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Case Study: Developing Safety Reporting Systems
Introduction
The Aviation Safety Reporting System (ASRS) was
established in 1975 by the Federal Aviation
Administration (FAA) and the National Aeronautics
and Space Administration (NASA) in order to
improve flight safety. ASRS collects confidential
safety incident reports that are voluntarily submitted
by pilots, operators, maintenance personnel and
other related aviation posotions. The information
from these reports are integrated, analyzed, shared
and responded to in order to improve flight safety.
ASRS is administered by NASA and contracted to
the Battelle Memorial Institute. ProWorks joined the
ASRS project as a sub-contractor in 2000.
Modeled after the success of ASRS, NASA and the
Department of Veterans Affairs (VA) founded the
Patient Safety Reporting System (PSRS) in 2000.
PSRS serves VA health care centers nationwide as
an external reporting system complimentary to their
existing internal system.
Challenge
The ASRS goal was to identify inadequacies and
inconsistencies in the National Aviation System
(NAS) so that they may be corrected and provide
supportive data for NAS planning and policy
forming. ASRS was initially created as a paper
based system. ProWorks' challenge was to
automate and simplify this system into a secure
intranet based workflow and make it accessible
through a single portal.
The foundation behind ASRS is to encourage
accidents to be reported promptly, voluntarily and
confidentially without the threat of future punitive
action against the reporter. Due to the success of
ASRS, Battelle again selected ProWorks as the
developer for the PSRS software. Working in
collaboration with Battelle, NASA and the VA,
ProWorks would apply the ASRS process to
patient safety and create PSRS.
How ProWorks Delivered
To provide analysts with a single interface to ASRS,
ProWorks developed the ASRS workbench. This
workbench allows reports to be electronically
processed and coded into a secure database and
provides analysts with an easy-to-use interface to
the workflow process. A unique, easy-to-use
search tool enables users to explore the complex
database using simple plain-language style queries.
ProWorks utilized the BizTalk Framework to allow
ASRS to integrate with the various report formats
received by airline partners. In addition, the
workbench is web based and supported by both
Windows and Macintosh operating systems.
ProWorks designed the ASRS workbench for easy
portability and extensibility utilizing Microsoft's
.NET framework. As a result, ProWorks was able
to re-use much of the ASRS workbench for
application in PSRS. The ASRS and PSRS
workbenches provide users with the ability to share
information, analyze reports and collaborate with
one another in order to identify hazards and
discover root causes.
High Quality Solution
ASRS has been in operation for over 25 years. Its
success has been critical to the significant
improvement of aviation safety over the last three
decades. Over half a million incident reports have
been submitted by aviation personnel and over
2,500 safety alerts have been issued. ASRS holds
the largest archive of aviation human factors
incidents in the world. This is particularly significant
because it is accepted that over two-thirds of all
aviation incidents are caused by human error.
The ASRS and PSRS databases are available for
search requests and research studies. This
information is sanitized in order to protect the
confidentiality of the reporting parties. Since their
inception, neither ASRS nor PSRS has had a
single a breach of confidentiality.
ProWorks continues to develop and improve the
ASRS and PSRS web-based workflows. Working
in collaboration with Battelle and NASA, ProWorks
implements new features such as customized
graphical reports and online manuals and
glossaries. The ASRS and PSRS projects are
ongoing examples of ProWorks' proficiency for
collaborating with other organizations to improve
their processes and capabilities.
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Papers & Presentations
DOE Presentation
'Morning Report' Summary
Customer Intelligence
Consulting Services
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| Case Studies
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Customer Comments
"The ProWorks development
process is concise and
on-time. For our project,
they worked from a loosely
defined goal and turned it
into a product we were able
to bring to market in a very
reasonable amount of time and
dollars."
Craig Borghesani
Terasoft, Inc.
Cincinnati, OH
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