JMIR Publications

ABSTRACT

Background:

The management of near misses is often limited by the fact that they do not result in substantial harm and by the fact that adverse events and patient complaints in clinical practice often consume risk management resources in healthcare.

Objective:

To effectively reduce the incidence of surgical specimen near miss events through reasonable information technology safety barrier strategies and measures.

Methods:

We selected 84,289 surgical specimens collected in January-December 2021 using the conventional information-based specimen management model as the control group and 99,998 surgical specimens collected in January-December 2022 using the information-based safety barrier control surgical specimen management model as the improvement group. The incidence of near misses, the pass rate of pathology specimen fixation, and the average time required for specimen fixation for surgical specimens collected under the two management modes were compared. The causes of the proximity failure events in the two groups were also analyzed, and the information security barrier to control the proximity failure events of surgical specimens was studied.

Results:

Under the information-based safety barrier control surgical specimen management model, the incidence of adverse events in surgical specimens was reduced, the reporting of near miss events in surgical specimens was improved by 100%, the quality control quality management of surgical specimens was effectively improved, the pass rate of surgical pathology specimen fixation was improved, and the meantime for surgical specimen fixation was shortened, with differences considered statistically significant at p < 0.01.

Conclusions:

By comparing and summarizing the experience and practice of surgical specimen near miss risk management, the advantages and challenges of information-based safety barriers are reflected, and the safety management of surgical specimens is effectively guaranteed.