Lag time in an incident reporting system at a university hospital in Japan

Background: Delays and underreporting limit the success of hospital incident reporting systems, but little is known about the causes or implications of delayed reporting. Setting and methods: The authors examined 6880 incident reports filed by physicians and nurses for three years at a national univ...

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Bibliographic Details
Published in:Quality & safety in health care 2007-04, Vol.16 (2), p.101-104
Main Authors: Hirose, Masahiro, Regenbogen, Scott E, Lipsitz, Stuart, Imanaka, Yuichi, Ishizaki, Tatsuro, Sekimoto, Miho, Oh, Eun-Hwan, Gawande, Atul A
Format: Article
Language:English
Subjects:
Adverse Drug Reaction Reporting Systems
Analysis of Variance
Data Collection
Documentation - statistics & numerical data
Hospitals, University - organization & administration
Humans
Injuries
Japan
KUH
Kyoto University Hospital
Medical errors
Medical Errors - prevention & control
Medical Errors - statistics & numerical data
Multivariate analysis
Nurses
Original
Patient safety
Patient Safety Division
Poisson Distribution
PSD
Quality Assurance, Health Care
Risk Management
Safety
Surgery
Time Factors
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Summary:Background: Delays and underreporting limit the success of hospital incident reporting systems, but little is known about the causes or implications of delayed reporting. Setting and methods: The authors examined 6880 incident reports filed by physicians and nurses for three years at a national university hospital in Japan and evaluated the lag time between each incident and the submission of a report. Results: Although physicians and nurses reported nearly equal numbers of events resulting in major injury (32 v 31), physicians reported far fewer minor incidents (430 v 6387) and far fewer incidents overall (462 v 6418). In univariate analyses, lag time was significantly longer for physicians than nurses (3.79 v 2.20 days; p
ISSN:1475-3898
1475-3901
DOI:10.1136/qshc.2006.019851