Health care quality management by means of an incident report system and an electronic patient record system

• Published in: International journal of medical informatics Vol. 69; no. 2; pp. 285 - 293
• Main Authors: Takeda, Hiroshi, Matsumura, Yasushi, Nakajima, Kazue, Kuwata, Shigenori, Zhenjun, Yang, Shanmai, Ji, Qiyan, Zhang, Yufen, Chen, Kusuoka, Hideo, Inoue, Michitoshi
• Format: Journal Article Conference Proceeding
• Language: English
• Published: Shannon Elsevier Ireland Ltd 01.03.2003; Elsevier
• Subjects: Biological and medical sciences; Electronic patient records; Humans; Incident report; Medical Records Systems, Computerized; Medical sciences; Online Systems; Quality management; Quality of Health Care; Risk Management; Structured data; Systems Integration; User-Computer Interface; Incident report; Structured data; Electronic patient records; Quality management
• ISSN: 1386-5056; 1872-8243
• DOI: 10.1016/S1386-5056(03)00010-8

Background: Quality management in health care services has not been as successful as in other industries. Objective: To assess the potential contribution of an on-line incident reporting system (OIRS) and of an electronic patient record (EPR) system to quality management in hospitals. Methods: The two approaches are being implemented in Osaka University Hospital. Results: Analysis of the early use of the on-line reporting system indicates that this qualitative approach has been effective to avoid adverse medical events. The quantitative methodology with the EPR is still in the phase of developing. Conclusion: Direct data entry by medical staff and an EPR based on dynamic templates and a dynamic problem oriented approach could be useful for building clinical data repositories that can support clinical quality management.