title: Health care quality management by means of an incident report system and an electronic patient record system.
abstract: BACKGROUND
  Quality management in health care services has not been as successful as in other industries.
  
  
  OBJECTIVE
  To assess the potential contribution of an on-line incident reporting system (OIRS) and of an electronic patient record (EPR) system to quality management in hospitals.
  
  
  METHODS
  The two approaches are being implemented in Osaka University Hospital.
  
  
  RESULTS
  Analysis of the early use of the on-line reporting system indicates that this qualitative approach has been effective to avoid adverse medical events. The quantitative methodology with the EPR is still in the phase of developing.
  
  
  CONCLUSIONS
  Direct data entry by medical staff and an EPR based on dynamic templates and a dynamic problem oriented approach could be useful for building clinical data repositories that can support clinical quality management.
authors.affiliation: Department of Medical Information Science, Graduate School of Medicine, Osaka University, 2-2, Yamada-oka, Suita 565-0871, Japan. takeda@hp-info.med.osaka-u.ac.jp
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Takeda
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Matsumura
authors.forename: Kazue
authors.initials: K
authors.lastname: Nakajima
authors.forename: Shigenori
authors.initials: S
authors.lastname: Kuwata
authors.forename: Yang
authors.initials: Y
authors.lastname: Zhenjun
authors.forename: Ji
authors.initials: J
authors.lastname: Shanmai
authors.forename: Zhang
authors.initials: Z
authors.lastname: Qiyan
authors.forename: Chen
authors.initials: C
authors.lastname: Yufen
authors.forename: Hideo
authors.initials: H
authors.lastname: Kusuoka
authors.forename: Michitoshi
authors.initials: M
authors.lastname: Inoue
mesh_terms: D006801:Humans; D016347:Medical Records Systems, Computerized; D009862:Online Systems; D011787:Quality of Health Care; D012308:Risk Management; D018511:Systems Integration; D014584:User-Computer Interface