2024 Volume 44 Issue 2 Pages 55-68
User support functions implemented in hospital information systems often differ in various ways across hospitals. If new medical staff from another hospital (hereafter referred to as “new staff”) employ a user support function that operates differently from that of their previous hospital, it may become a risk factor for patient safety as a result of misunderstanding. Therefore, the authors proposed a method to gain a systematic understanding of the risks caused by the such differences. However, the method needed to compare user support functions between the previous and current hospital for each member of the new staff, so, practically it became more difficult to understand the risks as the number of new staff increased.
Therefore, the present study proposed a new method to support improved understanding of such risks and judgment of the necessity of countermeasures based only on the implementation status of the user support function of the current hospital. This new method consists of the following three elements: (1) a framework for understanding the risks that may arise when new staff do not adequately recognize the user support functions of their current hospital; (2) a framework for judging the necessity of considering countermeasures for cases in which it is difficult for new staff to notice differences in user support functions between their previous and current hospital; and (3) a framework for systematically supporting the task of a risk reviewer to determine the necessity of countermeasures using (1) and (2). Aa a result of applying the new method to 6 types of user support functions presented at an academic conference, its practicality was suggested.
