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The evaluation of a web-based incident reporting system.
Ya-Hui Kuo1, Ting-Ting Lee, Mary Etta Mills
1Chia-Yi Christian Hospital, Taiwan.
Computers, Informatics, Nursing : CIN
|March 22, 2012
Summary
A Web-based incident reporting system improved reporting rates and efficiency compared to paper systems. However, user satisfaction varied by unit, and senior nurses showed less willingness to report events.
Area of Science:
- Healthcare Informatics
- Patient Safety
- Health Services Research
Background:
- Anonymous and confidential incident reporting is crucial for patient safety.
- Web-based systems offer a potential improvement over traditional paper-based reporting methods.
Purpose of the Study:
- To evaluate the effectiveness and user satisfaction of a Web-based incident reporting system in Taiwan.
- To compare reporting trends between Web-based and paper-based systems.
Main Methods:
- A survey was administered to 249 nurses to assess user satisfaction and system impact.
- Incident reports from both paper and Web-based systems were collected and analyzed.
- Variables included user satisfaction, willingness to report, report volume, event severity, and process efficiency.
Main Results:
- The Web-based system was used more frequently than the paper system.
- Nurses in internal medicine units reported higher satisfaction; satisfaction was lowest regarding reporting time.
- Reporting increased for laboratory, environment/device, and other unit incidents, but decreased for bedsores and endotracheal tube dislocations. Moderate injury reports decreased, while minor/minimal injury reports increased.
Conclusions:
- Web-based reporting systems can enhance incident reporting rates and capture different types of events.
- Improving system efficiency and simplifying data entry are key to increasing user satisfaction and overall reporting.
- Targeted interventions may be needed to encourage reporting among senior nurses.
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