Health care quality management by means of an incident report system and an electronic patient record system

Takeda, Hiroshi; Matsumura, Yasushi; Nakajima, Kazue; Kuwata, Shigeki; Yang, Zhenjun; Shanmai, Ji; Zhang, Qiyan; Chen, Yu-Fen; Kusuoka, Hideo; Inoue, Michitoshi

doi:10.1016/s1386-5056(03)00010-8

Cited by 28 publications

(18 citation statements)

References 6 publications

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“…Several issues of further importance were found: (i) technical measures derived from incident reports may lead to new error resources [50]; (ii) the probable importance of national incident-reporting systems relevant to anaesthesia [31]; (iii) an inflationary push of CI-reporting systems without a sound comprehension or planning (see Ramanujam et al [30] for an example in medication); (iv) ineffectiveness in dealing with CI reports [4]; (v) the relationship between CIRS and related reporting systems with organizational quality management [52]; (vi) complementary approaches of CIRS [5,6,8,16,26]; and (vii) the dispute on the relationship between incident report frequency and patient safety [8,12,15,17,18,20,21,25,53].…”

Section: Further Cognitionmentioning

confidence: 99%

Critical Incident Reporting System (CIRS): a fundamental component of risk management in health care systems to enhance patient safety

Petschnig

Haslinger-Baumann

2017

Saf Health

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Background: The complexity of health care systems, the development of clinical approaches, and both scientific and technological advancements give rise to new requirements in clinical risk management. An expedient risk management is expected to deal with as many risks as possible to ensure patient safety. A prerequisite for a clinical risk management is a well-functioning error-reporting culture in health care organizations. The present study analysed the relationship between the Critical Incident Reporting System (CIRS) and patient safety. In particular, the aim of this work is to evaluate whether data from available sources provide sufficient evidence for the utility of CIRS and to derive recommendations for both theorists and practitioners. On paper, CIRS is expected to be useful in clinical settings because it allows the identification of weak spots, hazards, and critical situations such as 'near misses'. However, neither a general CIRS database based on clinical reports exists nor a universal CIRS policy or CIRS direction has been established so far, which can be attributed to the inhomogeneity of the literature and the variability of approaches. Therefore, ordering and analysis of clinical reports are highly desirable. Methods: First, inclusion criteria, exclusion criteria, and keywords were defined to collect studies, reviews, and other sources on CIRS from official databases. After the collection of appropriate articles, a description of the individual data is given. Then, data are classified into different sections based on their respective central statements, and a brief description is given. Finally, the reports are analysed in order to detect patterns and differences. Results: There is a close correlation between the establishment of CIRS in a health care organization and patient safety, although a quantitative relationship between reporting systems and safety is still unproven. CIRS allows the identification and implementation of appropriate actions and strategies toward patient safety. Several prerequisites were identified: top management commitment, transparency, training, anonymity, incentives, and an open error-reporting culture. Personnel have an important impact on the reduction of risk and on the development of safety. The leadership should accept the implementation of a "no blame" error and feedback culture and the security of an absolutely anonymous reporting system. The position of a risk or safety manager is highly recommended. Conclusion: As immediate recommendations, health care organizations are encouraged to adopt CIRS. On the other hand, several research topics were identified, such as the quantitative relationship between CIRS and safety or the development of reliable incident-reporting indices and the ways on how to deal with them. Intensified empirically based research may help in answering open questions concerning CIRS.

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Section: Further Cognitionmentioning

confidence: 99%

Critical Incident Reporting System (CIRS): a fundamental component of risk management in health care systems to enhance patient safety

Petschnig

Haslinger-Baumann

2017

Saf Health

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“…Feedback varied in the degree to which it was adapted to specific user requirements, from generic newsletters to automated provision of individual performance data to the reporting clinician 49 50. Best practices established through review of incident data were fed into staff training and education programmes linked to professional accreditation schemes 58. Considerable use of information generated from incident reports and investigations was made by local risk-management and quality-improvement programmes, including presentation at internal patient safety seminars, inter-departmental safety conferences, monthly risk-management meetings and quality reviews, and for safety committee improvement processes 7 53 55…”

Section: Incident Reporting and Feedback In The Healthcare Literaturementioning

confidence: 99%

Feedback from incident reporting: information and action to improve patient safety

Benn

Koutantji²,

Wallace³

et al. 2009

Quality and Safety in Health Care

269

210

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Limited research evidence exists concerning the issue of effective forms of safety feedback within healthcare. Much valuable operational knowledge resides in safety management communities within high-risk industries. Multiple means of feeding back recommended actions and safety information may be usefully employed to promote safety awareness, improve clinical processes and promote future reporting. Further work is needed to establish best practices for feedback systems in healthcare that effectively close the safety loop.

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“…The PDCA was applied in the EMR system to ensure high performance for the post-relational database. This allows the recording of the status of every order and treatment procedure, a protocol that is crucial in monitoring the whole medical process [22][23][24][25][26][27][28][29]. Other functions are added in the EMR for user convenience.…”

Section: Discussionmentioning

confidence: 99%

Performance Assessment of EMR Systems Based on Post-Relational Database

Heng

Xiao-guang

et al. 2011

J Med Syst

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Post-relational databases provide high performance and are currently widely used in American hospitals. As few hospital information systems (HIS) in either China or Japan are based on post-relational databases, here we introduce a new-generation electronic medical records (EMR) system called Hygeia, which was developed with the post-relational database Caché and the latest platform Ensemble. Utilizing the benefits of a post-relational database, Hygeia is equipped with an "integration" feature that allows all the system users to access data-with a fast response time-anywhere and at anytime. Performance tests of databases in EMR systems were implemented in both China and Japan. First, a comparison test was conducted between a post-relational database, Caché, and a relational database, Oracle, embedded in the EMR systems of a medium-sized first-class hospital in China. Second, a user terminal test was done on the EMR system Izanami, which is based on the identical database Caché and operates efficiently at the Miyazaki University Hospital in Japan. The results proved that the post-relational database Caché works faster than the relational database Oracle and showed perfect performance in the real-time EMR system.

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Health care quality management by means of an incident report system and an electronic patient record system

Cited by 28 publications

References 6 publications

Critical Incident Reporting System (CIRS): a fundamental component of risk management in health care systems to enhance patient safety

Critical Incident Reporting System (CIRS): a fundamental component of risk management in health care systems to enhance patient safety

Feedback from incident reporting: information and action to improve patient safety

Performance Assessment of EMR Systems Based on Post-Relational Database

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