Implementation of a Data-Based Medical Event Reporting System in the U.S. Department of Defense

Abstract

As a result of the Institute of Medicine (IOM) report, To Err Is Human, the Department of Defense (DoD), per the direction of President Clinton, developed an action plan to reduce medical errors. A system to track and trend near misses and adverse safety events for all the medical treatment facilities in the DoD was developed. A standard spreadsheet for data collection through e-mail was created and implemented. A relational database management system was utilized for data analysis. The data reporting system is a qualified success. There are limitations with statistical analysis and variations in the data submitted. The system has helped to identify patterns of patient safety errors and areas where patient safety events warrant further investigation.

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Document Details

Document Type
Technical Report
Publication Date
May 01, 2005
Accession Number
ADA434331

Entities

People

  • Geoffrey W. Rake
  • Mary A. Davis

Organizations

  • United States Agency for Healthcare Research and Quality

Tags

Communities of Interest

  • Biomedical

DTIC Thesaurus Topics

  • Air Force
  • Data Analysis
  • Database Management Systems
  • Databases
  • Department Of Defense
  • Electronic Mail
  • Health Care
  • Health Care Facilities
  • Health Services
  • Hospitals
  • Medical Personnel
  • Military Medicine
  • National Security
  • Organizational Structure
  • Relational Database Management Systems
  • Relational Databases
  • Websites

Fields of Study

  • Medicine

Readers

  • Clinical Trial Research.
  • Computational Modeling and Simulation
  • Software Engineering.