with some little modification from previous presentation

1. Professional Nursing Today
Introduction to Nursing Reporting
Healthcare Delivery System

2. What makes a nurse a professional?

3. Components:

4. Scope & Standards of Practice
 The process of reporting the events occurred
within the healthcare facilities. It starts by
discovering the event by any staff.(Discoverer)
 All staff is encouraged and accountable to report
any discovered deviation in the performance or
process outputs or outcomes of healthcare
services whether or not led to harm.
 Non punitive response to error reporting is
supported by the facility leaders except for the
misbehavior and for proved negligence.
 It ends by decision making for improvement at
the level of General Directorate.

5. CONTINUED:
 For confidentiality:
1- No duplication or photocopy is allowed for any filled
form of the common formats.
2- The filled form must not be part of the staff or
patient records files.
3- The filled forms are not legal document, used only
for study and quality improvement
purposes.

6. CONTINUED:
 Some of the data entered in the manual
common formats are highlighted by shading
to indicate their confidentiality for the
healthcare facility use ONLY and not to be
shared outside.
 The event reporting is collaborative
teamwork approach uses the common
formats guided by the quick user guide.

7. CONTINUED:
 The Common Formats are not an attempt to replace
any current mandatory reporting system,
collaborative/ voluntary reporting system, research-
related reporting system, or other
reporting/recording system in the healthcare facility.
They are intended to facilitate the collection,
aggregation, and use of patient safety data regardless
of the type of reporting system.

8. CONTINUED:
 If the event is discovered during its occurrence, the
discoverer must first contain the event and
mitigate its risk to prevent its consequences.
 Communication of the events’ information should
be encouraged between the staff working within
the facility “on need to know basis” with emphasis
on “how” and “results” more than “what” and
“who”.

9. CONTINUED:
Common formats data must be
validated by the responsible
quality officer for their
reliability.

10. Purpose:
Establish system and set
responsibilities and accountabilities
regarding:
 Reporting of patient safety events
happening during healthcare provision,
 Events Data analysis and,
 Events Information Communication.

12. Incident
A type of a patient safety event that
reaches the patient, whether or not
the patient was harmed.
Near Miss
 An event or situation that could
have resulted in an adverse event
but did not either by chance or
through timely intervention.

13. Sentinel Event
 A Sentinel Event is an unexpected occurrence
involving death or serious or psychological injury,
or the risk thereof. Serious injury specifically
includes loss of Limb or Function.
 The phrase 'or the risk thereof’ includes any
process variation for which a recurrence
would carry a significant chance of a
serious adverse outcome.
 Such events are called”sentinel”because
they signal the need for immediate
investigation and response.

14. CONTINUED:
 Sentinel (Serious reportable) events
after its confirmation as sentinel event
or near miss sentinel event category
must:
1- Be notified to the facility management
immediately.
2- Do a root cause analysis done by
multidisciplinary team maximum within
7 working days.
3- A thorough and credible action plan
done maximum within 45 days.

15. CONTINUED:
 Proactive approach using FMEA(failure mode
event analysis) will be used for the high risk
processes that are identified from data analysis
and lessons learnt from other organizations in
the network.

16. Role of the Supervisor
5:Investigate
and
Document
upon
request