The Adverse Event Reporting Management System is a system for monitoring and reporting adverse events in hospitals. It can help hospital organizations better understand and improve patient safety issues to reduce medical errors and disputes. Statistics of various adverse events, preset different cause analyzes based on different event types, and accurate positioning; strengthen medical quality management to reduce the occurrence of adverse events.
Principles of Adverse Event Reporting
Adhere to the principle of non-punitive and proactive reporting. The hospital encourages medical staff to proactively and voluntarily report adverse events. This includes reporting to oneself or the undergraduate department, and reporting to others or other departments. Reports can be made under real names or anonymously. The hospital will strictly keep confidential the relevant information of the departments and individuals who voluntarily report it.
Adverse Event Reporting Time Limits
Early detection and early reporting, the general adverse event reporting time is within 24 to 48 hours: serious adverse events or emergencies should be reported verbally to the relevant departments while handling the incident, and the adverse event report form should be filled in within 24 to 48 hours afterwards.
According to different management departments of adverse events, they are divided into six major categories of events: accidental adverse events, adverse drug reaction events, occupational exposure events, nosocomial infection events, adverse blood transfusion events, and medical device adverse events. Accidental adverse events can be divided into drug events, falls and bed events, pressure ulcer events, catheter events, surgical events, medical events, cardiac arrest events, anesthesia events, inspection events, public events, security events, injury events, etc. type.
Cause Analysis
The cause of the incident can be considered from the five aspects of human, machine, physical, legal and environmental factors, and it needs to be extended layer by layer to delve into the reasons on the second and third layers in order to facilitate accurate positioning. For example, from the perspective of human factors, is it the patient's own physiological factors or the personal factors of the medical staff? If it is the personal factors of the medical staff, then you should know which factor is the cause. Is it the subjective factors of the employees and their irresponsible attitude? Or is it caused by objective factors and insufficient professional knowledge, etc.
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Features
Adverse event management
The medical management department conducts unified management of adverse events in the hospital, including review and release, result processing, root cause analysis reports, corrective measures plans, and supervision and inspection.
Clinical department registration
Medical staff in the department report various adverse events such as drugs, equipment, diagnosis and treatment, blood transfusion, nursing, doctor-patient, etc. through PC or mobile phone. Each category has professional reporting forms and templates for filling in items. Reporting on the mobile phone can support multimedia methods such as taking photos, which is convenient and accurate. The number of mobile phone reports is ranked to form a quality circle and continuously improve the reporting rate.
Clinical department review
Review the adverse events recorded by department doctors and formulate corrective measures for the department.
Adverse event type
Accidental unsafe event reporting: including functions such as input, approval, analysis, query, statistics, and tracking of unsafe events. And carry out different report transfer approval processes according to different event types (nursing-related, medical-related, hospital-related)
Pressure ulcer events: including pressure ulcer event assessment, forecasting, reporting input, approval, evaluation analysis, query, statistics, tracking and other functions.
Falls and bed incidents: including functions such as assessment, forecasting, reporting input, approval, evaluation analysis, query, statistics, and tracking of falls and bed incidents.
Complaints and disputes: includes a module for managing complaints and disputes entered by the Medical Reception Office and the Medical Ethics and Medical Practice Complaints Office, including the input, approval, investigation, investigation and approval, analysis, query, statistics, tracking and other functions of complaints and disputes.
Nosocomial infection events: including nosocomial infection event input, approval, query, statistics, tracking and other functions.
Occupational exposure events: including input, approval, query, statistics, tracking and other functions of occupational exposure events.
Adverse drug reactions: including adverse drug reaction event input, approval, evaluation analysis, query, statistics, tracking and other functions.
Transfusion reaction events: including transfusion reaction event input, approval, analysis, query, statistics, tracking and other functions.
Medical equipment adverse events: including unsafe event input, approval, analysis, query, statistics, tracking and other functions.
