Automated incident or adverse event reporting workflows

Purpose

1. Streamline documentation, escalation, and resolution of anesthesia-related incidents and adverse events.

2. Integrate real-time data capture from clinical tools, automate notification and reporting across compliance systems.

3. Ensure regulatory adherence (e.g., JCAHO, HIPAA), reduce latency, and improve auditability of incident handling.

4. Facilitate root cause analysis and corrective action documentation for continuous quality improvement.

Trigger Conditions

1. Incident report entered into EHR or anesthesia information system.

2. Clinical device alert for abnormal readings (e.g., ventilator alarm).

3. Manual or voice-activated flag by anesthesiologist/staff.

4. Scheduled audit detects mismatch in procedure records.

Platform Variants

1. Epic EHR

• Feature/Setting: HL7 FHIR API (“Observation” resource); triggers via abnormal value entry in procedure log.
  

2. Cerner Millennium

• Feature/Setting: "CareAware Event Management" API; filters incident-type messages and auto-generates tasks.
  

3. Meditech

• Feature/Setting: "Data Repository" + "Surveillance" tools; triggers workflow on flagged adverse events.
  

4. Allscripts

• Feature/Setting: "Unity API" (POST /Event); detects and routes anesthesia-related incident records.
  

5. Philips IntelliVue

• Feature/Setting: "Data Export Interface"; real-time device alarms send HL7 messages to workflow engine.
  

6. GE Centricity

• Feature/Setting: “Clinical Data Exchange” function; abnormal event triggers outbound message.
  

7. Dräger Infinity

• Feature/Setting: "CC300 Integration Export"; alarm data feeds to incident reporting apps.
  

8. Tableau

• Feature/Setting: “Web Data Connector” API; auto-refresh dashboard for incident reporting.
  

9. ServiceNow

• Feature/Setting: “REST API” (POST /api/now/table/incident); automate incident ticket creation.
  

10. Jira Service Management

• Feature/Setting: “Create Issue” (via REST API); instantiates adverse event workflow.
  

11. Zendesk Support

• Feature/Setting: “Create Ticket” endpoint; appends incident data from EHRs.
  

12. PagerDuty

• Feature/Setting: “Events API v2”; triggers critical notification paths for escalation.
  

13. Twilio SMS

• Feature/Setting: “Messages API” (POST /Messages); sends real-time text to anesthesia team.
  

14. Microsoft Teams

• Feature/Setting: “Incoming Webhook” URL; posts alerts to care team channels.
  

15. Slack

• Feature/Setting: “chat.postMessage” API; sends formatted notifications to incident room.
  

16. Google Sheets

• Feature/Setting: “Sheets API”; logs all event metadata in audit spreadsheet.
  

17. Power Automate

• Feature/Setting: “When a new response is submitted” (Forms trigger); starts incident handling flow.
  

18. DocuSign

• Feature/Setting: “Envelopes: create” API; routes incident documentation for signature.
  

19. Salesforce Health Cloud

• Feature/Setting: “Create Record” (Health Event object); logs event with contextual patient data.
  

20. AWS SNS

• Feature/Setting: “Publish” API; broadcast multi-channel event notifications.
  

Benefits

1. Reduces manual reporting delays and transcription errors.

2. Ensures rapid, structured escalation and regulatory data capture.

3. Provides end-to-end audit trails for compliance and analytics.

4. Integrates seamlessly into clinical and administrative workflows across platforms.

5. Automates notification to team members, risk management, and compliance departments instantly.