Harbor:Adverse event mandatory reporting: Difference between revisions
(Text replacement - "Harbor:Operations manual" to "Harbor:Main") |
|||
| (2 intermediate revisions by 2 users not shown) | |||
| Line 3: | Line 3: | ||
==Event Types== | ==Event Types== | ||
Events must be reported within 4 hours to | Events must be reported within 4 hours to all of the following: | ||
# Immediate supervisor | # Immediate supervisor | ||
# SI (Safety Intelligence System entry) | # SI (Safety Intelligence System entry) | ||
# Risk Management | # Risk Management x66330 | ||
==Events to be Reported== | ==Events to be Reported== | ||
| Line 12: | Line 12: | ||
# Death or disability from any medication error, blood product incompatibility, hypoglycemia, intravascular air embolus, falls, or burns that occur while in the ED | # Death or disability from any medication error, blood product incompatibility, hypoglycemia, intravascular air embolus, falls, or burns that occur while in the ED | ||
# Patient death or serious disability through any actions or errors which are not an expected part of the patients medical condition or treatment, including elopement of an incompetent individual or minor, abduction, or assault (physical or sexual). | # Patient death or serious disability through any actions or errors which are not an expected part of the patients medical condition or treatment, including elopement of an incompetent individual or minor, abduction, or assault (physical or sexual). | ||
# Retention of a foreign object (e.g. central line guidewire) | # Retention of a foreign object (e.g. central line guidewire, broken foley balloon, post op material), even if not from HUCLA | ||
# Patient suicide or serious injury from suicide attempt while in the ED | # Patient suicide or serious injury from suicide attempt while in the ED | ||
# Visitor or staff death or severe disability while on hospital grounds for any reason. | # Visitor or staff death or severe disability while on hospital grounds for any reason. | ||
| Line 22: | Line 22: | ||
(Hospital policies 612A, 612B 5/14, CMO 7/2017) | (Hospital policies 612A, 612B 5/14, CMO 7/2017) | ||
==See Also== | ==See Also== | ||
Latest revision as of 19:22, 24 January 2023
Overview
There are events which we must report to the state in a timely fashion or face being penalized by State Licensing. Below are some general guidelines for what to report. Please make sure that the ED attending is aware of these events and documents their involvement in the record (HUMC Policy 612B).
Event Types
Events must be reported within 4 hours to all of the following:
- Immediate supervisor
- SI (Safety Intelligence System entry)
- Risk Management x66330
Events to be Reported
- Procedure performed on a wrong body part, patient, or the wrong procedure all together.
- Death or disability from any medication error, blood product incompatibility, hypoglycemia, intravascular air embolus, falls, or burns that occur while in the ED
- Patient death or serious disability through any actions or errors which are not an expected part of the patients medical condition or treatment, including elopement of an incompetent individual or minor, abduction, or assault (physical or sexual).
- Retention of a foreign object (e.g. central line guidewire, broken foley balloon, post op material), even if not from HUCLA
- Patient suicide or serious injury from suicide attempt while in the ED
- Visitor or staff death or severe disability while on hospital grounds for any reason.
- An infant discharged to the wrong person.
- A maternal death or serious disability within 42 days post delivery
- Any instance of care ordered by or provided by someone impersonating a physician, nurse, pharmacist, or other licensed health care provider.
(Ref: Reporting Form – Adverse Events -Julie Rees)
(Hospital policies 612A, 612B 5/14, CMO 7/2017)