Effects of introducing the electronic incident reporting system

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  • KAWABATA RIKIO
    Department of Public Health, Juntendo University Faculty of Medicine
  • KOBAYASHI HIROYUKI
    Department of Hospital Administration, Juntendo University Faculty of Medicine
  • AIDA HIDEKO
    Department of Hospital Administration, Juntendo University Faculty of Medicine
  • TASHIRO TAKAO
    Department of Public Health, Juntendo University Faculty of Medicine
  • MARUI EIJI
    Department of Public Health, Juntendo University Faculty of Medicine

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Other Title
  • インシデントレポートの電子化による効果の検討
  • インシデントレポート ノ デンシカ ニ ヨル コウカ ノ ケントウ

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Abstract

Objective : It is desirable to collect a detailed incident reports as soon as possible after the occurrence of any incident. Against this background, Juntendo University Hospital introduced an electronic data entry system in June 2008, replacing the paper-based system for incident management. Here, we compared the status of incident entries before and after the introduction of the electronic data entry system. Materials and methods : The status of incident entry by occupation and incident level in a three-year period before the introduction of the electronic data entry system was compared to that in a one-year period after introduction of the electronic system. Moreover, questionnaires completed by 213 nurses were analyzed to evaluate the usability of the new entry procedure. Results : The number of incident entries in a one-year period after the introduction of the electronic data entry system was increased by 21.5% (501 reports) from that in a one-year period before the electronic system was introduced within the university hospital. Similarly, the number of entries by nurses who reported a large number of incidents and/or reported incidents at high rates was increased by 29.3% (481 reports). The ratio of low level (levels 0 and 1) incident entries to overall incident entries within the university hospital and the proportion reported by individual nurses were significantly higher in the one-year period after introduction of the system than in the three-year period before the introduction (p=0.000). Similarly, the ratios of entries made at other levels were also significantly increased (p-0.000). According to the questionnaire results, 165 nurses (77.5%) indicated that the new data entry procedure is easier to understand than the previous procedure, and 126 nurses (59.2%) indicated that the new procedure is timesaving. These findings suggest that the electronic data entry system simplified incident reporting procedures. Conclusions : The introduction of the electronic data entry system facilitated the collection of information on low level (levels 0 and 1) incidents. Furthermore, the new data entry procedure is considered easy and timesaving, and has therefore been well received by nurses. The introduction of the electronic data entry system has been effective in increasing the number of reports, and consequently helps in reducing the risk of medical incidents occurring.

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