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First published January 9, 2007 as JAMIA PrePrint; doi:10.1197/jamia.M2196
Journal of the American Medical Informatics Association 2007;14(2):175-181
© 2007 American Medical Informatics Association

A more recent version of this article appeared on March 1, 2007
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Submitted on July 6, 2006
Accepted on December 12, 2006

Integrating incident reporting into an electronic patient record system

Guy Haller MD, PhD1*, Paul S. Myles MBBS, MPH, MD2, Johannes Stoelwinder MBBS, MD3, Mark Langley MBBS4, Hugh Anderson MBBS4, and John McNeil MBBS, PhD5

Affiliation of the authors: 1 Department of Anesthesia and Pain Management, Alfred Hospital, Melbourne, Australia; Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia; Department of Anesthesia and Intensive Care/Quality of Care Unit, Geneva University Hospital, Switzerland ; 2 Department of Anesthesia and Perioperative Medicine, Alfred Hospital, Melbourne, Australia; Departments of Anesthesia, and Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia ; 3 Department of Epidemiology and Preventive Medicine, Health Services Management and research unit, Monash University, Melbourne, Australia ; 4 Department of Anesthesia and Perioperative Medicine, Alfred Hospital, Melbourne, Australia ; 5 Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia; NHMRC Centre for Clinical Research Excellence, Canberra, Australia

* To whom correspondence should be addressed.

Developments in information technology offer new opportunities to design electronic patient record systems (EPR) which integrate a broad range of functions such as clinical decision support, order entry or electronic alerts. It has been recently suggested that EPR could support new applications for disease surveillance and patient safety. We describe the integration of a voluntary incident reporting system into an EPR used in operating theatres, to allow the reporting of accidents and preventable complications. We assessed system's reliability and users' acceptance. During the 4-years observation period (2002-2006), 48 983 interventional procedures were performed. Clinicians documented 85.1% of procedures on the incident reporting form. Agreement between chart review and electronically reported incidents was 80.6%. The integration of an incident reporting system into and EPR is reliable and well supported by healthcare professionals.




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[Abstract] [Full Text] [PDF]


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