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Creating the Web-based Intensive Care Unit Safety Reporting System

Affiliations of the authors: The Johns Hopkins University, School of Medicine, Departments of Anesthesiology and Critical Care Medicine (CGH, PJP, DAT, TD) and Surgery (PJP), Baltimore, MD; Johns Hopkins Bloomberg School of Public Health, Department of Health Policy & Management, Baltimore, MD (FD, AWW, MF, DMS, LE, LLM); and Johns Hopkins Dana Center for Preventive Ophthalmology Wilmer Eye Institute, Department of Ophthalmology, Baltimore, MD (LHL) and Caspian Sea (AJ).

Correspondence and reprints: Todd Dorman, MD, The Johns Hopkins Hospital, 600 N. Wolfe Street, Meyer 291, Baltimore, MD 21287-7294; e-mail: <tdorman{at}jhmi.edu>.

Received for publication: 06/10/03; accepted for publication: 10/04/04.

In an effort to improve patient safety, researchers at the Johns Hopkins University designed and implemented a comprehensive Web-based Intensive Care Unit Safety Reporting System (ICUSRS). The ICUSRS collects data about adverse events and near misses from all staff in the ICU. This report reflects data on 854 reports from 18 diverse ICUs across the United States. Reporting is voluntary, and data collected is confidential, with patient, provider, and reporter information deidentified. Preliminary data include system factors reported, degree of patient harm, reporting times, and evaluations of the system. Qualitative and quantitative data are reported back to the ICU site study teams and frontline staff through monthly reports, case discussions, and a quarterly newsletter.

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