Safety management in the medical world has become critical and many trials
are reported. Our hospital renewed our safety management system in May 2005, and
worked on the safety management using the online incident reporting application
(OIRA) that we developed with FileMaker Pro. OIRA made the trouble information
available to the hospital staff, and at the same time, we worked on access management
to the database that varies record by record. Installation of OIRA was successful and in
use without serious system trouble. However, in 2007, we experienced the incident
reporting application replacement due to the hospital information system (HIS)
replacement. After the installation of the vendor application, several inconveniences
were noted. There are always controversies over end user computing (EUC) application
use in the medical scene, while organized computing (OC) application is also provided
by vendors that might meet the business needs. After experiencing both environments,
we concluded that both EUC and OC have merits and demerits. It seems that if the
speed of development, usability and flexibility of EUC are provided with a stable
developing and supporting environment of OC, the computing will provide an even
greater benefit.
Keywords: FileMaker Pro, incident report, end user computing, organized
computing, merit, demerit, safety management, online incident reporting
application, access management, record access management, on-screen help,
usability, adaptability, maintenance.
