Electronic incident reporting and professional monitoring transforms culture

Data and performance information have been collected and critical incidents reported for accredited trainees of the Australian and New Zealand College of Anaesthetists (ANZCA) in Geelong. 1 2 This work favourably transforms the culture of the users, which has been our goal for some time. 3 4 The pro...

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Bibliographic Details
Published inBMJ Vol. 329; no. 7456; pp. 51 - 52
Main Authors Bolsin, Stephen, Patrick, Andrew, Creati, Bernie, Colson, Mark, Freestone, Leah
Format Journal Article
LanguageEnglish
Published England British Medical Association 03.07.2004
BMJ Publishing Group LTD
BMJ Publishing Group Ltd
Subjects
Clinical Competence - standards
Computers, Handheld
Databases, Factual
Disclosure
Information Dissemination
Letters
Medical Errors - prevention & control
New Zealand
PDAs
Risk Management
New Zealand
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Summary:Data and performance information have been collected and critical incidents reported for accredited trainees of the Australian and New Zealand College of Anaesthetists (ANZCA) in Geelong. 1 2 This work favourably transforms the culture of the users, which has been our goal for some time. 3 4 The programmed PDA has allowed a denominator figure to be supplied for cases undertaken by the trainees, as well as an assessment of the impact on patient outcome. [...]incidents reported by trainees occurred in 1.5% of anaesthetics, but half of the incidents reported had no impact or a minor impact on patient outcomes. 1 This may well be the "near miss" incident data that are the "holy grail" of healthcare safety experts.
Bibliography:SourceType-Other Sources-1
content type line 63
ObjectType-Correspondence-1
Competing interests: SB, AP, and MC designed and developed the PDA programme described.
ISSN:0959-8138
1468-5833
1756-1833
DOI:10.1136/bmj.329.7456.51-b