Lessons Learned from the Evolution of Mandatory Adverse Event Reporting Systems
New York State has had a mandatory incident reporting system in place since 1985. The current system, the New York Patient Occurrence Reporting and Tracking System (NYPORTS), was implemented in 1998 pursuant to New York State Public Health Law Section 2805-1, Incident Reporting. NYPORTS is a secure...
Gespeichert in:
Hauptverfasser: | , , , , , , , |
---|---|
Format: | Report |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext bestellen |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | |
---|---|
container_issue | |
container_start_page | |
container_title | |
container_volume | |
creator | Flink, Ellen Chevalier, C L Ruperto, Angelo Dameron, Peg Heigel, Frederick J Leslie, Ruth Mannion, Janet Panzer, Robert J |
description | New York State has had a mandatory incident reporting system in place since 1985. The current system, the New York Patient Occurrence Reporting and Tracking System (NYPORTS), was implemented in 1998 pursuant to New York State Public Health Law Section 2805-1, Incident Reporting. NYPORTS is a secure Web-based system that simplifies reporting, coordinates with other reporting systems, and allows hospitals to obtain feedback on their own reporting patterns. The authors review the evolution and implementation of NYPORTS and its predecessors, the Hospital Incident Reporting System and the Patient Event Tracking System. Discussion and data comparisons are made between the Joint Commission on Accreditation of Healthcare Organizations voluntary sentinel event reporting system and NYPORTS. Critical elements for success of a mandatory incident reporting system include collaborative system design; basing the system on statute, with clear definitions and objective reporting criteria; providing meaningful data that can be analyzed and disseminated for improving patient safety; and adequate resources to maintain the system. Innovative program features may be of interest to other States implementing reporting systems.
Published in Advances in Patient Safety: From Research to Implementation, v3 p135-151, AHRQ Publication Nos. 050021 (1-4), Feb 2005. |
format | Report |
fullrecord | <record><control><sourceid>dtic_1RU</sourceid><recordid>TN_cdi_dtic_stinet_ADA434291</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>ADA434291</sourcerecordid><originalsourceid>FETCH-dtic_stinet_ADA4342913</originalsourceid><addsrcrecordid>eNrjZPD3SS0uzs8rVvBJTSzKS01RSCvKz1UoyUhVcC3LzyktyczPU8hPU_BNzEtJLMkvqlRwTClLLSoGSafmlSgEpRbkF5Vk5qUrBFcWl6TmFvMwsKYl5hSn8kJpbgYZN9cQZw_dlJLM5PhioNLUknhHF0cTYxMjS0NjAtIAInwz_g</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>report</recordtype></control><display><type>report</type><title>Lessons Learned from the Evolution of Mandatory Adverse Event Reporting Systems</title><source>DTIC Technical Reports</source><creator>Flink, Ellen ; Chevalier, C L ; Ruperto, Angelo ; Dameron, Peg ; Heigel, Frederick J ; Leslie, Ruth ; Mannion, Janet ; Panzer, Robert J</creator><creatorcontrib>Flink, Ellen ; Chevalier, C L ; Ruperto, Angelo ; Dameron, Peg ; Heigel, Frederick J ; Leslie, Ruth ; Mannion, Janet ; Panzer, Robert J ; AGENCY FOR HEALTHCARE RESEARCH AND QUALITY ROCKVILLE MD</creatorcontrib><description>New York State has had a mandatory incident reporting system in place since 1985. The current system, the New York Patient Occurrence Reporting and Tracking System (NYPORTS), was implemented in 1998 pursuant to New York State Public Health Law Section 2805-1, Incident Reporting. NYPORTS is a secure Web-based system that simplifies reporting, coordinates with other reporting systems, and allows hospitals to obtain feedback on their own reporting patterns. The authors review the evolution and implementation of NYPORTS and its predecessors, the Hospital Incident Reporting System and the Patient Event Tracking System. Discussion and data comparisons are made between the Joint Commission on Accreditation of Healthcare Organizations voluntary sentinel event reporting system and NYPORTS. Critical elements for success of a mandatory incident reporting system include collaborative system design; basing the system on statute, with clear definitions and objective reporting criteria; providing meaningful data that can be analyzed and disseminated for improving patient safety; and adequate resources to maintain the system. Innovative program features may be of interest to other States implementing reporting systems.
Published in Advances in Patient Safety: From Research to Implementation, v3 p135-151, AHRQ Publication Nos. 050021 (1-4), Feb 2005.</description><language>eng</language><subject>AE(ADVERSE EVENTS) ; ERRORS ; HEALTH CARE FACILITIES ; Information Science ; INFORMATION SYSTEMS ; INTERNET ; LESSONS LEARNED ; Medical Facilities, Equipment and Supplies ; MEDICAL SERVICES ; NEW YORK ; NYPORTS(NEW YORK PATIENT OCCURRENCE REPORTING AND TRACKING SYSTEM) ; PATIENTS ; PS(PATIENT SAFETY) ; REPORTING SYSTEMS ; SAFETY</subject><creationdate>2005</creationdate><rights>Approved for public release; distribution is unlimited.</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,776,881,27544,27545</link.rule.ids><linktorsrc>$$Uhttps://apps.dtic.mil/sti/citations/ADA434291$$EView_record_in_DTIC$$FView_record_in_$$GDTIC$$Hfree_for_read</linktorsrc></links><search><creatorcontrib>Flink, Ellen</creatorcontrib><creatorcontrib>Chevalier, C L</creatorcontrib><creatorcontrib>Ruperto, Angelo</creatorcontrib><creatorcontrib>Dameron, Peg</creatorcontrib><creatorcontrib>Heigel, Frederick J</creatorcontrib><creatorcontrib>Leslie, Ruth</creatorcontrib><creatorcontrib>Mannion, Janet</creatorcontrib><creatorcontrib>Panzer, Robert J</creatorcontrib><creatorcontrib>AGENCY FOR HEALTHCARE RESEARCH AND QUALITY ROCKVILLE MD</creatorcontrib><title>Lessons Learned from the Evolution of Mandatory Adverse Event Reporting Systems</title><description>New York State has had a mandatory incident reporting system in place since 1985. The current system, the New York Patient Occurrence Reporting and Tracking System (NYPORTS), was implemented in 1998 pursuant to New York State Public Health Law Section 2805-1, Incident Reporting. NYPORTS is a secure Web-based system that simplifies reporting, coordinates with other reporting systems, and allows hospitals to obtain feedback on their own reporting patterns. The authors review the evolution and implementation of NYPORTS and its predecessors, the Hospital Incident Reporting System and the Patient Event Tracking System. Discussion and data comparisons are made between the Joint Commission on Accreditation of Healthcare Organizations voluntary sentinel event reporting system and NYPORTS. Critical elements for success of a mandatory incident reporting system include collaborative system design; basing the system on statute, with clear definitions and objective reporting criteria; providing meaningful data that can be analyzed and disseminated for improving patient safety; and adequate resources to maintain the system. Innovative program features may be of interest to other States implementing reporting systems.
Published in Advances in Patient Safety: From Research to Implementation, v3 p135-151, AHRQ Publication Nos. 050021 (1-4), Feb 2005.</description><subject>AE(ADVERSE EVENTS)</subject><subject>ERRORS</subject><subject>HEALTH CARE FACILITIES</subject><subject>Information Science</subject><subject>INFORMATION SYSTEMS</subject><subject>INTERNET</subject><subject>LESSONS LEARNED</subject><subject>Medical Facilities, Equipment and Supplies</subject><subject>MEDICAL SERVICES</subject><subject>NEW YORK</subject><subject>NYPORTS(NEW YORK PATIENT OCCURRENCE REPORTING AND TRACKING SYSTEM)</subject><subject>PATIENTS</subject><subject>PS(PATIENT SAFETY)</subject><subject>REPORTING SYSTEMS</subject><subject>SAFETY</subject><fulltext>true</fulltext><rsrctype>report</rsrctype><creationdate>2005</creationdate><recordtype>report</recordtype><sourceid>1RU</sourceid><recordid>eNrjZPD3SS0uzs8rVvBJTSzKS01RSCvKz1UoyUhVcC3LzyktyczPU8hPU_BNzEtJLMkvqlRwTClLLSoGSafmlSgEpRbkF5Vk5qUrBFcWl6TmFvMwsKYl5hSn8kJpbgYZN9cQZw_dlJLM5PhioNLUknhHF0cTYxMjS0NjAtIAInwz_g</recordid><startdate>200505</startdate><enddate>200505</enddate><creator>Flink, Ellen</creator><creator>Chevalier, C L</creator><creator>Ruperto, Angelo</creator><creator>Dameron, Peg</creator><creator>Heigel, Frederick J</creator><creator>Leslie, Ruth</creator><creator>Mannion, Janet</creator><creator>Panzer, Robert J</creator><scope>1RU</scope><scope>BHM</scope></search><sort><creationdate>200505</creationdate><title>Lessons Learned from the Evolution of Mandatory Adverse Event Reporting Systems</title><author>Flink, Ellen ; Chevalier, C L ; Ruperto, Angelo ; Dameron, Peg ; Heigel, Frederick J ; Leslie, Ruth ; Mannion, Janet ; Panzer, Robert J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-dtic_stinet_ADA4342913</frbrgroupid><rsrctype>reports</rsrctype><prefilter>reports</prefilter><language>eng</language><creationdate>2005</creationdate><topic>AE(ADVERSE EVENTS)</topic><topic>ERRORS</topic><topic>HEALTH CARE FACILITIES</topic><topic>Information Science</topic><topic>INFORMATION SYSTEMS</topic><topic>INTERNET</topic><topic>LESSONS LEARNED</topic><topic>Medical Facilities, Equipment and Supplies</topic><topic>MEDICAL SERVICES</topic><topic>NEW YORK</topic><topic>NYPORTS(NEW YORK PATIENT OCCURRENCE REPORTING AND TRACKING SYSTEM)</topic><topic>PATIENTS</topic><topic>PS(PATIENT SAFETY)</topic><topic>REPORTING SYSTEMS</topic><topic>SAFETY</topic><toplevel>online_resources</toplevel><creatorcontrib>Flink, Ellen</creatorcontrib><creatorcontrib>Chevalier, C L</creatorcontrib><creatorcontrib>Ruperto, Angelo</creatorcontrib><creatorcontrib>Dameron, Peg</creatorcontrib><creatorcontrib>Heigel, Frederick J</creatorcontrib><creatorcontrib>Leslie, Ruth</creatorcontrib><creatorcontrib>Mannion, Janet</creatorcontrib><creatorcontrib>Panzer, Robert J</creatorcontrib><creatorcontrib>AGENCY FOR HEALTHCARE RESEARCH AND QUALITY ROCKVILLE MD</creatorcontrib><collection>DTIC Technical Reports</collection><collection>DTIC STINET</collection></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Flink, Ellen</au><au>Chevalier, C L</au><au>Ruperto, Angelo</au><au>Dameron, Peg</au><au>Heigel, Frederick J</au><au>Leslie, Ruth</au><au>Mannion, Janet</au><au>Panzer, Robert J</au><aucorp>AGENCY FOR HEALTHCARE RESEARCH AND QUALITY ROCKVILLE MD</aucorp><format>book</format><genre>unknown</genre><ristype>RPRT</ristype><btitle>Lessons Learned from the Evolution of Mandatory Adverse Event Reporting Systems</btitle><date>2005-05</date><risdate>2005</risdate><abstract>New York State has had a mandatory incident reporting system in place since 1985. The current system, the New York Patient Occurrence Reporting and Tracking System (NYPORTS), was implemented in 1998 pursuant to New York State Public Health Law Section 2805-1, Incident Reporting. NYPORTS is a secure Web-based system that simplifies reporting, coordinates with other reporting systems, and allows hospitals to obtain feedback on their own reporting patterns. The authors review the evolution and implementation of NYPORTS and its predecessors, the Hospital Incident Reporting System and the Patient Event Tracking System. Discussion and data comparisons are made between the Joint Commission on Accreditation of Healthcare Organizations voluntary sentinel event reporting system and NYPORTS. Critical elements for success of a mandatory incident reporting system include collaborative system design; basing the system on statute, with clear definitions and objective reporting criteria; providing meaningful data that can be analyzed and disseminated for improving patient safety; and adequate resources to maintain the system. Innovative program features may be of interest to other States implementing reporting systems.
Published in Advances in Patient Safety: From Research to Implementation, v3 p135-151, AHRQ Publication Nos. 050021 (1-4), Feb 2005.</abstract><oa>free_for_read</oa></addata></record> |
fulltext | fulltext_linktorsrc |
identifier | |
ispartof | |
issn | |
language | eng |
recordid | cdi_dtic_stinet_ADA434291 |
source | DTIC Technical Reports |
subjects | AE(ADVERSE EVENTS) ERRORS HEALTH CARE FACILITIES Information Science INFORMATION SYSTEMS INTERNET LESSONS LEARNED Medical Facilities, Equipment and Supplies MEDICAL SERVICES NEW YORK NYPORTS(NEW YORK PATIENT OCCURRENCE REPORTING AND TRACKING SYSTEM) PATIENTS PS(PATIENT SAFETY) REPORTING SYSTEMS SAFETY |
title | Lessons Learned from the Evolution of Mandatory Adverse Event Reporting Systems |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-28T12%3A45%3A30IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-dtic_1RU&rft_val_fmt=info:ofi/fmt:kev:mtx:book&rft.genre=unknown&rft.btitle=Lessons%20Learned%20from%20the%20Evolution%20of%20Mandatory%20Adverse%20Event%20Reporting%20Systems&rft.au=Flink,%20Ellen&rft.aucorp=AGENCY%20FOR%20HEALTHCARE%20RESEARCH%20AND%20QUALITY%20ROCKVILLE%20MD&rft.date=2005-05&rft_id=info:doi/&rft_dat=%3Cdtic_1RU%3EADA434291%3C/dtic_1RU%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_id=info:pmid/&rfr_iscdi=true |