Adverse Events

The DRMHOPE team built an electronic reporting tool which identifies adverse events occurring throughout their hospital based upon queries of their electronic health record (EHR) system, such as abnormal lab data or antidote medications prescribed in the event of a medical problem. This daily report, termed the Automated Adverse Event Detection (AAED), is monitored by a nurse who analyzes each abnormal item to determine its level of harm and whether it was preventable. The appropriate physician and managers then study the information to determine how they can improve their processes and avoid similar adverse events in the future. The review team may include the clinicians involved with the event as well as "trigger-specific experts".