencies within the healthcare population. Through this the origin of problems can be ascertained, and preventive measures can be instituted. Subsequently prevention will decrease incidences and ultimately the cost to
Accountability: A literature search was carried out to find a definition of accountability using the BNI and CINHAL (Cumulative Index to Nursing and Allied Health Literature) ‘accountability’ was inputted into the databases. 18,114 results from search engine BNI and 16,725 results were produced from CINHAL respectfully. Results were reduced as filters were applied (see appendices 2). Filters were applied, before titles, abstracts and whole articles were reviewed, this was the case for Mullen (2014) on CINHAL.
The use of patient information will only be possible when they are properly organized and categorized. This is performed by coding of the diagnosis and treatment . Coding is a related factor to the quality that is possible by coding medical records and