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First published November 23, 2004 as JAMIA PrePrint; doi:10.1197/jamia.M1408
Journal of the American Medical Informatics Association 2005;12(2):130-139
© 2005 American Medical Informatics Association

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Submitted on June 10, 2003
Accepted on October 4, 2004

Creating the Web-Based Intensive Care Unit Safety Reporting System (ICUSRS)

Christine G. Holzmueller, Peter J. Pronovost MD, PhD, Fern Dickman MPH, David A. Thompson DNSc, MS, RN, Albert W. Wu MD, MPH, Lisa H. Lubomski PhD, Maureen Fahey MLA, Donald M. Steinwachs PhD, Lilly Engineer MD, MHA, Ali Jaffrey, Laura L. Morlock PhD, and Todd Dorman MD1*

Affiliation of the authors: 1 The Johns Hopkins Hospital, Baltimore, MD

* To whom correspondence should be addressed.

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 paper reflects data on 854 reports from 18 diverse ICUs across the U.S. Reporting is voluntary, and data collected 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 ICU site study teams and frontline staff through monthly reports, case discussions and a quarterly newsletter.




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