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American Journal of Medical Quality, Vol. 20, No. 6, 304-312 (2005)
DOI: 10.1177/1062860605281670

Health Care Provider Use of Private Sector Internal Error-Reporting Systems

Adam R. Roumm, MSPH

aroumm{at}cephalon.com

Christopher N. Sciamanna, MD, MPH

Department of Health Policy, Jefferson Medical College, Philadelphia, Pennsylvania

David B. Nash, MD, MBA

Department of Health Policy, Jefferson Medical College, Philadelphia, Pennsylvania

The purpose of this study was to review the state of the art of private sector internal error-reporting systems and to begin to develop a classification system for comparing systems. Interviews were conducted to research and examine 9 systems currently on the market. Analysis resulted in the following observations: (1) 7 of the systems are stand-alone, while 2 are part of larger hospital information systems; (2) most of the systems have been in existence for less than 5 years; (3) acute care hospitals are the primary clients; (4) systems are capable of interfacing with other information systems and root-cause analysis programs; and (5) systems are browser based and accessible via the Internet and/or the provider’s intranet. Additional studies are needed to determine the impact of these systems on health outcomes. However, one fact is clear: tracking incidents will not improve patient safety unless administrators close the feedback loop on quality.

Key Words: medical error • adverse event • near miss • reporting • tracking


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