Hostname: page-component-cd9895bd7-8ctnn Total loading time: 0 Render date: 2024-12-23T13:56:50.388Z Has data issue: false hasContentIssue false

Reporting systems in healthcare from a case-by-case experience to a general framework: an example in anaesthesia

Published online by Cambridge University Press:  28 January 2005

A. S. Nyssen
Affiliation:
University of Liège, Department of Work Psychology, Liege, Belgium
S. Aunac
Affiliation:
Cliniques Universitaires St Luc, Department of Anaesthesiology, Brussels, Belgium
M. E. Faymonville
Affiliation:
University Hospital of Liège, Department of Anaesthesia and Intensive Care Medicine, Liege, Belgium
I. Lutte
Affiliation:
ULB, Department of Law, Brussels, Belgium
Get access

Extract

Summary

Reporting systems are becoming more widespread in healthcare. Since they may become mandatory under the pressure of insurance companies and administrative organizations, it is important to begin to go beyond a case-by-case approach and to move to a system where there is a general reflection on the best conditions of development and setting up of such systems in medicine. In this paper, we review existing reporting systems, break down their components, examine how they are constructed and propose some ideas on how to articulate them in a dynamic process in order to improve the validity of the tool as mediator of safety, quality and well-being at work.

Type
Review
Copyright
© 2004 European Society of Anaesthesiology

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Kohn LT, Corrigan JM, Donaldson MS, eds. To Err Is Human: Building a Safer Health System. Washington DC, USA: National Academy Press, 2000.
Currie M, Pybus DA, Torda TA. A prospective study of anaesthetic critical events: a report on a pilot study of 88 cases. Anaesth Intens Care 1989; 16: 98100.Google Scholar
Sanborn KV, Castro J, Kuroda M, Thys DM. Detection of intraoperative incidents by electronic scanning of computerized anesthesia records. Anesthesiology 1996; 85: 977987.Google Scholar
Runciman WB, Helps SC, Sexton EJ, Malpass A. A classification for incidents and accidents in the health-care system. J Qual Clin Pract 1998; 18: 199211.Google Scholar
Webb RK, Currie M, Morgan CA, et al. The Australian Incident Monitoring Study: An Analysis of 2000 Incident Reports. Anaesth Intens Care 1993; 21: 520528.Google Scholar
van Vuuren W, Shea CE, van der Schaaf TW. The Development of an Incident Analysis Tool for the Medical Field. Report EUT/BDK/85. Eindhoven, The Netherlands: Safety Management Group, Faculty of Technology Management, Eindhoven University of Technology, 1997.
De Keyser V, Nyssen AS. Les erreurs humaines en anesthésie. Le Travail Humain 1993; 56: 23, 233241.Google Scholar
Johnson CW. Visualising the relationship between human error and organisational failure. In: Dixon M, ed. Proceedings of the 17th International Systems Safety Conference. Unionville, Virginia, USA: The Systems Safety Society, 1999: 101110.
Caroll JM. Scenario-Based Design. New York, USA: Wiley & Sons, 1995.
Cook R, Woods D, Miller C. A Tale of Two Stories: Contrasting Views of Patient Safety. Report from a Workshop on Assembling the Scientific Basis for Progress on Patient Safety. Chicago, USA: National Health Care Safety Council of the National Patient Safety Foundation at the AMA, 1998.
Busse DK, Johnson CW. Identification and analysis of incidents in complex, medical environments. Proceedings of the First Workshop on Human Error and Clinical Systems. Glasgow, UK: Glasgow Accident Analysis Group, Department of Computing Science, University of Glasgow, 1998.
Runciman WB. Iatrogenic Injury in Australia. Report of the Australian Patient Safety Foundation for the National Health Priorities and Quality Branch of the Department of Health and Aged Care of the Commonwealth. Government of Australia, 2000.
Nyssen AS, Hansez I, Baele P, De Keyser V, Lamy M. Occupational stress and burnout in anesthesia. Br J Anaesth 2003; 90: 333337.Google Scholar
Lutsky I. Use of psychoactive substances among American anesthesiologists: a 30 year retrospective study. Can J Anaesth 1993; 40: 915921.Google Scholar
Weeks AM, Buckland MR, Morgan EB, Myles PS. Chemical dependance in anaesthetic registrars in Australia and New Zealand. Anaesth Intens Care 1993; 21: 151155.Google Scholar