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Related Experiment Videos

A chemotherapy incident reporting and improvement system.

Daniel J France1, Paul Miles, Julia Cartwright

  • 1Vanderbilt University Medical Center, Center for Clinical Improvement, Nashville, Tennessee, USA. dan.france@Vanderbilt.Edu

Joint Commission Journal on Quality and Safety
|April 18, 2003
PubMed
Summary

The Chemotherapy Incident Reporting and Improvement System (CIRIS) enhances patient safety by enabling voluntary incident reporting. This system has significantly increased reporting rates and led to data-driven safety interventions in pediatric chemotherapy.

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Area of Science:

  • Healthcare Informatics
  • Patient Safety
  • Clinical Pharmacy

Background:

  • Vanderbilt University Medical Center developed the Chemotherapy Incident Reporting and Improvement System (CIRIS).
  • CIRIS integrates commercial IT, including handheld computers, for a mobile, web-based chemotherapy incident reporting system.
  • The system's development involved creating a safety registry, a handheld interface, and planned integration with computerized order entry.

Purpose of the Study:

  • To implement and evaluate a novel system for improving chemotherapy safety.
  • To leverage technology for enhanced voluntary incident reporting among healthcare professionals.
  • To establish a data repository for a multidisciplinary safety improvement team.

Main Methods:

  • Deployment of the CIRIS system into daily care processes at VUMC.

Related Experiment Videos

  • Phased implementation including a safety registry and handheld computer interface.
  • Utilizing voluntary incident reports for analysis by a safety improvement team.
  • Main Results:

    • Demonstrated staff buy-in through increased reporting rates.
    • Observed numerous provider-initiated improvements to the reporting tool.
    • Developed specific chemotherapy safety interventions based on reported data analysis.

    Conclusions:

    • The CIRIS model effectively improves pediatric chemotherapy safety in inpatient settings.
    • The system is adaptable for various clinical applications in both inpatient and outpatient environments.
    • CIRIS has proven particularly effective in chemotherapy pharmacy, leading to a dramatic increase in incident reporting.