Evaluation of the contributions of an electronic web-based reporting system: enabling action

Journal of Patient Safety
Osnat Levtzion-KorachAllan S Frankel

Abstract

Incident reporting represents a key tool in safety improvement. Electronic voluntary reporting systems have been perceived as advantageous compared to paper approaches and are increasingly being implemented. To evaluate the rate, content, ease of use, reporters' profile, and the follow-up and actions resulting from reports submitted to a Web-based electronic reporting system. Analysis of the submitted reports to a commercial Web-based reporting system at a tertiary care academic hospital for 31 months between May 2004 and November 2006. During the study period, 14,179 reports were submitted. The leading incident categories were labs (30%), followed by medication issues (17%), falls (11%), and blood bank (10%). Of the reported incidents, 24% were near misses, 61% were adverse events that caused no harm, 14% caused temporary harm, 0.4% caused permanent harm, and 0.1% caused death. Of the eligible staff, 29% submitted a report during the study period. Physicians submitted only 2.9% of the reports; most reports were submitted by nurses, pharmacists, and technicians. Physicians tended to report on more severe cases and focused on different topics than other professionals. Overall, 84% of the reports came from the inpatient setting. ...Continue Reading

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Citations

Jan 21, 2015·JMIR Medical Informatics·Pamela ElliottDoreen Neville
Oct 12, 2013·Biomedical Instrumentation & Technology·Christopher ColvinPatricia Trbovich
Oct 5, 2013·Journal of the American Pharmacists Association : JAPhA·Kimberly A GaltJennifer Faber
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Apr 25, 2012·Journal of Patient Safety·Yaseen ArabiSaadi Taher
Mar 27, 2020·Journal of Patient Safety·Andreas HöcherlBeate S Müller

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