Medical Error Reporting System Design: Multiple User Considerations and their Implications

Abstract

The purpose of this paper is to examine the differences between the preferences of physicians and clinical assistants for the design of a statewide medical error reporting system. The study employed a series of separate focus groups composed of physicians and clinical assistants. The focus groups covered a wide range of relevant topics based on the previous literature on error reporting both in and outside of healthcare. Focus group transcripts were subject to a content analysis resulting in a total of 86 major and minor themes. While physicians and clinical assistants shared similar preferences and beliefs surrounding error reporting such as its educational potential and fear of punitive repercussions, they differed as well. Some of the differences uncovered included the rules and regulations governing the use of the system, the medium of reporting, and aspects of the organization that may affect reporting levels. The design implications for considering these issues are discussed.