Initial Medical Errors After the Implementation of a Clinical Information System in an Intensive Care Unit and Intermediate Medical Care Unit
Background: The implementation of clinical information systems (CISs) alone and with hospital electric medical records in intensive care units (ICUs) can lead to numerous errors. This study aimed to investigate errors in an ICU and intermediate medical care unit (IMU) for 9 months after implementing...
Ausführliche Beschreibung
Autor*in: |
Yusuke Seino [verfasserIn] Nobuo Sato [verfasserIn] Masafumi Idei [verfasserIn] Takeshi Nomura [verfasserIn] |
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Format: |
E-Artikel |
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Sprache: |
Englisch |
Erschienen: |
2021 |
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Schlagwörter: |
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Übergeordnetes Werk: |
In: Tokyo Women's Medical University Journal - Society of Tokyo Women's Medical University, 2021, (2021), 0 |
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Übergeordnetes Werk: |
year:2021 ; number:0 |
Links: |
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DOI / URN: |
10.24488/twmuj.2020015 |
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Katalog-ID: |
DOAJ075842432 |
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520 | |a Background: The implementation of clinical information systems (CISs) alone and with hospital electric medical records in intensive care units (ICUs) can lead to numerous errors. This study aimed to investigate errors in an ICU and intermediate medical care unit (IMU) for 9 months after implementing of a CIS.Methods: A CIS was incrementally implemented in the general ICU and IMU of a university hospital over 3 months and was used for all patients by April 2019. The errors encountered over 9 months were extracted from the hospital's incident reporting system.Results: Overall, 122 and 140 errors in the ICU and IMU, respectively, during the study period. Incidence rates of the errors in the ICU and IMU were 31.7 (95% confidence interval [CI] 26.3-37.8) and 51.3 (43.2-60.6) events per 1,000 patient-days, respectively. There were 17 (14%) and 15 (11%) CIS-related errors in the ICU and IMU, respectively. The incidence rates of errors in the ICU and IMU were 5.3 (3.1-8.5) and 6.5 (3.6-10.7) events per 1,000 CIS operation patient-days, respectively.Conclusions: Thirteen percent of the errors in the ICU and IMU were related to the CIS, and the incidence did not vary with the staffing intensity of both care units.The study was registered at the University Hospital Medical Information Network Clinical Trials Registry (UMIN000039402). | ||
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10.24488/twmuj.2020015 doi (DE-627)DOAJ075842432 (DE-599)DOAJfb44e45316bc48349a629f6b6cdfaba1 DE-627 ger DE-627 rakwb eng Yusuke Seino verfasserin aut Initial Medical Errors After the Implementation of a Clinical Information System in an Intensive Care Unit and Intermediate Medical Care Unit 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: The implementation of clinical information systems (CISs) alone and with hospital electric medical records in intensive care units (ICUs) can lead to numerous errors. This study aimed to investigate errors in an ICU and intermediate medical care unit (IMU) for 9 months after implementing of a CIS.Methods: A CIS was incrementally implemented in the general ICU and IMU of a university hospital over 3 months and was used for all patients by April 2019. The errors encountered over 9 months were extracted from the hospital's incident reporting system.Results: Overall, 122 and 140 errors in the ICU and IMU, respectively, during the study period. Incidence rates of the errors in the ICU and IMU were 31.7 (95% confidence interval [CI] 26.3-37.8) and 51.3 (43.2-60.6) events per 1,000 patient-days, respectively. There were 17 (14%) and 15 (11%) CIS-related errors in the ICU and IMU, respectively. The incidence rates of errors in the ICU and IMU were 5.3 (3.1-8.5) and 6.5 (3.6-10.7) events per 1,000 CIS operation patient-days, respectively.Conclusions: Thirteen percent of the errors in the ICU and IMU were related to the CIS, and the incidence did not vary with the staffing intensity of both care units.The study was registered at the University Hospital Medical Information Network Clinical Trials Registry (UMIN000039402). clinical information system intensive care unit electric medical record errors Medicine R Nobuo Sato verfasserin aut Masafumi Idei verfasserin aut Takeshi Nomura verfasserin aut In Tokyo Women's Medical University Journal Society of Tokyo Women's Medical University, 2021 (2021), 0 (DE-627)1751181464 24326186 nnns year:2021 number:0 https://doi.org/10.24488/twmuj.2020015 kostenfrei https://doaj.org/article/fb44e45316bc48349a629f6b6cdfaba1 kostenfrei https://www.jstage.jst.go.jp/article/twmuj/advpub/0/advpub_2020015/_pdf/-char/en kostenfrei https://doaj.org/toc/2432-6186 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2021 0 |
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10.24488/twmuj.2020015 doi (DE-627)DOAJ075842432 (DE-599)DOAJfb44e45316bc48349a629f6b6cdfaba1 DE-627 ger DE-627 rakwb eng Yusuke Seino verfasserin aut Initial Medical Errors After the Implementation of a Clinical Information System in an Intensive Care Unit and Intermediate Medical Care Unit 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: The implementation of clinical information systems (CISs) alone and with hospital electric medical records in intensive care units (ICUs) can lead to numerous errors. This study aimed to investigate errors in an ICU and intermediate medical care unit (IMU) for 9 months after implementing of a CIS.Methods: A CIS was incrementally implemented in the general ICU and IMU of a university hospital over 3 months and was used for all patients by April 2019. The errors encountered over 9 months were extracted from the hospital's incident reporting system.Results: Overall, 122 and 140 errors in the ICU and IMU, respectively, during the study period. Incidence rates of the errors in the ICU and IMU were 31.7 (95% confidence interval [CI] 26.3-37.8) and 51.3 (43.2-60.6) events per 1,000 patient-days, respectively. There were 17 (14%) and 15 (11%) CIS-related errors in the ICU and IMU, respectively. The incidence rates of errors in the ICU and IMU were 5.3 (3.1-8.5) and 6.5 (3.6-10.7) events per 1,000 CIS operation patient-days, respectively.Conclusions: Thirteen percent of the errors in the ICU and IMU were related to the CIS, and the incidence did not vary with the staffing intensity of both care units.The study was registered at the University Hospital Medical Information Network Clinical Trials Registry (UMIN000039402). clinical information system intensive care unit electric medical record errors Medicine R Nobuo Sato verfasserin aut Masafumi Idei verfasserin aut Takeshi Nomura verfasserin aut In Tokyo Women's Medical University Journal Society of Tokyo Women's Medical University, 2021 (2021), 0 (DE-627)1751181464 24326186 nnns year:2021 number:0 https://doi.org/10.24488/twmuj.2020015 kostenfrei https://doaj.org/article/fb44e45316bc48349a629f6b6cdfaba1 kostenfrei https://www.jstage.jst.go.jp/article/twmuj/advpub/0/advpub_2020015/_pdf/-char/en kostenfrei https://doaj.org/toc/2432-6186 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2021 0 |
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10.24488/twmuj.2020015 doi (DE-627)DOAJ075842432 (DE-599)DOAJfb44e45316bc48349a629f6b6cdfaba1 DE-627 ger DE-627 rakwb eng Yusuke Seino verfasserin aut Initial Medical Errors After the Implementation of a Clinical Information System in an Intensive Care Unit and Intermediate Medical Care Unit 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: The implementation of clinical information systems (CISs) alone and with hospital electric medical records in intensive care units (ICUs) can lead to numerous errors. This study aimed to investigate errors in an ICU and intermediate medical care unit (IMU) for 9 months after implementing of a CIS.Methods: A CIS was incrementally implemented in the general ICU and IMU of a university hospital over 3 months and was used for all patients by April 2019. The errors encountered over 9 months were extracted from the hospital's incident reporting system.Results: Overall, 122 and 140 errors in the ICU and IMU, respectively, during the study period. Incidence rates of the errors in the ICU and IMU were 31.7 (95% confidence interval [CI] 26.3-37.8) and 51.3 (43.2-60.6) events per 1,000 patient-days, respectively. There were 17 (14%) and 15 (11%) CIS-related errors in the ICU and IMU, respectively. The incidence rates of errors in the ICU and IMU were 5.3 (3.1-8.5) and 6.5 (3.6-10.7) events per 1,000 CIS operation patient-days, respectively.Conclusions: Thirteen percent of the errors in the ICU and IMU were related to the CIS, and the incidence did not vary with the staffing intensity of both care units.The study was registered at the University Hospital Medical Information Network Clinical Trials Registry (UMIN000039402). clinical information system intensive care unit electric medical record errors Medicine R Nobuo Sato verfasserin aut Masafumi Idei verfasserin aut Takeshi Nomura verfasserin aut In Tokyo Women's Medical University Journal Society of Tokyo Women's Medical University, 2021 (2021), 0 (DE-627)1751181464 24326186 nnns year:2021 number:0 https://doi.org/10.24488/twmuj.2020015 kostenfrei https://doaj.org/article/fb44e45316bc48349a629f6b6cdfaba1 kostenfrei https://www.jstage.jst.go.jp/article/twmuj/advpub/0/advpub_2020015/_pdf/-char/en kostenfrei https://doaj.org/toc/2432-6186 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2021 0 |
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10.24488/twmuj.2020015 doi (DE-627)DOAJ075842432 (DE-599)DOAJfb44e45316bc48349a629f6b6cdfaba1 DE-627 ger DE-627 rakwb eng Yusuke Seino verfasserin aut Initial Medical Errors After the Implementation of a Clinical Information System in an Intensive Care Unit and Intermediate Medical Care Unit 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: The implementation of clinical information systems (CISs) alone and with hospital electric medical records in intensive care units (ICUs) can lead to numerous errors. This study aimed to investigate errors in an ICU and intermediate medical care unit (IMU) for 9 months after implementing of a CIS.Methods: A CIS was incrementally implemented in the general ICU and IMU of a university hospital over 3 months and was used for all patients by April 2019. The errors encountered over 9 months were extracted from the hospital's incident reporting system.Results: Overall, 122 and 140 errors in the ICU and IMU, respectively, during the study period. Incidence rates of the errors in the ICU and IMU were 31.7 (95% confidence interval [CI] 26.3-37.8) and 51.3 (43.2-60.6) events per 1,000 patient-days, respectively. There were 17 (14%) and 15 (11%) CIS-related errors in the ICU and IMU, respectively. The incidence rates of errors in the ICU and IMU were 5.3 (3.1-8.5) and 6.5 (3.6-10.7) events per 1,000 CIS operation patient-days, respectively.Conclusions: Thirteen percent of the errors in the ICU and IMU were related to the CIS, and the incidence did not vary with the staffing intensity of both care units.The study was registered at the University Hospital Medical Information Network Clinical Trials Registry (UMIN000039402). clinical information system intensive care unit electric medical record errors Medicine R Nobuo Sato verfasserin aut Masafumi Idei verfasserin aut Takeshi Nomura verfasserin aut In Tokyo Women's Medical University Journal Society of Tokyo Women's Medical University, 2021 (2021), 0 (DE-627)1751181464 24326186 nnns year:2021 number:0 https://doi.org/10.24488/twmuj.2020015 kostenfrei https://doaj.org/article/fb44e45316bc48349a629f6b6cdfaba1 kostenfrei https://www.jstage.jst.go.jp/article/twmuj/advpub/0/advpub_2020015/_pdf/-char/en kostenfrei https://doaj.org/toc/2432-6186 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2021 0 |
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10.24488/twmuj.2020015 doi (DE-627)DOAJ075842432 (DE-599)DOAJfb44e45316bc48349a629f6b6cdfaba1 DE-627 ger DE-627 rakwb eng Yusuke Seino verfasserin aut Initial Medical Errors After the Implementation of a Clinical Information System in an Intensive Care Unit and Intermediate Medical Care Unit 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: The implementation of clinical information systems (CISs) alone and with hospital electric medical records in intensive care units (ICUs) can lead to numerous errors. This study aimed to investigate errors in an ICU and intermediate medical care unit (IMU) for 9 months after implementing of a CIS.Methods: A CIS was incrementally implemented in the general ICU and IMU of a university hospital over 3 months and was used for all patients by April 2019. The errors encountered over 9 months were extracted from the hospital's incident reporting system.Results: Overall, 122 and 140 errors in the ICU and IMU, respectively, during the study period. Incidence rates of the errors in the ICU and IMU were 31.7 (95% confidence interval [CI] 26.3-37.8) and 51.3 (43.2-60.6) events per 1,000 patient-days, respectively. There were 17 (14%) and 15 (11%) CIS-related errors in the ICU and IMU, respectively. The incidence rates of errors in the ICU and IMU were 5.3 (3.1-8.5) and 6.5 (3.6-10.7) events per 1,000 CIS operation patient-days, respectively.Conclusions: Thirteen percent of the errors in the ICU and IMU were related to the CIS, and the incidence did not vary with the staffing intensity of both care units.The study was registered at the University Hospital Medical Information Network Clinical Trials Registry (UMIN000039402). clinical information system intensive care unit electric medical record errors Medicine R Nobuo Sato verfasserin aut Masafumi Idei verfasserin aut Takeshi Nomura verfasserin aut In Tokyo Women's Medical University Journal Society of Tokyo Women's Medical University, 2021 (2021), 0 (DE-627)1751181464 24326186 nnns year:2021 number:0 https://doi.org/10.24488/twmuj.2020015 kostenfrei https://doaj.org/article/fb44e45316bc48349a629f6b6cdfaba1 kostenfrei https://www.jstage.jst.go.jp/article/twmuj/advpub/0/advpub_2020015/_pdf/-char/en kostenfrei https://doaj.org/toc/2432-6186 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2021 0 |
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initial medical errors after the implementation of a clinical information system in an intensive care unit and intermediate medical care unit |
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Initial Medical Errors After the Implementation of a Clinical Information System in an Intensive Care Unit and Intermediate Medical Care Unit |
abstract |
Background: The implementation of clinical information systems (CISs) alone and with hospital electric medical records in intensive care units (ICUs) can lead to numerous errors. This study aimed to investigate errors in an ICU and intermediate medical care unit (IMU) for 9 months after implementing of a CIS.Methods: A CIS was incrementally implemented in the general ICU and IMU of a university hospital over 3 months and was used for all patients by April 2019. The errors encountered over 9 months were extracted from the hospital's incident reporting system.Results: Overall, 122 and 140 errors in the ICU and IMU, respectively, during the study period. Incidence rates of the errors in the ICU and IMU were 31.7 (95% confidence interval [CI] 26.3-37.8) and 51.3 (43.2-60.6) events per 1,000 patient-days, respectively. There were 17 (14%) and 15 (11%) CIS-related errors in the ICU and IMU, respectively. The incidence rates of errors in the ICU and IMU were 5.3 (3.1-8.5) and 6.5 (3.6-10.7) events per 1,000 CIS operation patient-days, respectively.Conclusions: Thirteen percent of the errors in the ICU and IMU were related to the CIS, and the incidence did not vary with the staffing intensity of both care units.The study was registered at the University Hospital Medical Information Network Clinical Trials Registry (UMIN000039402). |
abstractGer |
Background: The implementation of clinical information systems (CISs) alone and with hospital electric medical records in intensive care units (ICUs) can lead to numerous errors. This study aimed to investigate errors in an ICU and intermediate medical care unit (IMU) for 9 months after implementing of a CIS.Methods: A CIS was incrementally implemented in the general ICU and IMU of a university hospital over 3 months and was used for all patients by April 2019. The errors encountered over 9 months were extracted from the hospital's incident reporting system.Results: Overall, 122 and 140 errors in the ICU and IMU, respectively, during the study period. Incidence rates of the errors in the ICU and IMU were 31.7 (95% confidence interval [CI] 26.3-37.8) and 51.3 (43.2-60.6) events per 1,000 patient-days, respectively. There were 17 (14%) and 15 (11%) CIS-related errors in the ICU and IMU, respectively. The incidence rates of errors in the ICU and IMU were 5.3 (3.1-8.5) and 6.5 (3.6-10.7) events per 1,000 CIS operation patient-days, respectively.Conclusions: Thirteen percent of the errors in the ICU and IMU were related to the CIS, and the incidence did not vary with the staffing intensity of both care units.The study was registered at the University Hospital Medical Information Network Clinical Trials Registry (UMIN000039402). |
abstract_unstemmed |
Background: The implementation of clinical information systems (CISs) alone and with hospital electric medical records in intensive care units (ICUs) can lead to numerous errors. This study aimed to investigate errors in an ICU and intermediate medical care unit (IMU) for 9 months after implementing of a CIS.Methods: A CIS was incrementally implemented in the general ICU and IMU of a university hospital over 3 months and was used for all patients by April 2019. The errors encountered over 9 months were extracted from the hospital's incident reporting system.Results: Overall, 122 and 140 errors in the ICU and IMU, respectively, during the study period. Incidence rates of the errors in the ICU and IMU were 31.7 (95% confidence interval [CI] 26.3-37.8) and 51.3 (43.2-60.6) events per 1,000 patient-days, respectively. There were 17 (14%) and 15 (11%) CIS-related errors in the ICU and IMU, respectively. The incidence rates of errors in the ICU and IMU were 5.3 (3.1-8.5) and 6.5 (3.6-10.7) events per 1,000 CIS operation patient-days, respectively.Conclusions: Thirteen percent of the errors in the ICU and IMU were related to the CIS, and the incidence did not vary with the staffing intensity of both care units.The study was registered at the University Hospital Medical Information Network Clinical Trials Registry (UMIN000039402). |
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Initial Medical Errors After the Implementation of a Clinical Information System in an Intensive Care Unit and Intermediate Medical Care Unit |
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