Description and outcomes of a custom Web-based patient occurrence reporting system developed for Baylor University Medical Center and other system entities.

Problem: To improve the timeliness, efficiency, and effectiveness of occurrence reporting.

Setting: Baylor University Medical Center, a 1000-bed tertiary facility, and other components of the Baylor Health Care System, all located in Dallas and the surrounding area.

Strategies For Improvement: Designing a custom Web-based patient occurrence reporting system through the efforts of the Center for Quality and Care Coordination and Information Services and training staff not only in using the system but also in viewing reporting as a key element for quality and safety rather than as an individual performance or disciplinary measure.