Sentinel Event Program

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Sentinel Event Program
Information System Development Maureen Willson,
Project Manager Clinical Risk Management
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Overview

• Background
• -current data administration
• -existing process
• Sentinel Event Information System development
• Benefits to Health Services
• Some key considerationsto achieving benefits

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Summary Slide (cont.)

• Once again key considerations

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Background current data administration

• Microsoft access database
• Microsoft word documents
• Hard copies of each events in folders
• Series of separate tools that lack system-wide
  functions that enables ready access and sharing
  of information
• Database is unable to interact with the field
  department acts as gatekeeper to the information

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Background existing process

• Prevents timely sharing of lessons learnt
• Relies on Departments discretion to highlight
  system issues which may not be relevant to all
  health services
• Non-automated
• Very manual conversion of word documents to
  access database
• Limited automated analysis of data
• Database is isolated from other systems lacks
  integration
• Does not require the completion of quality cycle
  review of implemented action plan and feedback
  to all health services

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Sentinel Event Information System development

• Desired Outcome of Information System
• Achieve an online, integrated system that
  facilitates all activities required in the
  ongoing process of managing risks through the
  sharing of preventative strategies.
• How
• Through internet-based applications that provide
  ubiquitous access,anywhere,anytime

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Benefits to Health Services

• Online reporting anywhere, anytime
• Review and track progress of events reported
• All health services can search and view
  de-identified data under specific categories
  event type and RRAP
• Secure environment

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Benefits to Health Services

• Accreditation requirements
• ACHS EQuIP third edition standard 2.2
• requires evidence of evaluation of action
• Evidence of complete quality cycle can then be
  provided -
• monitoring activities
• assessment
• action
• evaluation
• feedback

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Some key considerationsto achieving benefits

• Common RCA/RRAP framework
• Information system functionality pilot sites at
  selected hospitals, supported by a reference
  group
• Events that are identifiable by their uniqueness

• Secure environment Eddie Gibbons

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Once again key considerations

• Common RCA/RRAP framework
• Information system functionality pilot sites at
  selected hospitals, supported by a reference
  group
• Events that are identifiable by their uniqueness
• Secure environment

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• QUESTIONS?