GAP Analysis: Patient Safety Event Reporting System

SCORE: To view your Overall GAP Score, fill out

Learn more about ADN's Patient Safety Event Reporting Application
the ''Current State Score'' section for each item.
Frontline Reporting

Objective Associated Product Feature(s)

Achieve accuracy of data during collection of information about 1) Utilizes collection forms with standardized
patient safety events (i.e., reporting accuracy is subject to user taxonomy, such as AHRQ Common Formats, to
errors and cognitive limitations in memory and reasoning, including promote more effective reporting, tracking and
memory decay and hindsight biases if significant time passes analysis of safety data
2) Integrates EHR data to reduce frontline data-entry
between initial reporting and follow-up investigation.)
errors, thereby increasing data accuracy
Achieve completeness of data during collection of information 1) Allows for anonymous reporting to collect events
about patient safety events (i.e., the degree to which an event from reporters who may fear punitive repercussions
report includes necessary information describing the 2) Captures data about near misses and unsafe
corresponding real-world event so as to be sufficiently valid for the conditions, in addition to incidents that reach the
purpose of analysis and generation of intervention.) patient
3) Allows aspects of event collection to be
customized to meet internal needs so the desired
elements are captured by original reporters
4) Uses discrete data elements where possible rather
than depending on free-text narrative fields to allow
for easier aggregation and analysis
5) Ability for frontline staff to save event reports as
incomplete and retrieve for completion at a later time
Achieve timeliness in collection of data about patient safety events 1) System is readily accessible and user-friendly for
(i.e. the degree of timeliness between when an event occurs and a frontline reporters
frontline staff reports it, as well as the time-burden on staff to
report an event.)
Achieve timeliness in collection of data about patient safety events
(i.e. the degree of timeliness between when an event occurs and a
frontline staff reports it, as well as the time-burden on staff to
2) Dynamic, intuitive collection forms that employ
report an event.)
smart logic to ensure reporters answer only questions
related to the event type
Event Management
Objective
Achieve timeliness in manager/director awareness of data about
patient safety events (i.e. the degree of timeliness between when a
patient safety event is reported and the appropriate managers are
notified for root cause analysis and the generation of real-time
intervention.)
Achieve timeliness in management of data about patient safety
events (i.e. efficient and smooth review process to generate
actionable knowledge and enable expeditious follow-up
investigation to avoid loss of data due to memory decay of
frontline staff who reported the event.)
3) Integrates data from ADT feeds, formularies, and
other internal lookups to reduce staff's time and effort
(e.g., patient demographics, medication formulary,
facility locations, etc.)
Associated Product Feature(s)
1) Sends real-time, automated event notifications to
ensure the right parties are notified when an event is
reported
2) Customized user roles that permit access to event
data based on designated responsibilities
3) Offers a Work Queue that is tailored to the user's
role, organizes reported events into an active work
list, and supports event management from discovery
to resolution
1) Ability to assign follow-up reviews to one or more
investigators to gather addition event context,
contributing factors, and recommendations to prevent
recurrence
2) Customize due dates for follow-up assignments
based on event priority
3) Sends automated email reminders for initial
assignments and past-due investigations to promote
timely completion

Achieve data integrity (i.e. ensure events are properly categorized, 1) Ability for privileged users to amend original
appropriate level of harm is assigned, etc.)
Easily prioritize and protect events (i.e. be able to easily triage
events by harm level or event type that require priority attention
and/or submission to the PSO.)
4) Includes an internal communication feature so that
users can safely and conveniently comment within the
application
5) Tracks event status to pinpoint its current stage in
the event management process
reports when needed to ensure the most accurate
information is captured
2) Ability to attach, store and view supportive
documents related to an event
3) Assignment of Final Harm level by safety
professionals to standardize ratings and prioritize
action steps
1) Ability to sort and filter events by type, location,
harm level and more to more efficiently organize
workflows
2) Allows for individual event investigation and
resolution, as well as aggregate data analysis to
prioritize organization-wide improvement efforts
3) Integrates seamlessly with the Patient Safety
Organization to apply protections of privilege and
confidentiality to submitted events

Analytics

Objective Associated Product Feature(s)

Easily analyze event data to identify trends and patterns to uncover 1) Includes a powerful, interactive analytics solution
fractured systems and processes, and turn complicated data into offering high-level overviews of performance, and as
actionable insights importantly, drill-down capabilities to identify
opportunities to mitigate risk and improve safety
Easily analyze event data to identify trends and patterns to uncover
fractured systems and processes, and turn complicated data into
actionable insights
Engage/Empower Department and Event Managers to take
ownership of their patient safety data (i.e., conduct their own
analysis of event or department data to uncover patterns and
present findings and recommendations)
2) Offers dashboards so users can review significant
amounts of valuable data at a glance and begin to
discern correlating relationships in one centralized
view
3) Allows users to customize reports/dashboards
using robust filter criteria, such as event category,
event type, location, time of day, harm level, and more
4) Saves default filter settings for the most common
analytic views to prevent the need to recreate desired
reports each time
5) Ability to quickly and easily drill down and view
individual events within aggregate-level charts or
reports
6) Readily access and scrutinize event-specific
reports/dashboards to isolate factors contributing to
events and harm (e.g., Falls, Medication, Specimen,
and more)
1) Drives transparency and improved communication
by allowing managers/directors to access analytic
reports/dashboards tailored to their role and
responsibilities
2) Includes key performance indicators managers are
expected to track and share
3) Generates and exports visually appealing
reports/dashboards that can be readily presented and
disseminated to leadership, committees, and other
relevant stakeholders
4) Provides a menu of compelling, pre-built
report/dashboard options to alleviate intimidation and
foster greater understanding and participation
5) Does not require technical expertise to proficiently
utilize the analytics
6) Ability to export event data based on desired
parameters to allow users to access raw data and
create custom graphs or charts
 https://www.americandatanetwork.com/patient-safety-event-reporting-applicat
https://www.americandatanetwork.com/patient-safety-event-reporting-application-video/

ty Event Reporting Application

Current State Current State Desired State

Score
Current State Current State Desired State
Score
Current State Current State Desired State
Score
Gap Remedies
Gap Remedies
Gap Remedies
Goals about Accuracy, Timeliness and Completeness gleaned from this study https://www.ncbi.nlm.nih.gov/books/NBK43621/