New Web-based ICU safety reporting system may have the potential to reduce medical errors at ICUs across the country

2005 ◽  
Keyword(s):  
Medical Errors ◽  
Reporting System ◽  
Web Based ◽  
Safety Reporting

scholarly journals A web-based medical safety reporting system for a large multicenter clinical trial: The ALIAS experience

2010 ◽  
Vol 31 (6) ◽  
pp. 536-543 ◽  
Author(s):  
Wenle Zhao ◽  
Bonnie D. Waldman ◽  
Catherine Dillon ◽  
Keith Pauls ◽  
Jaemyung Kim ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Reporting System ◽  
Multicenter Clinical Trial ◽  
Web Based ◽  
Medical Safety ◽  
Safety Reporting

scholarly journals Medical error reporting software program development and its impact on pediatric units’ reporting medical errors

2019 ◽  
Vol 36 (2) ◽  
Author(s):  
Aysun Unal ◽  
Seyda Seren İntepeler
Keyword(s):  
Blood Transfusion ◽  
Program Development ◽  
Medical Errors ◽  
Medical Error ◽  
Reporting System ◽  
Error Reporting ◽  
Web Based ◽  
Medication Error Reporting ◽  
Anonymous Reporting ◽  
Software Program

Objective: The purpose of this quasi-experimental study was to developing web-based, anonymous reporting system to increase reporting of medication errors, blood transfusion errors and patient falls in pediatric units and to compare the computerized system with the written system already in use at the institution. Methods: This study was conducted in all pediatric units of a research hospital. All physicians and nurses working in these units agreed to participate in the study. All units were visited to introduce the new reporting system. The number and quality of the reports sent on the new system in years 2014 and 2015 were compared to the reports sent the previous year using the written system. Results: There was considerable increase in rates of reporting: 234% increase in medication error reporting rate, and 100% increase in the reports of blood transfusion errors. One of the most important results of this study that near-miss errors were not reported at all while the written system of the study institution was being used, whereas it was the most commonly reported type of errors in the electronic error reporting system. Conclusion: The web-based reporting system, which makes reporting easy, promoted the development of safety culture among doctors and nurses in common language. doi: https://doi.org/10.12669/pjms.36.2.732 How to cite this:Unal A, Intepeler SS. Medical error reporting software program development and its impact on pediatric units’ reporting medical errors. Pak J Med Sci. 2020;36(2):---------. doi: https://doi.org/10.12669/pjms.36.2.732 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Improving vaccine uptake: a new uptake reporting tool

2018 ◽  
Vol 68 (suppl 1) ◽  
pp. bjgp18X697205
Author(s):  
Elise Tessier ◽  
Richard Pebody ◽  
Nicki Boddington ◽  
Michael Edelstein ◽  
Joanne White ◽  
...  
Keyword(s):  
Reporting System ◽  
Influenza Season ◽  
Vaccine Uptake ◽  
Web Based ◽  
Current Season ◽  
Previous Season ◽  
Uptake Rates ◽  
Reporting Tool ◽  
Uptake Data ◽  
Near Future

BackgroundVaccine uptake data is automatically extracted from all GP practices in England via the web-based reporting system, ImmForm, on behalf of Public Health England. In 2016/17, an Uptake Summary Tool was introduced on ImmForm for practice managers, clinical commissioning groups (CCGs) and screening and immunisation teams (SCRIMMS) to help facilitate local and regional management of the influenza programme. The tool allows practices to view and evaluate influenza uptake rates by target cohorts, comparing them against the previous season and CCG average/overall national uptake each week.AimTo assess how many practices use the Uptake Summary Tool and whether there is a difference in vaccine uptake among practices that use the tool compared with those that don’t during the 2016/17 and 2017/18 influenza seasons.MethodPractice level use of the Uptake Summary Tool was examined for the 2016/17 influenza season and vaccine uptake compared between practices that used the tool and those that did not.ResultsAn average of 1272 practices used the tool each week during the 2016/17. Vaccine uptake was on average 2.9% greater for targeted cohorts in practices that used the tool than practices that did not during the 2016/17 season.ConclusionWhen used on a regular basis the Uptake Summary Tool can help GP practices, CCGs and SCRIMMS monitor vaccine and may be associated with increased vaccine uptake. Uptake for the 2017/18 season will be monitored and assessed throughout the current season. We aim to expand the tool to other vaccine collections in the near future.

scholarly journals A Brief Analysis of Telemetry-Related Events

2019 ◽  
pp. 42-50
Author(s):  
Elizabeth Kukielka ◽  
Kelly Gipson ◽  
Rebecca Jones
Keyword(s):  
Patient Safety ◽  
Cardiac Rhythm ◽  
Reporting System ◽  
Healthcare Providers ◽  
Steady Increase ◽  
Monitoring Equipment ◽  
Safety Reporting ◽  
Common Event ◽  
Life Threatening ◽  
Compromise Patient Safety

Successful telemetry monitoring relies on timely clinician response to potentially life-threatening cardiac rhythm abnormalities. Breakdowns in the processes and procedures associated with telemetry monitoring, as well as improperly functioning telemetry monitoring equipment, may lead to events that compromise patient safety. An analysis of reports submitted to the Pennsylvania Patient Safety Reporting System (PA-PSRS) from January 2014 through December 2018 identified 558 events specifically involving interruptions or failures associated with telemetry monitoring equipment or with the healthcare providers responsible for setting up and maintaining proper functioning of that equipment. The analysis highlighted a steady increase in the quantity of event reports associated with telemetry monitoring submitted to PA-PSRS. User errors accounted for nearly half (47.1%, 263 of 558) of events in the analysis. The most common event subtypes included: errors involving batteries in telemetry monitoring equipment (14.0%); errors in which patients were not connected to telemetry monitoring equipment as ordered (12.9%); errors involving broken, damaged, or malfunctioning telemetry monitoring equipment (10.9%); and errors in which patients were connected to the wrong telemetry monitoring equipment (9.0%).

scholarly journals Incidence and Impact of Reported Infectious Endophthalmitis Events Following Cataract Surgery in Pennsylvania Ambulatory Surgery Centers

2019 ◽  
pp. 30-39
Author(s):  
Lynette Hathaway ◽  
Shawn Kepner ◽  
Rebecca Jones
Keyword(s):  
Cataract Surgery ◽  
Infection Prevention ◽  
Reporting System ◽  
Ambulatory Surgery ◽  
Evidence Based ◽  
Healthcare Staff ◽  
Ambulatory Surgery Centers ◽  
Safety Reporting ◽  
Eye Infection ◽  
Infectious Endophthalmitis

Infectious endophthalmitis is a severe eye infection that can occur following cataract surgery. In this study, we sought to explore post-cataract infectious endophthalmitis events reported by ambulatory surgery centers (ASCs) in Pennsylvania. We queried the Pennsylvania Patient Safety Reporting System (PA-PSRS) database for post-cataract endophthalmitis events that occurred between 2009 and 2018. In the 10 calendar years analyzed, we identified 174 reports of post-cataract endophthalmitis, with rates per 1000 cataract procedures ranging from 0.05 in 2009 to 0.19 in 2018. The vast majority of these events were classified as serious (93%; n = 162 of 174), reflecting harm to patients, with one resulting in enucleation (the need to remove the affected eye). Healthcare staff and all involved stakeholders should act now by identifying sources of potential perioperative contamination, adhering to evidence-based infection prevention practices, and prioritizing areas of opportunity for improvement.

scholarly journals Classifying Safety Events Related to Diagnostic Imaging From a Safety Reporting System Using a Human Factors Framework

2019 ◽  
Vol 16 (3) ◽  
pp. 282-288 ◽  
Author(s):  
Ronilda Lacson ◽  
Laila Cochon ◽  
Ivan Ip ◽  
Sonali Desai ◽  
Allen Kachalia ◽  
...  
Keyword(s):  
Diagnostic Imaging ◽  
Human Factors ◽  
Reporting System ◽  
Safety Reporting

Medical safety reporting system neccessity and analysis of Turkey 2016 data: A health policy report

2020 ◽  
pp. 1-14
Author(s):  
Ercan Koca ◽  
Hilal Aksoy ◽  
Dilek Tarhan ◽  
Emine Elvan Çi̇ftli̇k ◽  
Kemal Oktay ◽  
...  
Keyword(s):  
Health Policy ◽  
Reporting System ◽  
Medical Safety ◽  
Safety Reporting

scholarly journals Causes of medical errors and its under-reporting amongst pediatric nurses in Iran: a qualitative study

2018 ◽  
Vol 31 (7) ◽  
pp. 541-546
Author(s):  
Razieh Sadat Mousavi-roknabadi ◽  
Marzieh Momennasab ◽  
Mehrdad Askarian ◽  
Abbas Haghshenas ◽  
Brahmaputra Marjadi
Keyword(s):  
Qualitative Study ◽  
Teaching Hospital ◽  
Medical Errors ◽  
Reporting System ◽  
Pediatric Nurses ◽  
Personal Factors ◽  
Structured Interviews ◽  
Pediatric Department ◽  
Data Saturation ◽  
Context Specific

Abstract Objectives To explore the causes of medical errors (ME) and under-reporting amongst pediatric nurses at an Iranian teaching hospital. Design A qualitative study, based on individual, in-depth, semi-structured interviews and content analysis approach. Settings The study was conducted at the Pediatric Department of the largest tertiary general and teaching hospital in Shiraz, southern Iran. Participants The study population was all pediatrics nurses who work at Pediatric Department and they had been trained on ME, as well as methods to report them through the hospital’s ME reporting system. Purposive sampling was used by selecting key informants until data saturation was achieved and no more new information was obtained. Finally, 18 pediatric nurses were interviewed. Main outcome measure(s) Pediatrics nurses’ views on the causes of ME and under-reporting. Results We found five main factors causing ME and under-reporting: personal factors, workplace factors, managerial factors, work culture and error reporting system. These factors were further classified into proximal and distal factors. Proximal factors had direct relationship with ME and distal factors were contextual factors. Conclusion Causes of ME and under-reporting amongst pediatric nurses are complex and intertwined. Both proximal and distal factors need to be simultaneously addressed using context-specific approaches. Further research on other groups of healthcare workers and using a quantitative approach will be beneficial to elucidate the most appropriate interventions.

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