Die Datenqualität des CIRSmedical – geeignet für eine systematische Analyse?

Beck, Eberhard; Tetzlaff, Laura; Schröder, Cornelia; Schräder, Thomas

doi:10.3205/mibe000188

Cited by 1 publication

(2 citation statements)

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“…None of the studied systems can fully transfer information based on the WHO's Minimal Information Model for patient safety [20]. CIRSmedical.de stands out as it receives cases from other systems, but its information structure significantly limits systematic analysis [9]. The common structural intersection among all systems consists of only two MIM elements: "What happened?"…”

Section: Discussionmentioning

confidence: 99%

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Evaluating Interoperability in German Critical Incident Reporting Systems

Tetzlaff,

Purohit,

Spallek

et al. 2023

Studies in Health Technology and Informatics

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Introduction: In industrialised countries, one in ten patients suffers harm during hospitalization. Critical Incident Reporting Systems (CIRS) aim to minimize this by learning from errors and identifying potential risks. However, a lack of interoperability among the 16 CIRS in Germany hampers their effectiveness. Methods: This study investigates reports’ syntactic and semantic interoperability across seven different reporting systems. Syntactic interoperability was examined using WHO’s Minimal Information Models (MIM), while semantic interoperability was evaluated with SNOMED concepts. Results: The findings reveal a low structural overlap, with only two terms correctly represented in the SNOMED CT terminology. In addition, most systems showed no syntactic interoperability. Conclusion: Improving interoperability is essential for increasing the effectiveness and usability of CIRS. The study suggests a unified data model such as MIM or using Health Level 7 Fast Healthcare Interoperability Resources (HL7 FHIR) resources and expanding SNOMED CT with patient safety-relevant terms for semantic interoperability. Given the current lack of both syntactic and semantic interoperability in CIRS, developing a patient safety ontology is recommended for efficient critical incident analysis too.

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Section: Discussionmentioning

confidence: 99%

“…A prerequisite for this is the interoperability and high quality of the data. An analysis of the publicly available reporting system CIRSmedical.de shows different data structures within the reporting system, reducing accessibility dramatically [9]. In Germany, various CIRS have been developed over time for both inpatient (e.g.…”

Section: Introductionmentioning

confidence: 99%