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Purpose

The purpose of this paper is to present the challenges and gaps in using an electronic adverse incident recording and reporting system from a commercial supplier to an acute health care setting.

Design/methodology/approach

The paper used action diary, documentation and triangulation to obtain an understanding of the challenges and gaps.

Findings

The paper provides health care with further understanding of the complexity, challenges and gaps of using an electronic adverse incident recording system to improve patient safety.

Originality/value

This paper explains the important views of clinicians and managers in relation to improving patient safety by using an electronic adverse incident management system.

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