title: Piloting an online incident reporting system in Australasian emergency medicine.
abstract: BACKGROUND
  Medical-specific incident reporting systems are critical to understanding error in healthcare but underreporting by doctors reduces their value.
  
  
  OBJECTIVE
  We conducted a pilot study of the implementation of an online ED-specific incident reporting system in Australasian hospitals and evaluated its use.
  
  
  METHODS
  The reporting system was based on the literature and input of experts. Thirty-one hospital EDs were approached to pilot the Emergency Medicine Events Register (EMER). The pilot evaluated: website usage and analytics, reporting behaviours and rates, the quality of information collected in EMER. Semi-structured interviews of three site champions responsible for implementing EMER were conducted.
  
  
  RESULTS
  Seventeen EDs expressed interest; however, due to delays and other barriers reporting only occurred at three sites. Over 354 days, the website received 362 unique visitors and 77 incidents. The median time to report was 4.6 min. The reporting rate was 0.07 reports per doctor month, suggesting a reporting rate of 0.08% of ED presentations. Data quality, as measured by the number of completed non-mandatory fields and ability to classify incidents, was very high. The interviews identified enablers (the EMER system, site champions) and barriers (chiefly the context of EM) to EMER uptake.
  
  
  CONCLUSIONS
  Collecting patient safety information by frontline doctors is essential to actively engage the profession in patent safety. Although the EMER system allowed easy online reporting of high quality incident data by doctors, site recruitment and system uptake proved difficult. System use by ED doctors requires dedicated and conscious effort from the profession.
authors.affiliation: Australian Patient Safety Foundation, University of South Australia, Adelaide, South Australia, Australia.
authors.forename: Timothy J
authors.initials: TJ
authors.lastname: Schultz
authors.forename: Carmel
authors.initials: C
authors.lastname: Crock
authors.forename: Kim
authors.initials: K
authors.lastname: Hansen
authors.forename: Anita
authors.initials: A
authors.lastname: Deakin
authors.forename: Andrew
authors.initials: A
authors.lastname: Gosbell
mesh_terms: D044362:Australasia; D004636:Emergency Service, Hospital; D006801:Humans; D019300:Medical Errors / Q000517:prevention & control*; D009862:Online Systems; D010865:Pilot Projects; D012308:Risk Management / Q000458:organization & administration*; D017751:Safety Management / Q000458:organization & administration*
keywords: adverse event; emergency medicine; incident reporting; near misses; safety learning system