Logo image
Back
Implementation and evaluation of an event reporting system in an academic anaesthesia department
Journal article   Open access   Peer reviewed

Implementation and evaluation of an event reporting system in an academic anaesthesia department

Unyime Ituk and Rashmi Mueller
BMJ open quality, Vol.12(4), e002389
12/20/2023
DOI: 10.1136/bmjoq-2023-002389
PMCID: PMC10749051
PMID: 38123473
url
https://doi.org/10.1136/bmjoq-2023-002389View
Published (Version of record) Open Access

Abstract

Reporting adverse clinical events is essential to a culture of safety in healthcare. However, self-reporting such events is generally not widely prevalent in a typical academic anaesthesia department. We set out to create a self-reporting tool to securely accept data from multiple anaesthesia service locations, including data linked to our electronic anaesthesia record, and combine them into an accessible database.We created a web-based database module for incident reporting integrated into the department's intranet. The system was also designed to actively prompt anaesthesia providers for reports following each day of clinical work. 478 events were recorded in the database in the first year of implementation. There were 33 347 anaesthesia encounters in that period, translating to a reporting rate of 1.43% (95% CI 1.31% to 1.57%). In the second year, which coincided with the second phase of implementation, 608 events were reported out of 45 985 anaesthesia encounters, for a reporting rate of 1.32% (95% CI 1.22% to 1.43%). Approximately 40% of events entered into the database occurred in a non-operating room location. The annual reporting rates for 2014, 2015, 2016, 2017, 2018 and 2019 were 1.26% (95% CI 1.16% to 1.37%), 1.15% (95% CI 1.05% to 1.25%), 1% (95% CI 0.9% to 1.1%), 0.6% (95% CI 0.53% to 0.68%), 0.5% (95% CI 0.44% to 0.57%), 0.4% (95% CI 0.3% to 0.5%), respectively. Our incident reporting system facilitated reporting of events within and outside the operating room. The system captured event data valid for quality improvement within the anaesthesia department.
 Anesthesia Department, Hospital Humans Operating Rooms Risk Management

Details

Metrics

8 Record Views
1 Times Cited - Web of Science
Logo image