Hospital incident reporting basics

1. PUNE ADVENTIST HOSPITAL

2. Incident Report
• A form used by the hospital management to
record the facility’s unusual occurrences.

3. Types of Incidents
• Near miss
• Adverse events
• Sentinel events

4. Near miss
An unplanned event
that did not result in
injury, illness or damage
but had the potential to
do so
• Also called “close call”

5. Near miss
• If near misses are reported and learnt from
and necessary corrective action is taken, they
can help prevent actual incidents of harm, loss
or damage.
• Near misses should be reported within 24
hours.

6. Adverse events
• Could have or did lead to unintended harm
• It should be reported within 2 hours

7. Sentinel events
• Related to system or process deficiencies
which leads to death or major and enduring
loss of function
• It should be reported immediately

8. Incident reporting (staff)
• A requirement to report any incident or
accident which has caused or has potential to
harm

9. How to report an incident
• Obtain incident reporting form from your
department head
• Start the report as soon as possible, the same
day if possible.
• Write down all basic facts with persons
involved

10. • Write a first person narrative telling what
happened, chronologically
• Use full names of people and their actions
• Be accurate. Do not write up something you
are not sure of
• Use short, to the point
sentences
• Fact oriented
• Be honest
• Submit to HOD

11. Management of the incident
• HOD of the incident site should undertake
immediate assessment
• Root cause analysis (RCA) to be done by the
quality team

12. Points to remember
• The assessment should not be one of blame
but of learning and a drive to reduce future
risk
• The approach of the management following
the incident will focus on “what went wrong”
and NOT “who went wrong”