This document provides guidance on how to classify and report different types of incidents at a healthcare facility. It defines reportable events, sentinel events, critical events, and non-critical events. Reportable events are those that states require reporting within a certain timeframe, like deaths or infectious disease diagnoses. Sentinel events are unexpected occurrences involving death or serious injury. Critical events involve emergency responders or significantly impact operations. Non-critical events are all other incidents that are reported. Examples of each type of incident are provided.
Vaya health incident report training presentationvayawebsite
This document provides an overview of incident reporting for Vaya Health. It outlines that incident reporting helps ensure serious adverse events involving publicly funded mental health, developmental disabilities, and substance abuse services are addressed quickly and used to analyze trends to prevent future occurrences and improve the service system. Incidents are divided into three levels - Level I, II, and III - based on their potential or actual severity. Level III incidents require the most extensive response and reporting. The document reviews reporting procedures, timelines, and requirements for documenting and reporting each incident level.
Pune Adventist Hospital uses incident reports to record and learn from unusual occurrences at the facility. There are three types of incidents that should be reported: near misses within 24 hours, adverse events within 2 hours, and sentinel events immediately. Staff are required to report any incident or accident that causes or has potential to harm. When reporting an incident, the staff member should obtain a form, write an accurate first person account of what happened chronically and factually, and submit it to their department head. The department head will do an initial assessment while the quality team will perform a root cause analysis to prevent future risks and reduce blame.
This document provides an overview of incident reporting in a healthcare facility. It defines an incident and the main types: near misses, adverse events, and sentinel events. Near misses have the potential to cause harm but do not, while adverse events do cause unintended harm. Sentinel events result in major loss of function or death. The presentation outlines how and when to report each type of incident and the importance of reporting near misses to prevent future harm. It also describes the root cause analysis process used to determine why failures occurred and how to submit an accurate and thorough incident report.
This document outlines an organization's incident reporting policy and procedures. It defines incidents as events that are not part of routine operations or care that could adversely affect individuals receiving supports. Incidents are classified into three levels based on their impact. All incidents must be reported within 24 hours, with Level II and III incidents reported to the local management entity within 72 hours. The procedures describe requirements for responding to incidents, notifying authorities, compiling reports, investigating causes, and implementing preventative measures. The goal is to protect health and safety while complying with regulations.
This document outlines what types of incidents need to be reported for individuals receiving services, including deaths, injuries, abuse allegations, missing persons, and more. It describes the process for reporting incidents, which includes immediately addressing any emergencies, writing an incident report before the end of the work day, and notifying the responsible party and provider agency. Serious incidents require additional verbal notification to the Division within 24 hours. The document lists what information should be included in an incident report, such as names, dates, descriptions, and signatures.
The document defines a sentinel event as an unexpected occurrence involving death or serious physical or psychological injury or risk thereof. It then classifies different types of sentinel events such as unanticipated death, major permanent loss of function, wrong surgery/site/person, and nosocomial infections resulting in unanticipated death or injury. The document explains that when a sentinel event occurs, a response team must conduct a root cause analysis (RCA) to determine the underlying causes. It outlines the five steps of an RCA: defining the problem, understanding what happened, determining the root cause, identifying effective solutions, and following up. Tools like 5 Whys and fishbone diagrams can be used to help uncover root causes. The
This document outlines an organization's incident reporting policies and procedures. It defines incidents as any unusual occurrences, including car accidents, falls, and medication errors. Incidents are either personnel incidents involving only employees or consumer incidents directly affecting clients. All incidents must be reported immediately to a qualified professional and a description provided with only objective facts. The qualified professional then ensures all necessary documentation is completed within timelines of a verbal report within 24 hours and written report within 72 hours.
This document provides guidance on incident reporting procedures. It states that incident reports inform administration of issues so they can be prevented, and alert insurance companies to potential claims. Incidents that must be reported include exposure to bodily fluids, accidents resulting in injury, unusual events, vaccine reactions, medication reactions, property damage, and improper administration of medication. OSHA requires recording injuries requiring medical treatment beyond first aid. Witnesses should file separate reports, which will be reviewed by supervisors and insurers. Supervisors must investigate incidents and ensure corrective actions are implemented.
Vaya health incident report training presentationvayawebsite
This document provides an overview of incident reporting for Vaya Health. It outlines that incident reporting helps ensure serious adverse events involving publicly funded mental health, developmental disabilities, and substance abuse services are addressed quickly and used to analyze trends to prevent future occurrences and improve the service system. Incidents are divided into three levels - Level I, II, and III - based on their potential or actual severity. Level III incidents require the most extensive response and reporting. The document reviews reporting procedures, timelines, and requirements for documenting and reporting each incident level.
Pune Adventist Hospital uses incident reports to record and learn from unusual occurrences at the facility. There are three types of incidents that should be reported: near misses within 24 hours, adverse events within 2 hours, and sentinel events immediately. Staff are required to report any incident or accident that causes or has potential to harm. When reporting an incident, the staff member should obtain a form, write an accurate first person account of what happened chronically and factually, and submit it to their department head. The department head will do an initial assessment while the quality team will perform a root cause analysis to prevent future risks and reduce blame.
This document provides an overview of incident reporting in a healthcare facility. It defines an incident and the main types: near misses, adverse events, and sentinel events. Near misses have the potential to cause harm but do not, while adverse events do cause unintended harm. Sentinel events result in major loss of function or death. The presentation outlines how and when to report each type of incident and the importance of reporting near misses to prevent future harm. It also describes the root cause analysis process used to determine why failures occurred and how to submit an accurate and thorough incident report.
This document outlines an organization's incident reporting policy and procedures. It defines incidents as events that are not part of routine operations or care that could adversely affect individuals receiving supports. Incidents are classified into three levels based on their impact. All incidents must be reported within 24 hours, with Level II and III incidents reported to the local management entity within 72 hours. The procedures describe requirements for responding to incidents, notifying authorities, compiling reports, investigating causes, and implementing preventative measures. The goal is to protect health and safety while complying with regulations.
This document outlines what types of incidents need to be reported for individuals receiving services, including deaths, injuries, abuse allegations, missing persons, and more. It describes the process for reporting incidents, which includes immediately addressing any emergencies, writing an incident report before the end of the work day, and notifying the responsible party and provider agency. Serious incidents require additional verbal notification to the Division within 24 hours. The document lists what information should be included in an incident report, such as names, dates, descriptions, and signatures.
The document defines a sentinel event as an unexpected occurrence involving death or serious physical or psychological injury or risk thereof. It then classifies different types of sentinel events such as unanticipated death, major permanent loss of function, wrong surgery/site/person, and nosocomial infections resulting in unanticipated death or injury. The document explains that when a sentinel event occurs, a response team must conduct a root cause analysis (RCA) to determine the underlying causes. It outlines the five steps of an RCA: defining the problem, understanding what happened, determining the root cause, identifying effective solutions, and following up. Tools like 5 Whys and fishbone diagrams can be used to help uncover root causes. The
This document outlines an organization's incident reporting policies and procedures. It defines incidents as any unusual occurrences, including car accidents, falls, and medication errors. Incidents are either personnel incidents involving only employees or consumer incidents directly affecting clients. All incidents must be reported immediately to a qualified professional and a description provided with only objective facts. The qualified professional then ensures all necessary documentation is completed within timelines of a verbal report within 24 hours and written report within 72 hours.
This document provides guidance on incident reporting procedures. It states that incident reports inform administration of issues so they can be prevented, and alert insurance companies to potential claims. Incidents that must be reported include exposure to bodily fluids, accidents resulting in injury, unusual events, vaccine reactions, medication reactions, property damage, and improper administration of medication. OSHA requires recording injuries requiring medical treatment beyond first aid. Witnesses should file separate reports, which will be reviewed by supervisors and insurers. Supervisors must investigate incidents and ensure corrective actions are implemented.
Occurrence Variance Report and Sentinel Event Reporting SystemHisham Aldabagh
OVR definition, purpose, when to use, who should report, what to report, OVR Policy, confidentiality, responsibilities, OVR form.
Sentinel Event Definition, reportable cases, sentinel event reporting process,
This document discusses accident reporting, investigation, and analysis. It defines different types of incidents from near misses to severe accidents and outlines appropriate response and investigation based on incident level. Level 1 incidents involve minor injuries or damage while level 3 are most severe, involving fatalities, serious injuries, major damage or production loss. The appropriate personnel to investigate and responsibilities for remedial actions increase according to incident level. The goal is to learn from incidents to prevent recurrences and improve safety.
Accident reporting ,investigation & analysis (cif&b)mallareddy1975
This document defines various types of workplace accidents and injuries and outlines procedures for investigating, reporting, and analyzing accidents. It defines near misses, first aid injuries, minor injuries, lost time accidents, and fatalities. It describes the responsibilities of injured employees, supervisors, medical officers, and management in responding to accidents. It also outlines the accident investigation process, including initial response, forming an investigation team, determining facts and root causes, and implementing corrective actions. Various forms for reporting near misses, preliminary accidents, and full investigation reports are also defined.
The document provides an overview of regulatory training on national patient safety goals. It discusses the Joint Commission's role in developing patient safety standards and how facilities are reviewed. It then summarizes several key national patient safety goals, including: accurately identifying patients; preventing transfusion errors; timely reporting of critical test results; safe medication use; preventing healthcare-associated infections; medication reconciliation; minimizing suicide risk; and using a universal protocol for surgeries.
This document provides an overview of the roles and responsibilities of a first responder. It discusses topics like providing patient care, ensuring safety, performing assessments, documentation, infection control, legal issues, vital signs, and more. The top responsibilities of a first responder are to assure personal safety, ensure patient and others' safety, and perform patient assessments to determine necessary care. Infection control, legal consent and issues, and proper documentation are also reviewed.
The document discusses medical negligence, providing definitions and examples. It defines professional negligence as the absence of reasonable care by a medical practitioner that causes bodily injury or death. It notes negligence is a breach of the duty to provide proper care. The document outlines the four D's of negligence: duty, dereliction, damage, and direct causation. It provides examples of negligence through both acts of omission and commission. It also discusses defenses against negligence claims and the difference between civil and criminal negligence.
The document discusses incidents prevention. It defines an incident as an unplanned and unwanted event that interrupts normal work and can potentially cause injury or property damage. Incidents are distinguished from accidents based on the severity of outcomes. The document also categorizes incidents from Type 5 to Type 1 based on their complexity, with Type 1 being the most complex. It discusses identifying hazards, assessing risks, and taking appropriate actions and recommendations to control risks.
This document defines key terms related to occurrence variance reporting (OVR) like occurrence, sentinel event, near miss, malpractice, and adverse event. It outlines the objectives, definitions, reporting process, roles and responsibilities, and procedures for completing an OVR form. The goal of the OVR system is to document details of any event that negatively impacts patient care, identify root causes, and implement corrective actions through a non-punitive process. It aims to act as a quality improvement tool for monitoring and preventing future occurrences.
Inquiry report, enquiry proceedings & recordsCMC ,vellore
An incident report documents any unintended event that results in harm or has the potential for harm to a patient. It is important to file an incident report for events large and small to facilitate review, corrective actions, and decisions around liability. When writing an incident report, one should objectively describe the facts of the incident without opinions, including all relevant details like those involved, witnesses, location, and immediate responses. Incident reports preserve memory and information in case of future review or legal proceedings.
The adverse event occurred and provided the framework for an immediate investigation, expeditious response, and the need for a Root Cause Analysis to improve processes to eliminate patient harm.
This document provides guidelines for various quality and safety practices at a hospital. It discusses proper patient identification procedures, guidelines for verbal and telephone orders, procedures for high alert medications, surgical checklists including site marking and time outs, hand hygiene practices, fall risk assessment and prevention measures, occurrence variance reporting for documenting incidents, and the focus-PDCA methodology for quality improvement. Key areas of focus include correctly identifying patients, improving communication, ensuring surgery and medication safety, reducing healthcare associated infections and patient harm from falls.
This document defines adverse events and unanticipated problems involving risks to subjects, and describes the process for reporting these events. It defines adverse events as any untoward occurrence affecting a subject, whether or not related to the research. Unanticipated problems suggest greater risk of harm than previously known. The IRB reviews reports of adverse events and determines which qualify as unanticipated problems, then reports these to institutional officials and oversight agencies as required. The goal is to ensure safety of human subject research and comply with regulatory reporting requirements.
This document defines sentinel events as unanticipated events in healthcare settings resulting in death or serious injury to patients not related to their illness. It lists types of sentinel events including surgical events, product/device events, patient protection events, care management events, environmental events, and criminal events. Root causes of sentinel events are typically systemic problems like poor communication or assessment. When one occurs, the patient's safety and a thorough investigation are prioritized, with the goal of developing an action plan to prevent future occurrences.
A brief lecture ppt for the students and professionals of Healthcare Quality Management & Patient Safety. This lecture presented in Arar Central Hospital of KSA for CME of doctors & nurses. Sentinel Events topic is a basic topic of Healthcare Quality Management and they can be controlled by caring of International Patient Safety Goals.
The Joint Commission (TJC) defines a sentinel event as an unexpected occurrence involving death or serious physical or psychological injury. When a sentinel event occurs, hospitals must conduct a root cause analysis within 45 days to determine what factors contributed to the event. Various government agencies have defined lists of specific reportable sentinel events that healthcare facilities must report. Some examples include surgery on the wrong patient, foreign objects left in the body after surgery, and severe neonatal jaundice. Identifying and analyzing these sentinel events helps improve patient safety and quality of care.
This document defines and provides examples of medical negligence and malpractice. It discusses the four elements required to prove negligence: duty of care, breach of duty, causation, and damages. It notes that the burden is on the patient to prove negligence and the doctor to prove innocence. Common acts of negligence include operating on the wrong patient or body part and leaving surgical instruments inside a patient. Defenses for doctors include calculated risk, contributory negligence, vicarious liability, and error in judgment. Negligence can result in civil penalties like compensation or criminal charges under section 304A of the Indian Penal Code.
The document outlines international patient safety goals and guidelines for incident reporting. It discusses 6 main safety goals, including correctly identifying patients, improving communication, and reducing healthcare-associated infections. It also defines different types of incidents like near misses, adverse events, and sentinel events. For reporting, it specifies the immediate actions required and that all incidents must be reported to the quality department within 24 hours. The purpose is to distinguish between different adverse events to improve patient safety.
An occurrence variance report (OVR) documents incidents in a hospital that deviate from standard practices and could impact patient or staff health and safety. Near misses, where an adverse event was avoided by chance, should also be reported. Basic categories to include on an OVR are medication errors, falls, injuries, complaints, and equipment issues. The quality department is responsible for receiving OVRs within 24 hours, investigating incidents, and ensuring corrective actions are implemented with the involved departments.
Patient safety Incident (PSI) is an unplanned or unintended event or circumstance that could have resulted or did result in harm to a patient while in the care of a health facility. In this presentation, I explored the concepts of patient safety and patient safety incidents. I also explored the concept of Reporting systems, properly now known as reporting and learning systems - because learning is paramount in the reporting system. I focused on the minimal information model, which is more routinely used compared to the intermediate and full information models.
This document discusses the statutory duty of candour that was introduced in the UK via the Care Act 2014 and Health and Social Care Act 2008. It requires healthcare providers to be open and honest with patients when certain "notifiable safety incidents" have occurred that resulted in harm. It defines what constitutes a notifiable incident and outlines the requirements for notifying patients of incidents and providing follow up information. It discusses how this interacts with claims processes and considers some case studies to demonstrate how the duty of candour would apply in different clinical situations. The goal of the duty of candour is to improve openness and transparency when things go wrong in healthcare.
Occurrence Variance Report and Sentinel Event Reporting SystemHisham Aldabagh
OVR definition, purpose, when to use, who should report, what to report, OVR Policy, confidentiality, responsibilities, OVR form.
Sentinel Event Definition, reportable cases, sentinel event reporting process,
This document discusses accident reporting, investigation, and analysis. It defines different types of incidents from near misses to severe accidents and outlines appropriate response and investigation based on incident level. Level 1 incidents involve minor injuries or damage while level 3 are most severe, involving fatalities, serious injuries, major damage or production loss. The appropriate personnel to investigate and responsibilities for remedial actions increase according to incident level. The goal is to learn from incidents to prevent recurrences and improve safety.
Accident reporting ,investigation & analysis (cif&b)mallareddy1975
This document defines various types of workplace accidents and injuries and outlines procedures for investigating, reporting, and analyzing accidents. It defines near misses, first aid injuries, minor injuries, lost time accidents, and fatalities. It describes the responsibilities of injured employees, supervisors, medical officers, and management in responding to accidents. It also outlines the accident investigation process, including initial response, forming an investigation team, determining facts and root causes, and implementing corrective actions. Various forms for reporting near misses, preliminary accidents, and full investigation reports are also defined.
The document provides an overview of regulatory training on national patient safety goals. It discusses the Joint Commission's role in developing patient safety standards and how facilities are reviewed. It then summarizes several key national patient safety goals, including: accurately identifying patients; preventing transfusion errors; timely reporting of critical test results; safe medication use; preventing healthcare-associated infections; medication reconciliation; minimizing suicide risk; and using a universal protocol for surgeries.
This document provides an overview of the roles and responsibilities of a first responder. It discusses topics like providing patient care, ensuring safety, performing assessments, documentation, infection control, legal issues, vital signs, and more. The top responsibilities of a first responder are to assure personal safety, ensure patient and others' safety, and perform patient assessments to determine necessary care. Infection control, legal consent and issues, and proper documentation are also reviewed.
The document discusses medical negligence, providing definitions and examples. It defines professional negligence as the absence of reasonable care by a medical practitioner that causes bodily injury or death. It notes negligence is a breach of the duty to provide proper care. The document outlines the four D's of negligence: duty, dereliction, damage, and direct causation. It provides examples of negligence through both acts of omission and commission. It also discusses defenses against negligence claims and the difference between civil and criminal negligence.
The document discusses incidents prevention. It defines an incident as an unplanned and unwanted event that interrupts normal work and can potentially cause injury or property damage. Incidents are distinguished from accidents based on the severity of outcomes. The document also categorizes incidents from Type 5 to Type 1 based on their complexity, with Type 1 being the most complex. It discusses identifying hazards, assessing risks, and taking appropriate actions and recommendations to control risks.
This document defines key terms related to occurrence variance reporting (OVR) like occurrence, sentinel event, near miss, malpractice, and adverse event. It outlines the objectives, definitions, reporting process, roles and responsibilities, and procedures for completing an OVR form. The goal of the OVR system is to document details of any event that negatively impacts patient care, identify root causes, and implement corrective actions through a non-punitive process. It aims to act as a quality improvement tool for monitoring and preventing future occurrences.
Inquiry report, enquiry proceedings & recordsCMC ,vellore
An incident report documents any unintended event that results in harm or has the potential for harm to a patient. It is important to file an incident report for events large and small to facilitate review, corrective actions, and decisions around liability. When writing an incident report, one should objectively describe the facts of the incident without opinions, including all relevant details like those involved, witnesses, location, and immediate responses. Incident reports preserve memory and information in case of future review or legal proceedings.
The adverse event occurred and provided the framework for an immediate investigation, expeditious response, and the need for a Root Cause Analysis to improve processes to eliminate patient harm.
This document provides guidelines for various quality and safety practices at a hospital. It discusses proper patient identification procedures, guidelines for verbal and telephone orders, procedures for high alert medications, surgical checklists including site marking and time outs, hand hygiene practices, fall risk assessment and prevention measures, occurrence variance reporting for documenting incidents, and the focus-PDCA methodology for quality improvement. Key areas of focus include correctly identifying patients, improving communication, ensuring surgery and medication safety, reducing healthcare associated infections and patient harm from falls.
This document defines adverse events and unanticipated problems involving risks to subjects, and describes the process for reporting these events. It defines adverse events as any untoward occurrence affecting a subject, whether or not related to the research. Unanticipated problems suggest greater risk of harm than previously known. The IRB reviews reports of adverse events and determines which qualify as unanticipated problems, then reports these to institutional officials and oversight agencies as required. The goal is to ensure safety of human subject research and comply with regulatory reporting requirements.
This document defines sentinel events as unanticipated events in healthcare settings resulting in death or serious injury to patients not related to their illness. It lists types of sentinel events including surgical events, product/device events, patient protection events, care management events, environmental events, and criminal events. Root causes of sentinel events are typically systemic problems like poor communication or assessment. When one occurs, the patient's safety and a thorough investigation are prioritized, with the goal of developing an action plan to prevent future occurrences.
A brief lecture ppt for the students and professionals of Healthcare Quality Management & Patient Safety. This lecture presented in Arar Central Hospital of KSA for CME of doctors & nurses. Sentinel Events topic is a basic topic of Healthcare Quality Management and they can be controlled by caring of International Patient Safety Goals.
The Joint Commission (TJC) defines a sentinel event as an unexpected occurrence involving death or serious physical or psychological injury. When a sentinel event occurs, hospitals must conduct a root cause analysis within 45 days to determine what factors contributed to the event. Various government agencies have defined lists of specific reportable sentinel events that healthcare facilities must report. Some examples include surgery on the wrong patient, foreign objects left in the body after surgery, and severe neonatal jaundice. Identifying and analyzing these sentinel events helps improve patient safety and quality of care.
This document defines and provides examples of medical negligence and malpractice. It discusses the four elements required to prove negligence: duty of care, breach of duty, causation, and damages. It notes that the burden is on the patient to prove negligence and the doctor to prove innocence. Common acts of negligence include operating on the wrong patient or body part and leaving surgical instruments inside a patient. Defenses for doctors include calculated risk, contributory negligence, vicarious liability, and error in judgment. Negligence can result in civil penalties like compensation or criminal charges under section 304A of the Indian Penal Code.
The document outlines international patient safety goals and guidelines for incident reporting. It discusses 6 main safety goals, including correctly identifying patients, improving communication, and reducing healthcare-associated infections. It also defines different types of incidents like near misses, adverse events, and sentinel events. For reporting, it specifies the immediate actions required and that all incidents must be reported to the quality department within 24 hours. The purpose is to distinguish between different adverse events to improve patient safety.
An occurrence variance report (OVR) documents incidents in a hospital that deviate from standard practices and could impact patient or staff health and safety. Near misses, where an adverse event was avoided by chance, should also be reported. Basic categories to include on an OVR are medication errors, falls, injuries, complaints, and equipment issues. The quality department is responsible for receiving OVRs within 24 hours, investigating incidents, and ensuring corrective actions are implemented with the involved departments.
Patient safety Incident (PSI) is an unplanned or unintended event or circumstance that could have resulted or did result in harm to a patient while in the care of a health facility. In this presentation, I explored the concepts of patient safety and patient safety incidents. I also explored the concept of Reporting systems, properly now known as reporting and learning systems - because learning is paramount in the reporting system. I focused on the minimal information model, which is more routinely used compared to the intermediate and full information models.
This document discusses the statutory duty of candour that was introduced in the UK via the Care Act 2014 and Health and Social Care Act 2008. It requires healthcare providers to be open and honest with patients when certain "notifiable safety incidents" have occurred that resulted in harm. It defines what constitutes a notifiable incident and outlines the requirements for notifying patients of incidents and providing follow up information. It discusses how this interacts with claims processes and considers some case studies to demonstrate how the duty of candour would apply in different clinical situations. The goal of the duty of candour is to improve openness and transparency when things go wrong in healthcare.
This document provides an introduction to Unit 4 on basic disease surveillance. It outlines the session objectives which are for community health workers to identify suspected cases of notifiable illnesses, correctly fill out referral/counter-referral forms, and provide follow up care. The unit covers topics like community-based surveillance, reporting, and referral and counter-referral. Community health workers play an important role in basic surveillance by collecting data, identifying cases based on clinical definitions, and referring emergency cases to health facilities while providing care during transit. They also follow up after referral using information from counter-referral forms.
This document outlines how to recognize and handle emergency situations. It discusses learning outcomes around recognizing, determining appropriate action, following procedures, seeking assistance, and reporting details. Specific emergencies mentioned include accidents, health issues, deranged customers, fire, flood, robbery, bomb threats, and earthquakes. The document emphasizes following established emergency procedures, such as those outlined in an organization's emergency plan. It stresses the importance of properly documenting and reporting emergency incidents according to policy.
This document discusses the various medico-legal duties and responsibilities of doctors. It covers obtaining consent, duties in cases of suspected poisoning, criminal abortion, negligence, and postmortem examinations. It also discusses legal issues around medical practice, including civil tort law and medical council regulations. The document provides guidance on protocols for police cases, rape examinations, and forms for medical examinations of victims and accused persons.
This document outlines an occurrence variance reporting system used by a hospital to systematically identify and address issues that pose safety risks. It defines key terms like occurrences, variances, sentinel events and provides guidelines for reporting, investigating and taking corrective action for different types of incidents. The goal is to use this non-punitive approach to monitor quality, ensure patient and staff safety, and implement improvements through confidential reporting and analysis of issues.
This document provides an overview of understanding addiction and substance use disorders. It discusses where addiction starts and the effects of commonly used substances like alcohol, cannabis, opioids, and tobacco. A substance use disorder is defined as a chronic relapsing brain disease. The document emphasizes treating substance use disorders as chronic illnesses rather than moral failings and using people-first language to reduce stigma.
This document discusses providing outstanding patient service. It begins by defining good, poor, and outstanding service. Good service meets expectations, while outstanding service exceeds them. The document then provides tips for offering outstanding patient service, such as treating each patient as an individual, identifying their needs, building rapport, listening skills, problem solving, and managing expectations. It emphasizes the importance of going above and beyond for patients by looking for extra opportunities to help them. The overall message is that outstanding patient service can be provided by focusing on each unique patient, understanding their needs, and finding ways to exceed their expectations through small acts of care, attention, and problem solving.
The document discusses suicide awareness and prevention, including definitions of key terms, risk and protective factors, assessing suicide risk, communicating with at-risk patients, and ensuring immediate safety needs. It defines suicidal behaviors, attempts, ideation, and suicide. It identifies major risk factors like mental health issues, substance abuse, hopelessness, and prior attempts. Protective factors include social support and problem-solving skills. Guidelines are provided for assessing risk levels, inquiring sensitively about suicidal thoughts, acknowledging patients' experiences, and documenting hand-off communications to ensure continuity of care and safety.
This document outlines an organization's "Good Catch Program" which aims to promote safety and quality by recognizing employees who identify potential issues. It defines key terms like incidents, adverse events, and near misses. The program aims to create a safety-focused culture through employee-driven reporting of good catches, which are events that could have caused harm but did not due to intervention. Employees who report good catches will be recognized monthly to encourage participation and continuous improvement based on learning from good catches. FAQs provide examples of good catches and clarify reporting procedures.
1. This document discusses the importance of patient confidentiality and obtaining proper Release of Information (ROI) forms before sharing any patient information with third parties.
2. It outlines the different types of ROIs including for emergency contact, continuity of care, and medical information sharing.
3. Key guidelines are provided on when an ROI is needed, how to properly complete one with the patient, and how to handle situations like a patient revoking consent or an incomplete form. FAQs address common scenarios clinicians may face regarding ROIs.
This document provides information on infection control and universal precautions for healthcare workers. It defines key terms, describes modes of transmission and portals of entry for infections. It explains universal precautions and proper hand hygiene techniques. The document outlines when gloves should be used and changed, and how to properly put on and remove gloves. It also provides guidance on cleaning spills and what to do following an exposure incident.
This document discusses best practices for handling high-alert medications and look-alike/sound-alike medications in nursing. It defines high-alert medications as those most likely to cause harm if misused due to their properties. The document outlines the process the Institute for Safe Medical Practices uses to identify high-alert medications and how healthcare facilities incorporate them into policies. It provides examples of high-alert medication risks and recommendations to prevent errors and harm for medications like warfarin, insulin, narcotics, and sedatives. The document also discusses look-alike/sound-alike medication names as a common cause of errors and outlines individual, environmental, and technological factors that can contribute to incidents.
This document provides guidance on unlawful discrimination, sexual harassment, workplace violence, and the responsibilities of employees, managers, supervisors, and human resources. It defines unlawful discrimination and sexual harassment and provides examples. It states that submission to unlawful conduct cannot be made a condition of employment. It instructs employees, managers and supervisors to report any potential issues to human resources immediately. Human resources has a duty to investigate complaints impartially and prohibit retaliation. The document also defines workplace violence and instructs employees on responding to imminent threats.
This document discusses the importance of standardizing communication processes in behavioral healthcare, specifically during transitions of care. It provides tips for effective handoff communication, such as using a standardized format like I PASS the BATON, allowing two-way exchanges, and including key patient details. The document also addresses barriers to communication and provides suggestions for improving discharge planning and continuity of care between levels of care. Overall, it emphasizes the need for timely, accurate information sharing between providers to improve patient safety and outcomes.
Proper hand hygiene, including washing with soap and water or using alcohol-based hand rubs, is the most effective way to prevent the spread of germs and infections. The document outlines CDC guidelines for hand hygiene, including demonstrating proper handwashing technique in 11 steps and describing situations that require hand hygiene, as well as differences between soap and antimicrobial cleansers and appropriate uses of alcohol-based hand rubs.
This document discusses disaster preparedness and response planning for workplaces. It defines a disaster as a sudden catastrophic event that causes injury, death and property destruction. Being prepared helps minimize suffering and losses. Facilities need an "all-hazards" disaster plan that includes staff training, coordination with emergency services, and resource management. Plans should cover evacuation and sheltering-in-place for different disaster scenarios, both internal and external, natural or man-made. The document outlines setting up an incident command system and emergency codes to coordinate an effective response when disaster strikes.
This document discusses working in a diverse culture and improving intercultural competence. It states that welcoming diversity, fostering inclusion, and improving intercultural skills are key 21st century challenges. All staff are responsible for enhancing their ability to work with people from different cultures, as traditional structures must change to reflect the diverse populations served. The document then provides definitions and concepts related to multicultural environments, diversity, inclusion, and intercultural competence. It discusses assessing needs and evaluating diversity and inclusion efforts through focus groups, staff surveys, and program evaluations. The goal is to gain understanding on developing plans to improve both organizations and individuals' intercultural competence.
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive function. Exercise causes chemical changes in the brain that may help protect against mental illness and improve symptoms.
This document provides guidance on best practices for chemical and equipment safety in the workplace. It discusses the importance of scheduled maintenance to prevent equipment breakdowns and injuries. It also explains what a Safety Data Sheet (SDS) is and why it is important for understanding the hazards of chemicals. The document provides tips for proper chemical handling and storage, use of protective equipment, safe lifting techniques, limiting disease spread, and preventing common injuries like slips, strains, and falls.
Case management in behavioral health involves coordinating community services to provide customized mental health care according to an individual's needs. A case manager assesses treatment needs, develops and monitors treatment plans, and ensures the individual's needs, strengths, preferences, and goals are addressed regarding legal, vocational, educational, financial, health, and self-care issues. In initial assessments, case managers collect information on the individual's work, education, legal, living, family, income, health, substance use, and safety situations to develop a discharge plan with short and long-term goals prioritizing steps to achieve independence and well-being.
This document provides information on recognizing and reporting abuse, neglect, trauma, and exploitation. It defines different types of abuse and provides signs and symptoms to look for. It emphasizes that all staff are responsible for knowing how to identify potential abuse and how to properly report and investigate any suspicions. Staff should notify the Clinical Director immediately if any signs are present so a thorough investigation can be conducted. Each state has its own guidelines for reporting abuse, which are listed for reference. Tips are provided on dealing with stressful reactions in patients and recognizing limitations as direct care staff.
Case management in behavioral health involves coordinating community services to provide customized mental health care according to an individual's needs. A case manager assesses treatment needs, develops and monitors treatment plans, and ensures the individual's needs, strengths, preferences, and goals are addressed regarding legal, vocational, educational, financial, health, and self-care issues. In initial assessments, case managers collect information on the individual's work, education, legal, living, family, income, health, substance use, and safety situations to develop a discharge plan with short and long-term goals prioritizing steps to achieve independence and well-being.
Accelerating AI Integration with Collaborative Learning - Kinga Petrovai - So...SocialHRCamp
Speaker: Kinga Petrovai
You have the new AI tools, but how can you help your team use them to their full potential? As technology is changing daily, it’s hard to learn and keep up with the latest developments. Help your team amplify their learning with a new collaborative learning approach called the Learning Hive.
This session outlines the Learning Hive approach that sets up collaborations that foster great learning without the need for L&D to produce content. The Learning Hive enables effective knowledge sharing where employees learn from each other and apply this learning to their work, all while building stronger community bonds. This approach amplifies the impact of other learning resources and fosters a culture of continuous learning within the organization.
Start Smart: Learning the Ropes of AI for HR - Celine Maasland - SocialHRCamp...SocialHRCamp
Speaker: Celine Maasland
In this session, we’ll demystify the process of integrating artificial intelligence into everyday HR tasks. This presentation will guide HR professionals through the initial steps of identifying AI opportunities, choosing the right tools, and effectively implementing technology to streamline operations. Additionally, we’ll delve into the specialized skill of prompt engineering, demonstrating how to craft precise prompts to enhance interactions between AI systems and employees. Whether you’re new to AI or looking to refine some of your existing strategies, this session will equip you with the knowledge and tools to harness AI’s potential in transforming HR functions.
Watch this expert-led webinar to learn effective tactics that high-volume hiring teams can use right now to attract top talent into their pipeline faster.
AI Considerations in HR Governance - Shahzad Khan - SocialHRCamp Ottawa 2024SocialHRCamp
Speaker: Shahzad Khan
This session on "AI Considerations in Human Resources Governance" explores the integration of Artificial Intelligence (AI) into HR practices, examining its history, current applications, and the governance issues it raises. A framework to view Government in modern organizations is provided, along with the transformation and key considerations associated with each element of this framework, drawing lessons from other AI projects to illustrate these aspects. We then dive into AI's use in resume screening, talent acquisition, employee retention, and predictive analytics for workforce management. Highlighting modern governance challenges, it addresses AI's impact on the gig economy as well as DEI. We then conclude with future trends in AI for HR, offering strategic recommendations for incorporating AI in HR governance.
Your Guide To Finding The Perfect Part-Time JobSnapJob
Part-time workers account for a significant part of the workforce, including individuals of all ages. A lot of industries hire part-time workers in different capacities, including temporary or seasonal openings, ranging from managerial to entry-level positions. However, many people still doubt taking on these roles and wonder how a temporary part-time job can help them achieve their long-term goals.
Building Meaningful Talent Communities with AI - Heather Pysklywec - SocialHR...SocialHRCamp
Speaker: Heather Pysklywec
Digital transformation has transformed the talent acquisition landscape over the past ten years. Now, with the introduction of artificial intelligence, HR professionals are faced with a new suite of tools to choose from. The question remains, where to start, what to be aware of, and what tools will complement the talent acquisition strategy of the organization? This session will give a summary of helpful AI tools in the industry, explain how they can fit into existing systems, and encourage attendees to explore if AI tools can improve their process.
How to Leverage AI to Boost Employee Wellness - Lydia Di Francesco - SocialHR...SocialHRCamp
Speaker: Lydia Di Francesco
In this workshop, participants will delve into the realm of AI and its profound potential to revolutionize employee wellness initiatives. From stress management to fostering work-life harmony, AI offers a myriad of innovative tools and strategies that can significantly enhance the wellbeing of employees in any organization. Attendees will learn how to effectively leverage AI technologies to cultivate a healthier, happier, and more productive workforce. Whether it's utilizing AI-powered chatbots for mental health support, implementing data analytics to identify internal, systemic risk factors, or deploying personalized wellness apps, this workshop will equip participants with actionable insights and best practices to harness the power of AI for boosting employee wellness. Join us and discover how AI can be a strategic partner towards a culture of wellbeing and resilience in the workplace.
Becoming Relentlessly Human-Centred in an AI World - Erin Patchell - SocialHR...SocialHRCamp
Speaker: Erin Patchell
Imagine a world where the needs, experiences, and well-being of people— employees and customers — are the focus of integrating technology into our businesses. As HR professionals, what tools exist to leverage AI and technology as a force for both people and profit? How do we influence a culture that takes a human-centred lens?
2. What’s an “Incident”?
An “Incident” is when any adverse event happens that affects a patient, guest, or staff member Incidents
are classified as one of the following:
• Reportable Event: A reportable event is one that the State requires you reporting in a specific time frame.
• Sentinel Event: An unexpected event that results in a patient/client death OR a serious physical or
psychological injury.
• Critical Event: An event with a significantly high impact, consequence, and/or effect on operations, staff,
or patients. Critical events are abrupt, powerful events that fall outside the range of normal functions. This is
not to be confused with a Sentinel Event.
• Non-Critical Event: An event unanticipated or outside normal operations, for which the Organization has
strategies and procedures in place to manage with little or no external assistance from first responders or
the general community.
3. What is a Reportable Event?
A Reportable Event is that in which your State mandates must be reported to a specific State
department within a certain time frame. Not reporting the event could lead to fines,
investigation, or potentially closure. Click the link on your state to see the guidelines.
Texas Colorado New Jersey Utah
Florida Arizona Massachusetts Pennsylvania
California Ohio Tennessee New Mexico
North Carolina Alabama Connecticut Delaware
Georgia Illinois Wyoming Nevada
4. What is a Sentinel Event?
Sentinel Incidents are defined as:
• An unexpected occurrence involving death or serious physical 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.
• Any serious bodily trauma received by a patient or staff member as a result of treatment or a work
related activity that requires immediate medical or surgical evaluation or treatment in a hospital
emergency department to prevent permanent damage or loss of life.
• Such events are called “sentinel” because they signal the need for immediate investigation and
response.
• The terms“sentinel event” and “error” are not synonymous; not all sentinel events occur because of
an error,and not all errors result in sentinel events.
5. What is a Critical Event?
• AS A GENERAL RULE, A Critical Incident includes any time that paramedics, police, or any other
emergency personnel are contacted to come to your facility for a patient or staff injury.
• A Critical Incident could also includes an event that occurs that causes a cease in the normal
functions of daily operations. Examples could be an extended power outage, the breaking of the
HVAC system, etc.
• Non-Critical Incidents are all other incidents that occur at the facility that are neither Reportable,
Sentinel, or Critical.
• Why are Non-Critical Incidents important to report?
• Just because an event or incident does not result in a death or serious injury, doesn’t mean it
shouldn’t get reported. These types of incidents could be small issues now, however, if not
corrected could turn into a devastating incident at your facility.
6. WHAT ARE EXAMPLES OF REPORTABLE, SENTINEL, AND
CRITICAL INCIDENTS?
❒ *Death of a patient while Admitted:
❒ Accident
❒ Homicide
❒ Suicide
❒ Undetermined/Unknown Reason
❒ Death of a patient w/in 30 days of D/C
❒ Medical problem/911(Seizures, Fainting, Psychiatric Emergencies)
❒ Attempted use of a Weapon
❒ Significant Theft/Vandalism to Property
❒ Elopement (Only Inpatient)
❒ Significant Injury to patient (911)
❒ Sexual Abuse/Battery (w/in 12 months)
❒ Bomb/Biological/Chemical Threat
❒ Hepatitis B/C/HIV Positive
❒ Death of an Employee/Visitor on site
❒ Drugs found in residence (Only Inpatient)
❒ Medication Error Resulting in 911
❒ Security Incident - Unintentional
❒ Suicide Attempt/Suicidal Behavior
❒ Employee Arrest
❒ Employee Misconduct
❒ Riot/Hostage Situation
❒ Significant Injury to Staff
❒ Problematic event that may
lead to a media report
❒ Refusal to 911/Hospital
❒ Abuse to patient
❒ Infectious Disease Reporting
❒ Utility/Major Equipment Failure (Significant
enough to cease operations)
7. Non-Critical Incidents
• Less than Critical Incidents are all other incidents, and include but are not limited
to:
• Property Loss or Damage
• Vehicular Accidents that do not result in harm to patients or staff
• Threats or verbal altercations
• Trespassing
• Rule Violations
• Medication Errors that do not result in harm to the patient
8. WHAT ARE EXAMPLES OF NON-CRITICAL EVENTS?
❒ Altercation/Verbal
❒ Property Damage/Loss
❒ Breach of Security
❒ Administrative D/C
❒ Altercation/Physical
❒ Contraband/Paraphernalia
❒ Vendor/Visitor Injury
❒ *Rule Violation
❒ Violent Action:No Injuries/Damage
❒ Vehicular Accident (No Injury)
❒*Procedural Break
❒ *Weapon Found
❒ Violent Threat/Others
❒ *Employee Injury (All)
❒ Equipment/Utility Issue (does not interfere
with normal operations)
❒ Other: SUP ONLY
❒ *Suicidal Thoughts/Ideations
❒ General Medical (non 911)
❒ Patient left AMA/ATA
❒ Near Miss
9. Sentinel Event: DEATH
• When a patient’s life terminates while receiving services, during an investigation. All deaths should be
reported as:
• (a) Accident. A death due to the unintended actions of one’s self or another.
• (b) Homicide. A death due to the deliberate actions of another.
• (c) Suicide. The intentional and voluntary taking of one’s own life.
• (c) Unexpected. Natural or UnNatural
• (d) Undetermined. The manner of death has not yet been determined.
• (e) Unknown. The manner of death was not identified or made known.
Note: If we are made aware of a death of a patient that has discharged within the last 30 days, this is a Critical event.
10. Reportable Event: ELOPEMENT
• Elopement Is “The unauthorized absence of any individual [from a] . . . licensed
substance abuse . . . program.”
• AKA “Jumping the Fence” or “AWOL”
• If a patient cannot be found for more than four hours of the treatment day
11. Critical Incident:
MEDICAL PROBLEMS AND MEDICATION ERRORS
• Medical problem/911(Seizures, Fainting, Psychiatric Emergencies): Any incident that requires us
to call 911 due to a medical issue.
• Medication Error Resulting in 911: Any Medication Error that occurs in which the Medical staff
determine that it is necessary to call 911. This will need to be documented even if the patient
refuses to go to the hospital.
12. Critical Incident: REFUSAL TO 911
• Refusal to 911/Hospital: Any patient that refuses 911/Hospitalization a Medical or Clinical staff
member recommends
13. REPORTABLE EVENT: INFECTIOUS DISEASE CONTROL
HEPATITIS B CONVERSION/HIV POSITIVE
• Hepatitis B Conversion: Any patient that tests positive for Hepatitis B or C.
• When a patient’s labs come back positive for either Hep B OR Hep C, this must be reported immediately to Compliance.
• Compliance has one week to submit this information to the State.
• HIV Positive: When a patient’s bloodwork comes back as HIV positive.
• Infectious Disease Reporting: Each State will have guidelines as to what Infectious Diseases are reportable. Please be clear on the Incident Form, to
describe which infectious disease/s in which the patient came up positive.
• How do I report a case of acute HIV?
• Call your local reporting authority within one working day.
• How do I report non-acute HIV or AIDS cases among adults or adolescents ages 13 and older?
• Submit a completed form to your local reporting authority, or call them as soon as you receive the information.
• The Goal here is to STOP the Spread of Infection!
14. REPORTABLE EVENT: INFECTIOUS DISEASE CONTROL
HEPATITIS B CONVERSION/HIV POSITIVE
What information should be included on the Adult HIV/AIDS Confidential Case Report Form?
• Demographics
• Residence at diagnosis
• Facility at diagnosis
• Personal history
• Lab tests
• Clinical status
• Medical treatment
• Testing and treatment history
Where can I get copies of the Adult HIV/AIDS Confidential Case Report Form?
Due to concerns about potential for misuse, HIV/STD reporting forms are not available on this website.
To obtain this form, contact your local reporting authority.
15. Critical Incident: USE OF A WEAPON
• Weapon (Attempted use of): If anyone on premises is in possession (either allegedly or confirmed) of a
weapon.
• An act from outside an organization that bypasses or contravenes security policies, practices, or
procedures. A similar internal act is called security violation.
16. Critical Incident: THEFT OR VANDALISM
Significant Theft/Vandalism to Property:
• Any theft/vandalism that interferes with daily operations.
17. Critical Incident:
EMPLOYEE ARREST OR MISCONDUCT
• Employee Arrest: Any arrest of an employee is considered a Critical Incident.
• Employee Misconduct: Work-related conduct or activity of an employee that results in:
• death or harm to a patient;
• abuse, neglect or exploitation of a patient; or results in a violation of statute, rule, regulation, or
policy.
• This includes, but is not limited to:
• misuse of position or state property;
• falsification of records;
• failure to report suspected abuse or neglect;
• contract mismanagement;
• or improper commitment or expenditure of state funds.
18. Critical Incident:
SECURITY INCIDENTS, OR A RIOTS/HOSTAGE SITUATION
• SECURITY: An unintentional action or event that results in:
• compromised data confidentiality, a danger to the physical safety of personnel, property, or
technology resources;
• misuse of state property or technology resources;
• and/or denial of use of property or technology resources.
• RIOT/HOSTAGE: Human acts that jeopardize the health, safety, or welfare of patients such as
kidnapping, riot, or hostage situation.
19. Reportable Event:
SEXUAL ABUSE OR SEXUAL BATTERY
ANY unsolicited or non-consensual activity by one patient to another patient, a staff member, or other
individual to a patient, or a patient to a staff member regardless of the consent of the patient.
This may include:
• Sexual battery as defined as “oral, anal, or vaginal penetration by, or union with, the sexual organ of another or the anal or
vaginal penetration of another by any other object; however, sexual battery does not include an act done for a bona fide
medical purpose.”
• Any willful or threatened act or omission that causes or is likely to cause significant impairment to a vulnerable adult's
physical, mental or emotional health. This act of Abuse can be done by either a staff member or another patient.
This includes any unsolicited or non-consensual sexual battery by one patient to another patient, a service provider
employee or other individual to a patient, or a patient to an employee regardless of consent of the patient.
20. SUICIDE ATTEMPT
• A suicide attempt is a potentially lethal act which reflects an attempt by an
individual to cause his or her own death as determined by a licensed mental
health professional or other licensed healthcare professional.
• Depending on your State reporting requirements, a suicide attempt that results in
a serious injury or severe harm is more than likely a Reportable Event.
• While a suicide attempt that does not result in injury or harm is more than likely a
Critical Incident.
• Get to know what your State requirements are.
21. Finding a weapon at the Facility
If you happen to find a gun at the facility. Do not touch it, do not unload
it, do not let ANYONE near it.
Immediately walkie-talkie your supervisor with the correct Emergency
code. Do not panic.
If there are patients in the area, have a fellow staff member take them
to a different area while you wait for your supervisor.
22. Incidents & Events: SUMMARY
• If any of these incidents happen, your first goal should always be to ensure
everyone’s safety, and then call emergency services if necessary.
• If you are not sure what kind of Event or Incident occurred - ASK your Supervisor
immediately.
• If you are not sure whether or not an Event or Incident should be documented -
ASK your Supervisor.
• Remember that the end goal is the physical and psychological safety of both the
patients and the staff.
23. POLICY: Every Incident MUST be reported
IN A TIMELY FASHION
• Assess the situation first. If it is an emergency, contact the appropriate authorities.
• If the Incident is CRITICAL, REPORTABLE, OR SENTINEL: Report the Incident via phone call with the
Facility or Operations Director and the Compliance Team. Please attempt to submit the form within the hour.
If the Incident requires your full attention, please submit the report as soon as the situation, the patients, and the
starr are safe.
• If it is NON-Critical, you have 24 hours to submit the Incident Report.
• Fill out the Incident Report. Be as detailed as possible in your reporting of the Incident, and fill out
each question/box entirely. Use facts, NOT opinions. If you have multiple people and departments who
were witness to/involved in the Event, try and piece together an accurate timeline and submit that in ONE
Incident Report.
• Remember to use specific staff names when reporting. Get their Witness Statement as soon as possible.
24. POLICY: Every Incident MUST be reported!
As important as it is to know what to do is, it is even more important to know what not to do.
• DON’T offer to pay all medical expenses
• DON’T transport injured guests
• DON’T admit responsibility
• DON’T mention insurance
• DON’T argue or debate causes of accident
• DON’T reprimand employees at the scene
• DON’T discuss with unauthorized people - EVER
25. POLICY: Every Incident MUST be reported!
• To ensure that our facilities properly respond to all incidents, the
reporting policy must be followed.
• Keep in mind that, if you see any of the following Incidents occur,
you must first ensure that all parties involved are safe and then
contact any appropriate emergency services, and then you must
contact the Supervising staff member on duty and file an incident
report.
26. Incident Reports: HOW TO SUBMIT
Please submit all Incident Reports through the Compliance platform.
27. Don’t Forget about reporting Near Misses…
Reporting a Near Miss, aka “Good Catch” is crucial to discovering any potential threats.
If you are in a position where something ‘almost’ or ‘could have’ occurred, it’s important
to complete a Near Miss form. This will communicate any need for improvement in your
facility’s processes, procedures, or ways of communicating.
Your feedback as a staff member could potentially save lives! You can find the Near Miss
form under the ‘Communication’ tab.
28. SUMMARY
• All Incidents must be reported and documented through the Incident Reporting Process. The
Incident Report data is utilized to recognize trends and to ensure, and improve, the safety of
staff and patients.
• If you have any questions, do not hesitate to ask your Supervisor.
• When in doubt, your first priority should be the health and safety of the patients, your fellow
staff members, and yourself (in some cases, this will require you calling emergency services).