International Journal of Medical Informatics
Volume 79, Issue 5 , Pages 339-348 , May 2010

A human factors and survey methodology-based design of a web-based adverse event reporting system for families

  • Jeremy P. Daniels

      Affiliations

    • Department of Anesthesiology, Pharmacology, and Therapeutics, University of British Columbia, Vancouver, British Columbia, Canada
    • Corresponding Author InformationCorresponding author at: BC Children's Hospital, Department of Anesthesia – Room IL7A, 4480 Oak St., Vancouver, British Columbia, V6H 3V4 Canada. Tel.: +1 604 719 6772; fax: +1 604 875 3221.
  • ,
  • Ashlee D. King

      Affiliations

    • Department of Anesthesiology, Pharmacology, and Therapeutics, University of British Columbia, Vancouver, British Columbia, Canada
  • ,
  • D. Douglas Cochrane

      Affiliations

    • Department of Neurosurgery, University of British Columbia, Vancouver, British Columbia, Canada
  • ,
  • Roxane Carr

      Affiliations

    • Department of Pharmacy, University of British Columbia, Vancouver, British Columbia, Canada
  • ,
  • Nicola T. Shaw

      Affiliations

    • Department of Family Medicine, University of Alberta, Edmonton, Alberta, Canada
  • ,
  • Joanne Lim

      Affiliations

    • Department of Anesthesiology, Pharmacology, and Therapeutics, University of British Columbia, Vancouver, British Columbia, Canada
  • ,
  • J. Mark Ansermino

      Affiliations

    • Department of Anesthesiology, Pharmacology, and Therapeutics, University of British Columbia, Vancouver, British Columbia, Canada

Received 19 December 2009 ,Revised 24 January 2010 ,Accepted 27 January 2010.

References 

  1. Kohn LT, Corrigan JM, Donaldson MS. To Err is Human. Washington, DC: National Academy Press; 1999;
  2. Baker GR, Norton PF, Flintoft V, Blais R, Brown A, Cox J, et al The Canadian adverse events study: the incidence of adverse events among hospital patients in Canada. CMAJ. 2004;170:1678–1686
  3. Sari AB, Sheldon TA, Cracknell A, Turnbull A. Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retrospective patient case note review. BMJ. 2007;334(7584):79
  4. Kuzel AJ, Woolf SH, Gilchrist VJ, Engel JD, LaVeist TA, Vincent C, et al. Patient-reports of preventable problems and harms in primary health care. Ann. Med. Fam. 2004;2:333–340
  5. Agoritsas T, Bovier PA, Perneger TV. Patient reports of undesirable events during hospitalisation. J. Gen. Intern. Med. 2005;20:922–928
  6. Weingart SN, Pagovich O, Sands DZ, Li JM, Aronson MD, Davis RB, et al. What can hospitalised patients tell us about adverse events? Learning from patient-reported incidents. J. Gen. Intern. Med. 2005;20:830–836
  7. Vanderheyden LC, Northcott HC, Adair CE, McBrien-Morrison C, Meadows LM, Norton P, et al. Reports of preventable medical errors from the Alberta patient safety survey 2004. Healthc. Q. 2005;8:107–114
  8. Evans SM, Berry JG, Smith BJ, Esterman AJ. Consumer perceptions of safety in hospitals. BMC Public Health. 2006;6:41–47
  9. Phillips RL, Dovey SM, Graham D, Elder NC, Hickner JM. Learning from different lenses: reports of medical errors in primary care by clinicians, staff and patients. J. Patient Saf. 2006;2:140–146
  10. Van Vorst RF, Araya-Guerra R, Felzien M, Fernald D, Elder N, Duclos C, et al. Rural community members’ perceptions of harm from medical mistakes: a High Plains Research Network (HPRN) study. J. Am. Board Fam. Med. 2007;20:135–143
  11. Northcott H, Vanderheyden L, Northcott J, Adair C, McBrien-Morrison C, Norton P, et al. Perceptions of preventable medical errors in Alberta Canada. Int. J. Qual. Health Care. 2008;20:115–122
  12. Weingart SN, Price J, Duncombe D, Connor M, Sommesr K, Conley KA, et al. Patient-reported safety and quality of care in outpatient oncology. J. Qual. Patient Saf. 2007;33:83–94
  13. Wasson JH, MacKenzie TA, Hall M. Patients use an internet technology to report when things go wrong. Qual. Saf. Health Care. 2007;16:213–215
  14. Schwappach DLB. Against the silence: development and first results of a patient survey to assess experiences of safety-related events in hospital. BMC Health Serv. Res. 2008;8:59–66
  15. Leape LL, Berwick DM. Five years after To Err is Human: what have we learned?. JAMA. 2005;293(May (19)):2384–2390
  16. Woods D, Thomas E, Holl J, Altman S, Brennan T. Adverse events and preventable adverse events in children. Pediatrics. 2005;115(January (1)):155–160
  17. Bates DW, Gawande AA. Improving safety with information technology. Ne analysis. Engl. J. Med. 2003;348(June (25)):2526–2534
  18. A. King, J. Daniels, J. Lim, D. Cochrane, A. Taylor, J.M. Ansermino, Time to listen: a review of methods to solicit patient reports of adverse events, Qual. Saf. Health Care, in press.
  19. Murto K, Bryson GL, Abushahwan I, King J, Moher D, El-Emam K, et al. Parents are reluctant to use technological means of communication in pediatric day care. Can. J. Anaesth. 2008;55(April (4)):214–222
  20. Nevo B. Face validity revisited. J. Educ. Meas. 1985;22(4):287–293
  21. Lewis JR. IBM computer usability satisfaction questionnaires: psychometric evaluation and instructions for use. Int. J. Hum.-Comput. Interact. 1995;7(1):57–78
  22. Streiner DL, Norman GR. Health Measurement Scales: A Practical Guide to Their Development and Use. 2nd ed.. Morgan Kaufmann Publishers Inc.; 1993;
  23. Kivlahan C, Sangster W, Nelson K, Buddenbaum J, Lobenstein K. Developing a comprehensive electronic adverse event reporting system in an academic health center. Jt. Comm. J. Qual. Improv. 2002;23:583–594
  24. Weingart SN, Hamrick HE, Tutkus S, Carbo A, Sands DZ, Tess A, et al. Medication safety messages for patients via the Web portal: the MedCheck intervention. Int. J. Med. Inform. 2008;77:161–168
  25. Karsh BT. Beyond usability: designing effective technology implementation systems to promote patient safety. Qual. Saf. Health Care. 2004;13(5):388–394
  26. Zhang J. Human-centered computing in health information systems. Part 1. Analysis and design. J. Biomed. Inform. 2005;38(1):1–3
  27. Vicente KJ. Cognitive Work Analysis: Toward Safe, Productive and Healthy Computer-Based Work. Mahwah, NJ: Lawrence Erlbaum Associates; 1999;
  28. Daniels J, Fels S, Kushniruk A, Lim J, Ansermino JM. A framework for evaluating usability of clinical monitoring technology. J. Clin. Monit. Comput. 2007;21(5):323–330
  29. Bartlett G, Blais R, Tamblyn R, Clermont RJ, MacGibbon B. Impact of patient communication problems on the risk of preventable adverse events in acute care settings. CMAJ. 2008;178(Jun (3)):1555–1562
  30. Thomson R, Lewalle P, Sherman H, Hibbert P, Runciman W, Castro G. Towards an international classification for patient safety: a Delphi survey. Int. J. Qual. Health Care. 2009;21(1):9–17
  31. Cutilli CC, Bennett IM. Understanding the health literacy of America: results of the National Assessment of Adult Literacy. Orthop. Nurs. 2009;28(1):27–32
  32. Studdert DM, Mello MM, Gawande AA, Brennan TA, Wang YC. Disclosure of medical injury to patients: an improbable risk management strategy. Health Aff. (Millwood). 2007;26(1):215–226
  33. Kitch BT, Cooper JB, Zapol WM, Marder JE, Karson A, Hutter M, et al. Handoffs causing patient harm: a survey of medical and surgical house staff. J. Comm. J. Qual. Pat. Saf. 2008;34(10):563–570
  34. Plews-Ogan ML, Nadkarni MM, Forren S. Patient safety in the ambulatory setting. A clinician-based approach. J. Gen. Intern. Med. 2004;19(July (7)):719–725
  35. Taylor BB, Marcantonio ER, Pagovich O, Carbo A, Bergmann M, Davis RB, et al. Do medical inpatients who report poor service quality experience more adverse events and medical errors?. Med. Care. 2008;46(Feb (2)):224–228

PII: S1386-5056(10)00029-8

doi: 10.1016/j.ijmedinf.2010.01.016

International Journal of Medical Informatics
Volume 79, Issue 5 , Pages 339-348 , May 2010