抄録
To improve the functionality and utility of incident analysis, we developed cPHARM-2E, a computerized incident analysis system. The new system was designed to electronically link the procedures of data collection, data analysis, identification of causative factors in medical errors, determination of specific preventive measures, and periodic follow up concerning implementation of the preventive measures. A comparison of the results of incident analysis for three semi-annual periods before and after the introduction of the cPHARM-2E analysis system showed that switching to the new system (1) doubled the total number of incidents reported, (2) reduced the number of high risk incidents by half, (3) tripled the number of preventive measures proposed, and (4) increased the number and percentage of proposed preventive measures that were completely implemented by tenfold and threefold, respectively. Our findings indicated that cPHARM-2E is a user-friendly incident analysis system that will contribute to the improvement of medical risk management and medical accident prevention programs.
