Mobile Reporting and Learning Systems: Five Minutes to Reduce Risks
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Abstract
Background
Based on the impact of safety incidents on patients, professionals and organizations, the World Health Organization, as well as the Council Recommendations on Patient Safety, including Prevention and Control of Healthcare Associated Infections, have recommended developing reporting and learning systems (RLS) to facilitate the analysis of contributing factors that lead to incidents and to prevent them.
Following these guidelines, the Andalusian Patient Safety Observatory developed an online RLS in 2008, aimed to enable citizens and healthcare professionals to report incidents or safety concerns (SC) occurred in their centres, and to provide the centres with this information, to analyze it and implement improvement actions.
This system has received some improvement suggestions from the users, being the most important and frequent one to make it simpler.
Objective
To develop a mobile and tablet application to facilitate the reporting of adverse events by healthcare professionals and citizens.
Methods
Study phases:
1.Review of existing apps on markets to report different kind of incidents, like fire report, damages on urban furniture, etc.
2.Creation of an Advisory Committee, composed by doctors, nurses, pharmacists, experts on patient safety, developers and experts on usability.
3.Requirements definition.
4.Design and development of the app.
5.Piloting, when the app will be tested by a representative group of users.
6.Improvement of the app after feedback from piloting.
7.Publication on AppStore and GooglePlay.
Results
We are on the phase 4 of the study, where this new app is being developed and it will allow the users (healthcare professionals and citizens) to report safety incidents and SC, in an easy and quick way, which will lead to increase the number of reported incidents.
After geolocating the centre and the service where the incident/SC took place (just Andalusian centres are covered), the user has to define the category of the incident/risk, according to the International Classification for Patient Safety, to write a brief description of it and to establish its severity and likelihood. A picture can be also enclosed.
Depending on the answer to two simple questions (“Is the incident related to a particular patient?” and “Did the incident reached the patient?”), the app will classify the reported event as an incident or a SC. In case it is a SC, the report can be already sent. In case it is an incident, the user still has to answer some more questions: date of the incident, patient outcome, additional information and suggested improvement areas.
Furthermore, if the incident is related to medication errors, an additional form has to be completed to be shared with Centro Andaluz de Farmacovigilancia (Pharmacovigilance Network).
Once the information is filled, the report is sent to the patient safety leaders in the corresponding centre, so the incident/ SC can be analyzed and different improvement actions can be implemented. The person who reported the incident/SC can check its status of the trough a code.
Conclusions
This app will facilitate the safety incidents and SC reporting, which will lead to increased awareness of involved centres and, consequently, to the reduction of risks.
Based on the impact of safety incidents on patients, professionals and organizations, the World Health Organization, as well as the Council Recommendations on Patient Safety, including Prevention and Control of Healthcare Associated Infections, have recommended developing reporting and learning systems (RLS) to facilitate the analysis of contributing factors that lead to incidents and to prevent them.
Following these guidelines, the Andalusian Patient Safety Observatory developed an online RLS in 2008, aimed to enable citizens and healthcare professionals to report incidents or safety concerns (SC) occurred in their centres, and to provide the centres with this information, to analyze it and implement improvement actions.
This system has received some improvement suggestions from the users, being the most important and frequent one to make it simpler.
Objective
To develop a mobile and tablet application to facilitate the reporting of adverse events by healthcare professionals and citizens.
Methods
Study phases:
1.Review of existing apps on markets to report different kind of incidents, like fire report, damages on urban furniture, etc.
2.Creation of an Advisory Committee, composed by doctors, nurses, pharmacists, experts on patient safety, developers and experts on usability.
3.Requirements definition.
4.Design and development of the app.
5.Piloting, when the app will be tested by a representative group of users.
6.Improvement of the app after feedback from piloting.
7.Publication on AppStore and GooglePlay.
Results
We are on the phase 4 of the study, where this new app is being developed and it will allow the users (healthcare professionals and citizens) to report safety incidents and SC, in an easy and quick way, which will lead to increase the number of reported incidents.
After geolocating the centre and the service where the incident/SC took place (just Andalusian centres are covered), the user has to define the category of the incident/risk, according to the International Classification for Patient Safety, to write a brief description of it and to establish its severity and likelihood. A picture can be also enclosed.
Depending on the answer to two simple questions (“Is the incident related to a particular patient?” and “Did the incident reached the patient?”), the app will classify the reported event as an incident or a SC. In case it is a SC, the report can be already sent. In case it is an incident, the user still has to answer some more questions: date of the incident, patient outcome, additional information and suggested improvement areas.
Furthermore, if the incident is related to medication errors, an additional form has to be completed to be shared with Centro Andaluz de Farmacovigilancia (Pharmacovigilance Network).
Once the information is filled, the report is sent to the patient safety leaders in the corresponding centre, so the incident/ SC can be analyzed and different improvement actions can be implemented. The person who reported the incident/SC can check its status of the trough a code.
Conclusions
This app will facilitate the safety incidents and SC reporting, which will lead to increased awareness of involved centres and, consequently, to the reduction of risks.
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