基于人因可靠性分析技术的医疗保健系统安全性提升与人为错误减少研究  

Research on Enhancing Healthcare System Safety and Reducing Human Errors Based on Human Reliability Analysis Techniques

作　　者：周明玥 王多琎 Mingyue Zhou;Duojin Wang(Institute of Rehabilitation Engineering and Technology,University of Shanghai for Science and Technology,Shanghai;Shanghai Engineering Research Center of Assistive Devices Institute of Rehabilitation Engineering and Technology,Shanghai)

机构地区：[1]上海理工大学康复工程与技术研究所,上海 [2]上海康复器械工程技术研究中心,上海

出　　处：《运筹与模糊学》2025年第1期234-253,共20页Operations Research and Fuzziology

基　　金：国家重点研发计划(编号2023YFC3604800)。

摘　　要：患者安全是医疗保健中的关键问题。人因可靠性分析(HRA)是一种结构化的风险评估方法,已广泛应用于医疗系统中,以提高患者安全性。尽管在这一领域已有大量研究,但至今尚未进行系统的文献综述或详细的分类研究。本综述旨在分析2000年至2023年5月期间HRA在医疗保健中的应用情况。具体而言,我们分析了Web of Science(WOS),PubMed和Scopus数据库中的相关出版物,探讨了研究成果的出版趋势、合作网络及关键词共现模式。此外,我们根据HRA在不同不良事件中的研究方法对文献进行了分类,重点讨论了HRA中的绩效影响因素(PIFs)。基于这些发现,我们识别并讨论了若干有前景的研究方向,以便更好地理解HRA在提升医疗保健系统中的作用。Patient safety is a critical concern in healthcare.Human Reliability Analysis(HRA)is a structured risk assessment methodology that has been widely implemented in healthcare systems to enhance patient safety.Although substantial research has been conducted on this topic,a comprehensive literature review and detailed categorization of studies have yet to be undertaken.This review aims to examine the application of HRA in healthcare from 2000 to May 2023.Specifically,we analyzed publications from the Web of Science(WOS),PubMed and Scopus databases to explore trends in research output,collaborative networks,and keyword co-occurrence patterns.Additionally,the literature was categorized based on the various research methodologies used in HRA for different adverse events,with a particular focus on the performance influencing factors(PIFs)in HRA.From these findings,we identify and discuss several promising research directions to better understand the role of HRA in improving healthcare systems.

关 键 词：医疗保健 人因可靠性分析 安全 人为因素 人为错误 

分 类 号：R197.1[医药卫生—卫生事业管理]