Development of the BUA-REPORT Information System for Medication Error Reporting Using Google Applications: A Study at a Military Hospital

Abstract

Background: Medication errors are an important patient safety problem. A military hospital still used paper forms together with LINE messaging for reporting, resulting in delays, incomplete data, and risk of data loss; a low-cost digital reporting system that can be maintained in-house was therefore needed.

Objectives: To develop the BUA-REPORT information system for medication error reporting using Google Applications, and to evaluate reporting success, reporting time, and usability under simulated scenarios.

Methodology: This research and development study followed the five phases of the system development life cycle and was conducted between April and June 2025. Fifteen healthcare personnel were purposively selected (two physicians, five pharmacists, three registered nurses, and five pharmacy staff). Evaluation used three simulated reporting scenarios and the system usability scale (SUS).

Results: BUA-REPORT comprised a Fillout Forms reporting interface with logic branching, a Google Sheets database with 36 fields, 26 reports (eight Google Looker Studio dashboards and 18 hospital-format summary reports), LINE Official Account notifications, and a WordPress website. All users reported the simulated events successfully, with a mean individual reporting time of 41.4±6.8 seconds. The median SUS score was 97.5 (interquartile range 93.8–97.5), and 93.3% of users rated usability as very good.

Conclusion: Under simulated conditions, all users completed reporting through BUA-REPORT within the predefined time criterion and rated usability highly. The system is therefore a potential option for settings with similar contexts and resources. Longer-term evaluation of real-world use is required.