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Related Experiment Videos

Going paperless with custom-built Web-based patient occurrence reporting.

John F Dixon1

  • 1Center for Nursing Education and Nursing Research, Baylor University Medical Center, 3500 Gaston Ave, Dallas, TX 75246, USA. johndi@BaylorHealth.edu

The Joint Commission Journal on Quality Improvement
|July 10, 2002
PubMed
Summary

Baylor University Medical Center improved patient occurrence reporting by transitioning from paper forms to a web-based system. This digital transformation significantly increased reporting rates and reduced submission times, enhancing overall quality and safety.

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Description and outcomes of a custom Web-based patient occurrence reporting system developed for Baylor University Medical Center and other system entities.

Proceedings (Baylor University. Medical Center)·2005

Area of Science:

  • Healthcare Informatics
  • Quality Improvement in Healthcare
  • Patient Safety Systems

Background:

  • Traditional paper-based patient occurrence reporting at Baylor University Medical Center was inefficient, with significant delays and issues of legibility and completeness.
  • The existing system relied on manual paper incident reports for non-medication occurrences and separate electronic entry for medication variances, lacking a unified and timely process.

Purpose of the Study:

  • To implement a custom-built, web-based system for patient occurrence reporting to improve efficiency and data quality.
  • To transition from a long-standing, outdated paper reporting system to a modern, integrated digital solution.

Main Methods:

  • A phased implementation approach was adopted, focusing on system functionality development and facility readiness.

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  • Patient occurrence reporting was standardized into 10 distinct categories within the new web-based system.

    • Main Results:

    • The web-based system resulted in an 83.5% increase in the number of reported patient occurrences.
    • Event-to-submission time decreased by 79.5% after the implementation of web forms.
    • The new system resolved limitations associated with paper forms, including legibility, completeness, and data security.

    Conclusions:

    • While technology is crucial for improving reporting, a comprehensive organizational strategy and culture shift are necessary for effective data utilization.
    • The focus of reporting should move towards quality and safety, away from a culture of error and blame, to drive meaningful process improvements.